As of 2021, the adult current use prevalence of traditional smokeless tobacco among women in Madagascar was 1.2%. The adult daily use prevalence of this product was notably high at 29.7%, indicating a significant portion of users consume the product regularly. Traditional smokeless tobacco is allowed in Madagascar. Hence, the use, sale, and online purchase of the product are legal. However, there is a requirement for health warnings on packaging, and the minimum legal age for purchase is 18 years. Also, advertising of smokeless tobacco is banned, reflecting efforts to reduce tobacco exposure.
Prevalence
- WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-mdg.pdf?sfvrsn=d1675956_3&download=true. Accessed: 19 May 2025.
- Adults survey: Demographic and Health Survey, 2021; National, ages 15-59 (men) 15-49 (women)
Product promotion
- WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-mdg.pdf?sfvrsn=d1675956_3&download=true. Accessed: 27 May 2025.
Regulation
- Tobacco Control Laws. Legislation by Country/Jurisdiction Madagascar. Available at: https://www.tobaccocontrollaws.org/legislation/madagascar/sales-restrictions. Accessed: 30 May 2025.
Availability
- Tobacco Control Laws. Legislation by Country/Jurisdiction Madagascar. Available at: https://www.tobaccocontrollaws.org/legislation/madagascar/sales-restrictions. Accessed: 30 May 2025.
- WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-mdg.pdf?sfvrsn=d1675956_3&download=true. Accessed: 27 May 2025.
Regulations and restrictions
- WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-mdg.pdf?sfvrsn=d1675956_3&download=true. Accessed: 27 May 2025.
Publications
Tobacco harm reduction in Sub-Saharan Africa
With the number of tobacco users across the continent set to rise by 2025, we look at the current state of tobacco harm reduction in the region, assessing the progress made so far and the obstacles preventing greater adoption of safer nicotine products.
