An Extended Cost-Effectiveness Analysis of Tobacco Price Increases in the Kyrgyz Republic
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World Bank, Washington, DC
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Globally more than 7 million deaths a
year are attributed to tobacco use, approximately 10 percent
of which are among nonsmokers exposed to secondhand smoke.
Most of these deaths occur in low- and middle-income
countries (LMICs), and among a relatively young population.
If current smoking patterns continue, tobacco will kill
about one billion people this century. Tobacco taxes are
among the most cost-effective tobacco control measures in
the world. Yet often countries are reluctant to raise
tobacco taxes due to their perceived regressivity. This
study simulates the impact of higher tobacco prices
resulting from increases in tobacco excise tax in the Kyrgyz
Republic. The study uses extended cost-effectiveness
analysis to measure the distributional consequences of
proposed excise tax increases on: (a) averted premature
tobacco-related deaths; (b) averted out-of-pocket (OOP)
expenditures on treating tobacco-related disease; (c)
government savings resulting from averted treatment costs
for those covered under the State Guaranteed Benefit
Package; and (d) averted poverty cases as a result of OOP
spending. The Kyrgyz Republic has already introduced gradual
tobacco tax increases that will take place up to 2022, but
steps should be taken to ensure that these increases result
in real price increases and to strengthen other tobacco
control measures such as ensuring access to cessation services.
Palabras clave
TOBACCO CONTROL, TOBACCO TAX, TOBACCO CONSUMPTION, SECONDHAND SMOKE, EXCISE TAX, SIN TAX, SMOKING, CIGARETTE SMOKING, NONCOMMUNICABLE DISEASE