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Tobacco control legislative experience in the United States

The Economic Structural Adjustment Programme has eroded the health gains made after independence. Since independence, the government of Zimbabwe made a lot of progress in the health sector. 85% of the population now live within 8 kilometers of a health facility. Life expectancy at birth increased from 56 years to 61 in 1980. Infant mortality fell from 100 to about 66 deaths per 100 live births. Immunisation coverage rose from 25% in 1980 to 78% in 1991 and 90% in 1997. Health care reform has resulted in reduction in social services such as education and health. Expenditure in public health has declined. More over, HIV AIDS epidemic has further eroded any achievement that were made over the past twenty years. This situation greatly impacts on HEP programmes because there is less allocation of resources. The major constraints have been the lack of recognition of health educators as specialists in their own rights, despite their crucial role in all the above programmes. There has been progress in professionalisation of health education promotion through the formation of a health education association of Zimbabwe. However, health educators have been slow to show evidence of the role of health education as separate from other inputs such as clinical care, which base success in medication and procedures such as an operation. The inability to demonstrate success in health education promotion has largely been due to the following factors: