The estimated benefits of increasing cigarette prices through taxation on the burden of disease and economic burden of smoking in Nigeria: A modeling study

Background Globally, tobacco consumption continues to cause a considerable burden of preventable diseases. Although the smoking prevalence in Nigeria may be declining over the last years, the absolute number of active smokers remains one of the highest in Africa. Little is known about the disease burden and economic costs of cigarette smoking in Nigeria. Consequently, there is an evidence gap to inform the design and implementation of an effective policy for tobacco control. Methods We applied a microsimulation model to estimate the burden attributable to smoking in terms of morbidity, mortality, disability-adjusted life-years (DALYs), and direct medical costs and indirect costs (e.g., productivity loss costs, informal caregivers´ costs). We also modeled the health and economic impact of different scenarios of tobacco price increases through taxes. Results We estimated that smoking is responsible for approximately 29,000 annual deaths in Nigeria. This burden corresponds to 816,230 DALYs per year. In 2019, the total economic burden attributable to tobacco was estimated at 634 billion annually (approximately U$D 2.07 billion). If tobacco cigarettes´ prices were to be raised by 50% through taxes, more than 30,000 deaths from smoking-attributable diseases would be averted in 10 years, with subsequent savings on direct and indirect costs of 597 billion and increased tax revenue collection of 369 billion. Conclusion In Nigeria, tobacco is responsible for substantial health and economic burden. Increasing tobacco taxes could reduce this burden and produce net economic benefits.Fil: Bardach, Ariel Esteban. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Casarini, Agustin. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Rodriguez Cairoli, Federico. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Adeniran, Adedeji. No especifíca;Fil: Castradori, Marco. No especifíca;Fil: Akanonu, Precious. No especifíca;Fil: Onyekwena, Chukwuka. No especifíca;Fil: Espinola, Natalia Micaela. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Pichón-riviere, Andres. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Palacios, Alfredo. Instituto de Efectividad Clínica y Sanitaria; Argentin

Global Multidimensional Poverty Index 2021: Unmasking disparities by ethnicity, caste and gender

This report provides a comprehensive picture of acute multidimensional poverty to inform the work of countries and communities building a more just future for the global poor. Part I focuses on where we are now. It examines the levels and composition of multidimensional poverty across 109 countries covering 5.9 billion people. It also discusses trends among more than 5 billion people in 80 countries, 70 of which showed a statistically significant reduction in Multidimensional Poverty Index value during at least one of the time periods presented. While the COVID-19 pandemic's impact on developed countries is already an active area of research, this report offers a multidimensional poverty perspective on the experience of developing countries. It explores how the pandemic has affected three key development indicators (social protection, livelihoods and school attendance), in association with multidimensional poverty, with a focus predominantly on Sub-Saharan Africa. Part II profiles disparities in multidimensional poverty with new research that scrutinizes estimates disaggregated by ethnicity or race and by caste to identify who and how people are being left behind. It also explores the proportion of multidimensionally poor people who live in a household in which no female member has completed at least six years of schooling and presents disparities in multidimensional poverty by gender of the household head. Finally, it probes interconnections between the incidence of multidimensional poverty and intimate partner violence against women and girls