Turning great ideas into healthier communities


Center for International Tobacco Control

In Asia, the two largest consumers of tobacco are China and Indonesia, together representing 412 million smokers. The Center for International Tobacco Control (CITC) was established in 2006 to conduct research studies and programs to address the tobacco problem in these two countries. CITC promotes effective tobacco tax policy and tobacco policy alternatives; works on tobacco farming issues and crop substitution; promotes public education around tobacco; promotes smoke-free environments; and trains local tobacco control researchers.

Program Director(s)

Teh-wei Hu


Landscape Analysis of Tobacco Farming

Under this contract, a report will be created consisting of a landscape analysis of tobacco farming with special emphasis on China, Indonesia and three African nations. The report will address background and significance; the current program to address the issues; and adovcacy and research needs. 

Tobacco Control Policy Analysis & Evaluation in China and Tanzania


The Public Health Institute will continue research into the effects of tobacco tax policy and smoke-free places regulation, and the impacts of smoking on government rural health care expenditures in China.  In Tanzania, PHI will develop tobacco control research into the economic cost of smoking; the impact tobacco tax would have on consumption and into the economic return of tobacco farming.  This project will also build local tobacco research capacity, and convene policy working groups and conferences in both countries.

Tobacco Control Policy Analysis & Intervention Evaluation in China and Indonesia

To advance tobacco control in China and Indonesia, the Public Health Institute will lead a consortium of institutions in developing and strengthening tobacco control research in both countries. Specific activities include training additional tobacco control researchers and engaging key Chinese and Indonesian policymakers through working groups and conferences.

Women in Tobacco Farming: Health, Equality and Empowerment

The overall objective of this study is to provide evidence-based findings for the Foundation to identify opportunities and strategies to improve women’s economic and health condition and to address gender inequality in the context of tobacco farming.

Here's How We're Making a Difference

The Economic Cost of Smoking and Smoking-Related Diseases on Female Farmers

In Tanzania, CITC focused on the effects of tobacco farming on the health and economic autonomy of female farmers. Their research found that: female tobacco farmers put in the same or more labor than men, but were also expected to maintain the household and care for the children; that harmful health impacts of tobacco farming are more serious for women; that few women farmers had any financial decision-making power - men held the titles to the land, decided what to grow, and collected and spent the revenue from their crops; and women felt manipulated by the tobacco companies. 

Read the full research findings here.

Turning Cutting-Edge Tobacco Research into Sound Health Policy

By gathering substantial research on the benefits of increasing the tax on tobacco in China and disseminating these findings to policymakers, there was an increased willingness to use taxation as a tool for tobacco control. Extensive research and simulations demonstrated that an increase of 1 RMB (.15 USD) in excise taxes on cigarettes would save 3 million lives and raise RMB 64.9 billion (9.5 billion USD) in additional revenue for the government. CITC’s recommendation was adopted by the WHO, the Chinese Centers for Disease Control and Prevention, and the World Bank. China subsequently raised its tobacco tax in 2009 and 2015, which will create long term health benefits for both smokers and their communities impacted by second-hand smoke.