The burden of tobacco-related illnesses is high in India, with about 1.35 million people dying each year. Despite comprehensive tobacco control laws and policies, implementation is varied among Indian states. The Anushthana project organized two regional consultations—held online and in-person in Raipur, Chhattisgarh—in association with the International Union Against Tuberculosis and Lung Disease (The Union). 

Tobacco kills over one million adults in a high-burden country like India each year. Despite a comprehensive tobacco control law – the Cigarettes and Other Tobacco Products Act (COTPA), 2003, implementation remains varied across Indian states due to several contextual factors. The Anushthana team members (Dr. Pragati Hebbar, Vivek Dsouza, Praveen Rao S, and Kumaran P) of the Chronic Conditions and Public Policies cluster at IPH visited three Indian states