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Empowering Health Care Decision-makers to Achieve Regional Needs for Tobacco Control in Latin America

As the burden of chronic diseases continues to grow in Latin America, it is a critical time to advance tobacco control policies. This project will analyze the cost-effectiveness of tobacco control policies and recommend interventions to policymakers. Little progress, pressing need Despite considerable international evidence, several key factors continue to delay the implementation of important measures in the region: misinformation, prejudice, lack of country-level comprehensive data, and pressure from interest groups. This project builds on earlier work on the development and validation of an economic model to estimate the social, economic, and health burden of tobacco, together with the expected impact of tax increases in Argentina, Bolivia, Brazil, Chile, Colombia, Mexico, and Peru. Researchers will develop and evaluate the cost-effectiveness of packages of interventions for tobacco control for these countries. They will also conduct a cost-effectiveness analysis of fiscal policies for tobacco in five other countries: Costa Rica, Ecuador, Honduras, Panama, and Uruguay. Impact of tobacco tax increases The first part of the project will -quantify the disease burden associated with smoking, including its effects on health (years of life lost, quality adjusted life years, disease events) and its economic impact (costs of illness) -quantify the revenue currently obtained from tobacco taxation and compare it with the economic burden of tobacco-related diseases -analyze the impact of raising taxes on cigarettes on government revenues and on smoking prevalence under a wide range of scenarios -quantify the effects of the estimated reductions in smoking prevalence due to tax increases in terms of population health benefits and economic impact -estimate the cost-effectiveness of different tax increase scenarios in each of the participating countries -integrate the data for these five countries with the data generated for the other seven countries: Argentina, Brazil, Bolivia, Chile, Colombia, Mexico, and Peru Evidence packages and cost-effectiveness evaluations The second part of the project will -identify top-priority tobacco control interventions -determine decision-makers' information needs -generate evidence packages with four to six prioritized interventions -generate two to three cost-effectiveness studies for participating countries

Project ID
Project Status
End Date
24 months
IDRC Officer
Natacha Lecours
Total Funding
CA$ 436,600.00
South America
Food, Environment, and Health
Food, Environment, and Health
Institution Country
Project Leader
Prof. Andres Pichon-Riviere MD MSc PhD
IECS - Instituto de Efectividad Clinica Y Sanitaria Asociacion Civil



Economic impact of smoking on health systems in Latin America : a study of seven countries and its extrapolation to the regional level


Burden of disease in Argentina attributable to tobacco use and potential impact of price increases through taxation


Burden of smoking-related diseases in Brazil : mortality, morbidity and costs