Publications » Survey & Case Studies
List of tobacco products available in Nepalese market with PHW. Download »
July 10, 2014

Action Nepal had  conducted market survey about implementation of the PHW and Published the List of tobacco products available in Nepalese market with PHW till this date.
Effectiveness of Pictorial Health Warning in Nepal Download »

The study aimed  to assess effectiveness of pictorial health warning in the pack of tobacco products to build public awareness from the perspective of general people and vendors. It also looked  at to check whether tobacco industry comply to the pictorial health warning. 
List of tobacco products with their prices Download »
Fiscal year 2018/19 Nepal Government has increased tax rate on tobacco products by 21.35 % (before inflation) & introducing Rs. 0.25 as a sin tax per stick.
Gurkha lahari and Winston have implemented 90 % PHW Download »
Alliance against Tobacco; Major Findings of Cost Analysis of Cardiovascular and Cancer Diseases Download »
The research entitled "Cost analysis of diagnosis and treatment of tobacco related Cancer patients and cardiovascular diseases of selected hospitals of Nepal" was conducted. The overall objective of these studies is to determine direct medical, non-medical costs, and wage loss (productivity) due to absenteeism in a public and a private hospital. These studies are hospital based descriptive, cross sectional, quantitative study conducted in one public and two private hospitals (one for profit other one not for profit).

Economic burdens of cardiovascular diseases and cancer are not yet known in Nepal. Diagnosis and treatment cost of tobacco related Cancer and CVDs are catastrophic and many households are more likely to fall below the poverty due to the high expenditure of diagnosis and treatment.
Report - Cost analysis of diagnosis and treatment of tobacco related cancer in selected hospitals of Nepal- 2019 Download »
The treatment cost of cancer is relatively high, the medical cost alone accounted for NPR 470277.00 and about 15% of the households have sold their property for treatment of tobacco related cancer. The Government of Nepal has provided subsidy NPR 100000.00 to the poor for the treatment of cancer which is less than one fourth of the total medical cost. The insurance benefit package hardly covers the treatment cost of cancer. Therefore, government of Nepal should increase the rate of subsidy to the poor patient who has been suffering from tobacco related cancer in order to protect them from falling down below the poverty line.
Report - Cost analysis of diagnosis and treatment of cardiovascular diseases of selected hospitals of Nepal- 2019 Download »
At present, the tax on tobacco is very low in Nepal. It accounts only 26% of the retail price of the cigarettes which is much lower than the recommended (75%) by WHO and World Bank. The increased additional revenue could be used to subsidize the medical expenditure of the poor CVD patients. According to the annual report of Inland Revenue Department, only NPR 14 billion collected from tobacco tax in FY 2017/18 (IRD, 2018) but the extrapolated tobacco attributed medical cost of cardiovascular disease alone is as high as NPR 33.35 billion. It is alone accounted for 1.3% of the total GDP. The total cost of tobacco related diseases is estimated NPR 46 billion accounted 1.88% of the GDP (RTI International 2018). So, tax on tobacco should increase to the level of 75% of the retail price to generate the adequate revenue in order to finance to NCDs including CVDs.

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