Annual Report of Ngo “Advocacy Center “Life”

Home , Vinnytsia

ANNUAL REPORT OF NGO “ADVOCACY CENTER “LIFE”

2019 Content

Content

2 Welcome speech

3 Achievements in combating tobacco epidemic

6 Tobacco excise taxes are increasing

8 Passage of new law on raising taxes on novel tobacco products

10 Advocacy campaigns to save lives and fight tobacco epidemic

13 National mass media campaigns

15 Assistance in smoking cessation

16 Monitoring of the tobacco industry interference and lobbying

18 Tobacco control analytical and methodological materials

20 Training for doctors and capacity building for regional public health centers

22 Financial report

23 Team

24 Partners and donors

1 Welcome speech Achievements in combating tobacco epidemic

Welcome speech Achievements in combating tobacco epidemic This is the first national anti-tobacco information campaign reaching more than 20 million people. The campaign has raised awareness of the dangers of Since 2009, the NGO “Life” has been months, a number of information mate- second-hand tobacco smoke. implementing effective advocacy and rials were circulated reminding people information campaigns in the field of why second-hand tobacco smoke is Thanks to a successful advocacy cam- public health to improve the quality dangerous and what can be done to paign that lasted from 2017 to 2019, in and life expectancy of children, youth protect themselves. After that, the January 2020, draft laws №1210 and and adults in Ukraine. percentage of people who actively re- №201209-1 were adopted. These draft sponded to smoking in forbidden places laws will triple the excise tax on heated An important area of the NGO “Life” and defended the right to breathe clean tobacco products and cigarillos to har- activities is to promote tobacco tax air without tobacco smoke increased monize them with tax rates on cigarettes annual increases. Increasing taxes and (before and after the campaign, nation- and introduce a tax on e-cigarettes raising prices really help to prevent ally representative surveys were con- liquids from 2021. smoking among young people. In Jan- ducted). uary-December 2019, the State Budget In addition, due to the increase in to- received 44.14 billion hryvnias from In 2017, the NGO “Life” created a bacco taxes in 2019, the State Budget tobacco excises, which is 1.3% higher professional smoking cessation service received 44.14 billion hryvnias, which is than in 2018. At the same time, sales of consisting of the quitline 0-800-50-55- 0.6 billion or 1.3% higher than in 2018. cigarettes decreased by 11 billion units 60 and a website www.stopsmoking. At the same time, sales of cigarettes or 20% compared to 2018. According org.ua. The hotline has been operating decreased by 20%, or 11 billion sticks to the current legislation, in 2018-2025 from June 2017 to August 2019. During of cigarettes. The figures again demon- taxes on tobacco are raising annually this time, more than 9,000 calls were strate that raising excise taxes is the at least by 20%. Thus, from January 1, received, about 45,000 customers visit- most effective way to prevent smoking ed the website, more than 100 smokers among children and young people. received advice via online chat on the At the same time, sales of cigarettes decreased Although Ukraine still loses about 90 website, and more than 50 – via e-mail. billion hryvnias annually due to tobac- by 11 billion units or 20% compared to 2018. The success rate for the first year of the co-related diseases. According to the current legislation, in 2018- service was 12.5% (customers who quit 2025 taxes on tobacco are raising annually smoking for at least 6 months or more), In October, we presented the Global In- at least by 20%. Thus, from January 1, 2020, which is a very high figure, compared to dex of Tobacco Intervention in Ukraine. the excise tax on cigarettes and other tobacco that only 3-5% of smokers are able to This is the first international study to quit smoking on their own. show the tactics of tobacco lobbyists products increased by another 20%. Lilia Olefir used to block passage of tobacco control 2020, the excise tax on cigarettes and Article 5.3 of the WHO FCTC and its draft laws. Executive Director of the NGO “Life” other tobacco products increased by guidelines state that governments should limit interactions with the We have ambitious plans for next year. another 20%. tobacco industry and avoid any part- We expect the adoption of draft law In 2019, the NGO “Advocacy Center In 2019, the NGO “Life” conducted a nerships, as well as prioritize health №2813 which will significantly strength- “Life” in partnership with the National mass media anti-tobacco campaign policies over the financial, fiscal and en tobacco control in Ukraine and allow Center for Public Health of the Ministry “Tobacco smoke – invisible killer”. The corporate interests of those associated children born in the coming years to of Health of Ukraine conducted the larg- campaign has raised awareness about with the tobacco industry. In order to never get addicted. est mass media information campaign the harmful impact of secondhand counter the interference of the tobacco “Tobacco smoke – an invisible killer”. smoke. Over the course of several industry in setting and implementing

2 3 Achievements in combating tobacco epidemic Achievements in combating tobacco epidemic

public health policy, in October 2019, under national legislation in Ukraine. NGO “Life” presented the Global Index of Tobacco Industry Intervention. This With support from Johns Hopkins Uni- research illustrates the level of inter- versity in 2019, the NGO “Life” created ference of tobacco companies in gov- the Tobacco Industry Monitoring Center ernment decision-making and offers www.tobaccotactics.tobaccocontrol. effective strategies to combat it. The org.ua. This website is an informational report identified many ways in which and thematic resource aimed at mon- the tobacco industry opposes, delays or itoring the methods of the tobacco blocks the implementation or strength- industry interference and lobbying. ening of tobacco control measures

4 5 Tobacco excise taxes are increasing Tobacco excise taxes are increasing

which has increased budget revenues per pack of cigarettes in 2008 to 20 Tobacco excise taxes are and reduced the prevalence of smok- hryvnias in 2019. ing. According to the World Bank, an increase in tobacco excise taxes in To prove the effectiveness of raising increasing Ukraine by 30% annually until 2035 will excise taxes on tobacco products and prevent more than 29,000 premature call on the Government and Parliament deaths. to take appropriate decisions. The NGO Increasing retail prices for tobacco When tobacco prices are rising: “Life” developed an analytical brief In 2019, the NGO “Life” continued a on win-win results of the tobacco tax products, as a result of tax raising, is • Fewer young people begin to campaign to promote Ukraine’s com- increase for public health and economy. the most effective way to reduce the smoke; affordability of tobacco products for mitments under the Association Agree- These results were presented during • The state budget receives additional ment with the EU to increase excise press conferences, press releases and consumers. First of all, the price of revenues; tobacco products affects children and duties on tobacco (Article 352). news have been distributed in media. • The government spends less young people who don’t go from the According to the current legislation, in stage of experiments to the purchase of money on treating smoking-related illnesses. In general, in 2008-2019, sales of cigarettes in 2021-2025 the annual increase of the a whole pack, and also it is an effective excise tax on tobacco will be at least Ukraine has a positive experience in Ukraine decreased from 125 billion to 45 billion incentive to quit smoking for regular 20%. From January 1, 2020, the excise raising taxes on tobacco products, cigarettes, i.e. by 80 billion or 64%. smokers. tax on cigarettes and other ordinary tobacco products increased by 20%. The Акцизні доходи Державного бюджету, млрд. грн In general, in 2008-2019, sales of ciga- effectiveness of this policy of raising -ex rettes in Ukraine decreased from 125 cise taxes is confirmed by the fact that Кількість курців, млн. осіб billion to 45 billion cigarettes, i.e. by 80 revenues from excise duties continue 125 43,6 44,1 billion or 64%. Revenues to the State to grow even despite a manipulation of Середній акциз за пачку 20 сигарет, грн 39,9 Budget during this period increased the tobacco industry with a stockpiling 112 from 3.6 billion to 44,4 billion hryvnias, of cigarettes and overproduction before Реалізація сигарет, млрд. штук or almost 13 times. The main factor tax increases. 33,2 95 in these changes was the increase in the excise tax rate from 0.5 hryvnias 88 76 82 67 75 73 74 22,2 56 19,6

18,1 15,5 16,6 17,9 15,3 12 45 13,1 9,1 8,62 10,1 7,7 6,7 9,2 8,7 8,6 8,35 8,1 2,74 6,9 6,5 6,0 3,6 1,62 4,76 4,96 6,08 5,56 0,58 3,48 4,04

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

6 7 Passage of new law on raising taxes on novel tobacco products Passage of new law on raising taxes on novel tobacco products

Passage of new law on raising taxes on novel tobacco products

According to the European School Due to the difference in the approach Survey Project on Alcohol and Other to taxation in 2018, the budget of Drugs – ESPAD 2019, new harmful Ukraine did not receive UAH 474.2 heated tobacco products advertised by million in the form of excise taxes on tobacco companies, such as electronic heated tobacco products. cigarettes and tobacco heating devices, are aggressively promoted and adver- As a result of a successful advocacy tised in Ukraine. Today, these products campaign in 2019, the Parliament ap- are manipulatively removed from the proved the laws on a threefold increase tobacco control legislation. As a result, in the excise tax on heated tobacco numerous promotional and advertis- products from 2021 to the level of cig- ing campaigns attract young people to arettes, as well as an introducing а tax use those extremely harmful tobacco on e-cigarettes. These changes became products. possible due to the adoption of draft laws №1210 and №1209-1 from Jan- Taxation of new tobacco products is uary 16, 2020. In 2021, the excise tax an effective tool to increase the price rate on heated tobacco products will and reduce the affordability of these be UAH 1,454.33 per 1,000 sticks and products for children. Now e-cigarettes will increase annually by 20% until 2025 are not subject to excise duty at all, and inclusive, reaching the rate of UAH sticks for heated tobacco products are 2,516.54 per 1,000 sticks. According to subject to excise duty by weight, which experts, the increase in the excise tax is much lower than the excise tax on on sticks will provide the budget with regular cigarettes (per piece). However, over UAH 650 million during the year. the price of sticks for heated tobacco products is the same as the price of An excise and customs tax on liquids for cigarettes. As a result, the rate of excise electronic cigarettes was also intro- duty on sticks is 3.5 times lower than duced, which was set at UAH 3,000 per on cigarettes. Therefore, the budget liter. loses revenues and the tobacco compa- Effective public health advocacy cam- nies get extra high profit. paign has raised excise taxes on heated Tobacco companies deliberately lob- tobacco products and introduced excise by for lower taxes on heated tobacco duties on e-cigarette liquids by 2021, products to circumvent the law and which will reduce the affordability of minimize taxation. However, the World harmful products for citizens, especially Health Organization (WHO) says that children and young people. heated tobacco products should be reg- ulated the same way as cigarettes.

8 9 Advocacy campaigns to save lives and fight tobacco epidemic Advocacy campaigns to save lives and fight tobacco epidemic

This is an important step in protecting Advocacy campaigns to young people from smoking. In June 2019, youth organizations in save lives and fight tobacco Lutsk, Dnipro and Kherson joined the anti-tobacco campaign of the NGO “Life”. Joint efforts launched a national epidemic movement “Smoke-free youth” to protect young people from smoking. The In order to strengthen the legislative on May 31. The events were aimed at initiators of this movement were the protection of the health of citizens, promoting an active lifestyle among NGO “Network of Responsible”, Cre- especially children and young people the society. They also aimed to demon- ative Space “Lake Wind”, NGO “Com- from the harm of tobacco, the NGO strate a public support for legislative munity of Active Youth”. “Life” is working to implement effec- steps that help solve the problem of In cooperation, we held public dis- tive policies of the WHO Framework involving children and youth in smoking cussions “Smoking prevalence among Convention on Tobacco Control and EU to decision makers and strengthen an- young people. Challenges, Threats standards in accordance with the Direc- ti-tobacco legislation – to ban the sale and Solutions” and “The Role of Youth tive 2014/40/EU in Ukraine. The team of e-cigarettes to children, remove ciga- The events were organized by the NGO “Life” and regional public health cen- in Elections Programs 2019” with the of the NGO “Life” drew the attention rette advertising from points of sale, in- participation of MPs, deputies of local of MPs of Ukraine to the problem of troduce European standards of medical ters. In total, more than 1,000 participants took part in the events, including councils, the public and partner associ- imperfection of Ukrainian legislation in warning on packs and raise prices for ations of citizens. the field of tobacco control and raised tobacco products. The participants of former smokers, doctors, representa- awareness of this problem of public the event in Kyiv were acting Minister tives of regional public health centers, Local activists in Lutsk, Dnipro and and opinion leaders and local authori- of Health Ulyana Suprun (2016-2019), decision makers of regional councils, Kherson conducted monitorings of ties. In 2019, the NGO “Life” held a na- Head of the WHO Office in Ukraine Dr. students and teachers. schools to identify the presence of tional advocacy campaign in 11 regions Jarno Habicht, opinion leaders, doc- The joint work of civil society, the NGO displays of tobacco products in the of Ukraine. Active citizens in the regions tors, activists. In the regions of Ukraine “Life” and partners has paid off. On points of sale around schools. In addi- and representatives of local authorities more than 700 people took part in the December 3, 2019, a draft law was tion, young people joined inspections responsible for regional health policy events, in Kyiv – more than 250 peo- passed, which prohibits the sale of of cafes and restaurants that do not were mobilized to hold the events relat- ple. Outdoor yoga classes were held in liquids used in e-cigarettes to persons comply with anti-tobacco legislation ed to campaign. The actions effectively Lutsk, Zhytomyr, Sumy, Kropyvnytskyi, under 18 years of age. These changes and allow smoking hookah or tobacco promoted key appeals and messages Rivne, Lviv, Kherson, Vinnytsia, Poltava. take effect on January 1, 2021. This products on their premises. Activists raising awareness among local commu- In the regions, the events were orga- solution is in the interests of Ukrainian sent complaints to the State Service on nities in various parts of the country nized by regional public health centers society and will reduce the availability Food Safety and Consumer Protection about the necessary steps to strength- and regional health centers. Partners of liquids for e-cigarettes for children. of Ukraine in order to protect visitors en tobacco control legislation. of the events are the Center for Pub- lic Health of the Ministry of Health of Ukraine, WHO, the Ministry of Health of Ukraine and Avatar Yoga Fest. In 2019, the NGO “Life” held a national advocacy campaign in 11 regions of Ukraine. On November 19-29, 2019, on the occasion of the World No Smoking Day, PR-campaigns and flash mobs took On May 30-31 and June 1, 2019, 10 place in 11 cities of Ukraine. Street cities of Ukraine hosted outdoor yoga press briefings and press conferences classes “Breathe freely in a world with- were held in Kyiv, Vinnytsia, Lutsk, out tobacco”, dedicated to the World Zhytomyr, Kropyvnytskyi, Lviv, Rivne, No Tobacco Day celebrated annually Sumy, Kherson, Poltava, and Ternopil.

10 11 Advocacy campaigns to save lives and fight tobacco epidemic National mass media campaigns

and employees of the establishment from sec- ondary tobacco smoke. National mass media Public street actions were held in the central streets of cities and near tobacco kiosks to campaigns draw the attention of local authorities to the problem of illegal advertising of tobacco prod- Effective media anti-tobacco campaigns ties were carried out in cooperation with ucts in points of sale and the need for a legisla- are a fundamental part of the tobacco the National and Regional Public Health tive ban on the display of tobacco products. control strategy and the most cost-ef- Centers and with the support of the in- The youth initiated an appeal of 50 public fective way to change social norms and ternational organization Vital Strategies. organizations from Dnipro, Kherson and Lutsk behavior. Mass media campaigns are This is the first national anti-tobacco in- to the Members of the Parliament of Ukraine the part of Article 12 of the WHO FCTC formation campaign reaching more than of the 9th convocation, elected in their re- on informing people about risks associ- 20 million people. gions, with a call to adopt legislative chang- ated with tobacco use. During June, 24 national and more than es to ban hidden advertising and display of During 2019, the NGO “Life” has devel- 60 regional TV channels aired a PSAl vid- tobacco products, introduction of standardized oped and implemented two anti-tobacco eo on the harm of secondhand smoke. cigarette packs, effectively regulating the new mass media campaigns in Ukraine: Residents of the capital and 8 regions of tobacco products (IQOS, GLO, JUUL) to tobacco Ukraine also saw outdoor social adver- products, etc. tising on the streets. With the help of As the result, the Lutsk City Council and the During 2019, the NGO “Life” has developed regional public health centers, posters, Kherson Regional Council appealed to the and implemented two anti-tobacco mass media stickers and leaflets were distributed Parliament of Ukraine to ban the displays of campaigns in Ukraine. among health facilities and other pub- tobacco products in shops and kiosks. lic places in 9 regions. The campaign aroused great interest on the Internet, Together with partners from UNICEF U-Report, in particular, about 2 million people 1. “Quit Smoking Until It’s Too a survey was conducted among young people watched the video on YouTube. on trends in tobacco smoking and attitudes Late!” – campaign focused on dis- towards the legislative ban on cigarette display. semination of information about the Before and after the “Tobacco Smoke National Smoking Cessation Service. The an Invisible Killer” campaign, national In 2019, the NGO “Life” together with the campaign was part of the project “Non- representative surveys were conduct- Ministry of Youth and Sports of Ukraine within communicable Diseases: Prevention and ed, which showed that Ukrainians are the framework of the signed memorandum of Health Promotion in Ukraine”, imple- gradually changing their smoking-related partnership and cooperation developed and mented by the Ministry of Health of behaviors to healthier one under the disseminated information materials about the Ukraine and the WHO Office in Ukraine influence of the information campaign. danger of smoking among young people. with financial support from the Swiss Agency for Development and Coopera- Effective cooperation and the positive tion. results of this campaign have contrib- uted to the inclusion of annual nation- As a part of the campaign, 2 videos were al media campaigns on the danger of developed and disseminated on the tobacco in the priorities of the National Internet. Public Health Center. In 2020, for the 2. “Tobacco Smoke an Invisible first time, funding from the state budget Killer” aimed at raising public aware- for tobacco control information cam- ness on the danger associated with paign has been approved. inhaling secondhand smoke. The activi-

12 13 National mass media campaigns Assistance in smoking cessation

Assistance in smoking cessation

According to Article 14 of the WHO an additional edition of information ma- FCTC and its Guidelines, Ukraine terials on smoking cessation and service is obliged to implement effective (booklet, posters, leaflets) was published measures to provide assistance to and distributed in medical institutions, smokers who want to get rid of tobacco among primary care doctors and smok- dependence. In June 2017, the NGO ers in 7 WHO pilot regions (in Kyiv and “Life” created a professional service to region, Dnipropetrovsk, Ivano-Frankivsk, provide smoking cessation assistance, Kharkiv, Poltava, Vinnytsia and Lviv re- consisting of a telephone support line gions). (0-800-50-55-60) and a professional website (www.stopsmoking.org.ua). The quit line has been operating for over The service was developed within the two years (until May 2019). Unfortu- project “Noncommunicable Diseases: nately, after completion of the project, Prevention and Health Promotion in the hotline was shut down due to a lack Ukraine”, implemented by the Ministry of funding. However, the website is still of Health of Ukraine and the WHO Office operational as a source of reliable infor- in Ukraine with the financial support of mation on smoking cessation. the Swiss Agency for Development and During the period of work, more than Cooperation. 9,000 hotline calls were received, more The purpose of launching the service than 45,000 customers visited the web- was to help Ukrainians suffering from site, more than 100 smokers received tobacco addiction. From October 2018, advice via online chat on the website the quit line was switched to proactive and more than 50 via e-mail. The success mode and consultants accompanied rate for the first year of the service was clients (with their consent) during the 12.5% (customers who quit smoking and smoking cessation period. In addition, lasted 6 months or more). per request of experts from the regions,

14 15 Monitoring of the tobacco industry interference and lobbying Monitoring of the tobacco industry interference and lobbying

or strengthening of tobacco control Monitoring of the tobacco measures provided for by national law. An important part of the study is the recommendations to public authorities industry interference and to combat interference in public health policy in accordance with the guidelines lobbying of Article 5.3. WHO Framework Con- vention on Tobacco Control. The WHO FCTC calls on civil society or- Article 5.3 of the WHO FCTC and its illegally promoting the interests of the ganizations to participate in monitoring Guidelines state that governments “death industry” under the guise of the tobacco industry. In pursuance of should limit interactions with the tobac- parliamentary seats and government these recommendations and with the co industry and avoid any partnerships, positions. A special nomination “Gold- support of Johns Hopkins University, as well as prioritize health policies en Brake” is awarded to a representa- in 2019 the NGO “Life” established the over the financial, fiscal and corporate tive of the Government for promoting Tobacco Industry Monitoring Center interests of those associated with the the tobacco industry against the public (www.tobaccotactics.tobaccocontrol. tobacco industry. interest. The anti-award was held in org.ua). The project is an informational Ukraine for the fourth time. The last and thematic resource, the purpose In order to counteract the interference time the award was presented was in of the tobacco industry in the work of of which is to monitor the tactics, 2013. methods of intervention, key groups of the Parliament of Ukraine and the Cab- industry, the use of public associations influence of the tobacco industry and inet of Ministers of Ukraine in 2019, a In 2019, the Golden Scythe was award- and individual experts to lobby the inform politicians, journalists, represen- public anti-award “Golden Scythe 2019” ed to Nina Yuzhanina, MP, Chairman of interests of business against the public tatives of the expert community and was held and an interactive infographic the Parliament Committee on Tax and interest. “Lobbyists of tobacco companies” was Customs Policy, the Silver Braid went to the general public. Analytical informa- presented. MP Mykhailo Kobtsev, and the Bronze In October 2019, the NGO “Life” pre- tion posted on the site is the result of went to MP Hennadiy Kryvosheya. The sented the first in Ukraine study of in-depth monitoring of open sources On June 7, 2019, the ceremony of Golden Scythe was presented to Prime the Global Index of Tobacco Industry (data from the media, public activists, awarding MPs with the anti-award Minister Volodymyr Groysman.This Intervention, which illustrates the level expert organizations, stakeholders) “Golden Scythe” took place. The pur- helps citizens to impose political -re of intervention of tobacco companies and covers the period 2010 - 2019 with pose of the Golden Scythe anti-award sponsibility for such activities – three of in government decision-making and of- a focus on events that took place in is to highlight the shameful practice of the four Golden Scythe nominees are fers effective strategies to combat this 2015 - 2019. intervention. According to the results of no longer working in the Parliament or According to a research, the tobacco in- the analysis, Ukraine took 15th place in Government. dustry continues to use a variety of tac- the ranking according to this index, re- tics to intervene in government tobacco Together with the NGO “Anti-Corrup- ceiving 61 points. The report identified control policy. This is done in order to tion Headquarter” LIfe team prepared cases of apparent pressure from the protect and promote their corporate and presented an interactive info- tobacco industry on the Government interests, which include the sale of to- graphic “Lobbyists of tobacco com- and Parliament of Ukraine in formulat- bacco products with maximum benefit. panies”, which reflects the network ing tobacco protection policies, as well With this in mind, in 2020 the NGO of tobacco lobbyists among the MPs as non-compliance by some officials “Life” will continue working to increase of the eighth convocation of the Par- and policymakers with non-interference the transparency and accountability of liament of Ukraine, civil servants and in the tobacco industry in accordance tobacco corporations and government non-governmental organizations. The with Article 5.3 of the WHO Framework officials who are forced to cooperate infographic provides evidence of links Convention on Tobacco Control. It has with them, in order to prevent lobbying between officials and politicians and been found that there are many ways decisions in the field of tobacco control. tobacco corporations, the protection of in which the tobacco industry opposes, the commercial interests of the tobacco delays or blocks the implementation

16 17 Tobacco control analytical and methodological materials Tobacco control analytical and methodological materials

to talk to patients about using these of all tobacco companies and influence Tobacco control analytical products. The information in this booklet groups, people who represent their is based on data and recommendations interests. The results of the study will from the World Health Organization, the primarily be useful to those responsible and methodological materials International Union against Tuberculosis for formulating tobacco control policy and Pulmonary Diseases (the UNION), and to members of the public working in the European Respiratory Society (ERS), this field. In 2019, the NGO “Life” has prepared survey “Thoughts and views of the the Campaign for the Future of Tobac- In February 2019, Vinnytsia hosted a and published a number of analytical population of Ukraine” on smoking in co-Free Children (CTFK) and other inter- presentation of the research “Big Tobac- and methodological materials. These Ukraine. The study was conducted joint- national leaders. organizations working co. Tiny targets”, conducted in 5 cities of materials can enhance the capacity of ly with the Kyiv International Institute of in the field of tobacco control. In addi- Ukraine. Volunteers explored 192 points authorities, institutions and experts Sociology (KIIS) on February 2019. The tion, the results of independent studies of sale within a five-minute walk of 93 working in the field of tobacco control. results of the study showed a deterio- on the health effects of e-cigarettes, schools in Vinnytsia, Ivano-Frankivsk, ration of the smoking situation in our On April 12, 2019, a press conference tobacco heating systems and hookahs by Poltava, Sumy and Kherson. The main country in recent years. This, according was held, where experts presented the those who use them and are nearby are results of monitoring in 5 cities: 1) in to experts, is due to the non-adoption results of the representative omnibus taken into account. 70.9% of points of sale near schools of new anti-smoking laws. At the same The Professional Smoking Cessation cigarettes are located at eye level of the time, during 2017-2019, support for booklet provides information on the child; 2) in almost 30% of points of sale the ban on cigarette displays in stores effects of smoking on the human body, tobacco is placed next to sweets and increased from 68% to 84%. 86% of re- the reasons for quitting smoking, ap- toys; 3) 72.4% of stores sell flavored cig- spondents are in favor of increasing the proaches to counseling patients who arettes with various flavors; 4) the most number of public places without tobacco are not ready to quit smoking now, and common form of tobacco advertising smoke. And 89% of respondents believe those who are ready to do so in the near at points of sale – advertising posters, that it is necessary to ban the sale of future. It also provides information on which are in 64.3% of stores visited; 5) electronic cigarettes to children. medication to stop smoking. The book- as ways to promote tobacco products In 2019, Life team released two booklet is designed for primary health care are used gifts for the purchase, dis- lets in the format of short manuals for professionals. counts, distribution of cigarettes, sale of health professionals. The booklets were Another example of the analytical work special or limited series of cigarettes, as developed within the initiative imple- of the NGO “Life” is the study of the well as the presence of promoters at the mented by the NGO “Life” within the Global Tobacco Industry Intervention point of sale. joint project of the Ministry of Health Index. The report analyzes the activities With the support of the non-profit sci- of Ukraine and the World Health Orga- entific organization Vital Strategies, the nization “Noncommunicable Diseases NGO “Life” has developed and published (NCDs): Prevention and Health Promo- a booklet “Tobacco Control. A brief tion in Ukraine” with the support of the overview for public health professionals” Center Public Health of the Ministry of The guide explains what tobacco control Health of Ukraine and financial support is, what tobacco control measures and from the Swiss Agency for Development tools are effective. It also helps to learn and Cooperation. how to talk and write about tobacco Booklet “Electronic cigarettes, heated control “in simple language”. The guide tobacco products and hookahs: what to focuses on the role and development of know?” contains information on e-cig- effective tobacco control media cam- arettes, heated tobacco products and paigns. The information in this booklet hookahs. It gives a brief description of is based on data and recommendations these products, information about their from the World Health Organization features, health effects, and risks associ- and other leading international organi- ated with their use. It also provides guid- zations working in the field of tobacco ance to healthcare professionals on how control.

18 19 Training for doctors and capacity building for regional public health centers Training for doctors and capacity building for regional public health centers

Training for doctors and capacity building for regional public health centers

Another important area of work of the sional assistance to people with tobacco NGO “Life” in 2019 was the training of dependence. medical professionals and teachers of medical universities. Training events In addition, participants gained theoret- were held in five cities of Ukraine. ical and practical skills in smoking cessation counseling for their patients, as well On April 16 and 18, as well as on May as learned about new smoking devices 13 and 15, 2019, together with the e-cigarettes, heated tobacco products World Health Organization, we held and hookahs. training seminars in Kharkiv, Dnipro, main part of the training was devoted on the development and dissemination Ivano-Frankivsk and Lviv to discuss key On April 11, 2019, the NGO “Life” with to the development of effective media of effective messages and materials in risk factors for noncommunicable dis- the participation and support of the communications in the field of tobacco the framework of information campaigns eases (NCDs) with a focus on tobacco. WHO Office in Ukraine held a seminar control. Participants reviewed many for- were also discussed. While working in The event was attended by medical “Assistance in smoking cessation in eign examples of successful anti-tobacco groups, participants were able to prac- specialists and employees of specialized Ukraine: approaches, challenges, pros- media campaigns, analyzed Ukrainian tice developing a tobacco control com- departments of Kharkiv National Med- pects” for professionals from primary social advertising in this area. The rec- munication plan, and at the end of the ical University, Dnipropetrovsk Medical health care, family doctors and teachers ommendations of international experts training – presented their proposals. Academy of the Ministry of Health of from medical universities. The work- Ukraine, Ivano-Frankivsk National Med- shop was attended by Dr. Dongbo Fu, an ical University and Danylo Halytsky Lviv expert from the WHO European Bureau, National Medical University. a tobacco cessation expert, who spoke about international experience and success stories in creating professional On April 16 and 18, as well as on May 13 and smoking cessation services. 15, 2019, together with the World Health On November 29, a training on “Effective Organization, we held training seminars in media campaigns in the field of tobac- Kharkiv, Dnipro, Ivano-Frankivsk and Lviv to co control” was organized by the NGO discuss key risk factors for noncommunicable “Life” with the support of the Center for diseases (NCDs) with a focus on tobacco Public Health of the Ministry of Health of Ukraine. The seminars discussed the National Ac- The training was attended by 29 commu- tion Plan on Noncommunicable Diseases nication specialists and non-communica- to Achieve Global Sustainable Develop- ble diseases specialists from 15 regions ment Goals and its adaptation at the of Ukraine (Lviv, Poltava, Rivne, Sumy, national level, data on the prevalence Ternopil, Khmelnytsky, Cherkasy, Cher- of NCD risk factors in Ukraine, as well as nivtsi, Vinnytsia, Volyn, Zhytomyr, Zakar- issues related to the provision of profes- pattia, Kirovohrad, Luhansk regions). The

20 21 Financial report Team

Financial report Team

Lilia Olefir Executive Director Donors of the NGO «LIFE» in 2019

Valeria Ratunda Chief Accountant 2% | 170 440 UAH Global Centre for Good Governance in Tobacco Control Svitlana Sydorova Project Coordinator 0,7% | 59 070 UAH 11,2% | 928 023 UAH Pﬁzer WHO Dmytro Polonsky Communication Manager

8 300 485 UAH Dmytro Kupyra Advocacy Manager

Oksana Levytska Project Coordinator

Anastasiia Bonkovska Project Assistant 39,6% | 3 285 224 UAH 46,5% | 3 857 728 UAH Non-Profit Scien�fic Non-Profit Organiza�on Organiza�on Vital Strategies Campaign for Tobacco-Free Kids Alla Bura Accountan

The structure of expenditures of the NGO «LIFE» in 2019

14,2% | 1 158 042 UAH Salary of the «LIFE's» team

7,7% | 624 793 UAH 7,9% | 645 567 UAH Administra�ve cost Taxes

0,3% 25 077 UAH Equipment 8 151 753 UAH

34,6% | 2 817 601 UAH 35,3% | 2 880 673 UAH Experts and consultants Program expenditures

22 23 Partners and donors

Partners and donors

Partners • Kyiv International Institute of Sociology • Ukrainian Bureau of the World • Kyiv School of Economics Health Organization • NGO “Union of Consumers of Ukraine” • World Bank in Ukraine • All-Ukrainian Federation of Consumers • Public Health Center of the Ministry of “PULSE” Health of Ukraine • IHO “Modern format” • European Network for Smoking and • Coalition “For tobacco-free Sumy Tobacco Prevention region” • Coalition Smoke Free Partnership • All-Ukrainian movement “Youth for Coalition Consumer Rights” • Alliance for the Implementation of the • Coalition “Kharkiv without tobacco WHO Framework Convention Alliance smoke” for Tobacco Control • Coalition “For tobacco-free Lviv” • Public Union “Coalition Resuscitation • Public organization “Buslav Sich” Reform Package” • NGO Network of Responsible • NGO “Center for Democracy and the • Creative space “Lake Wind”, Rule of Law” • NGO “Community of Active Youth, • NGO “Anti-Corruption Headquarters” • UA: Public broadcasting • Global Coalition of PREVENT 20 Cancer • Independent Association of Broadcast- Organizations ers • Association of European Cancer • Ukrainian Library Association Leagues

Донори International Non-Govern- Johns Hopkins University, mental Organization “Cam- USA paign for Tobacco-Free Kids”, USA GGTC Global Center for Effective Governance in World Health Organization Tobacco Control, Thailand (WHO) and Swiss Agency for Development and Co- Pfizer Export BV, Represen- operation tative Office in Ukraine

Non-profit scientific organization Vital Strategies, USA

24  Kyiv, Bohdana Khmelnytskoho st, 32, of. 29  +38 (044) 234 93 20  center-life.org  tobaccocontrol.org.ua  stopsmoking.org.ua  tobaccotactics.tobaccocontrol.org.ua  facebook.com/smokefreeukraine ANNUAL REPORT OF NGO  facebook.com/AdvocacyCenterLife  twitter.com/LIFECenterNGO “ADVOCACY CENTER “LIFE”  instagram.com/advocacy_center_life 2019