Due to growing demand for information about the health harms of tobacco, the tobacco control unit within Djibouti’s Ministry of Health faced many challenges, including the high costs of producing informational materials and launching large-scale education and communication efforts. To bring health information directly to the public at the lowest possible cost and align with WHO FCTC requirements, the country chose to implement strong health warning labels on tobacco packaging. With the support of international tobacco control experts and in-country organizations, a variety of warning label images was pre-tested. Ultimately, 11 different labels were selected that feature powerful images intended to raise awareness among smokers of both the health hazards to themselves and the risks of second-hand tobacco smoke exposure to others.

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Chittagong City, population 4 million, is Bangladesh’s second largest city. It has an active network of tobacco control advocacy organizations that work closely with local government to advance the tobacco control agenda. In 2010, this advocacy work helped lead the Chittagong City government to enact a ban on all tobacco advertising, including advertising indirectly through surrogates and brand extensions such as lighters featuring cigarette brands. Although there is an existing national ban on tobacco billboard advertising, the law does not explicitly cover indirect advertising, point-of-sale marketing, or other promotional activities, and overall enforcement is suboptimal.

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