Strengthening NCD care in Tumkur: an action research project

This project aimed to enhance implementation of the prevailing tobacco control policies, especially the Cigarette and Other Tobacco Products Act (COTPA). The project was executed in sequential phases. The project, over the time, adopted broad strategies of (1) sensitization of state level and district level stakeholders; (2) capacity building of enforcement agencies; (3) sensitization of journalists and use of mass media. The initial focus was at the state level where stakeholders from the various government departments (health; police; transport; education; information; fire safety etc.) were sensitized. During this time, a better understanding was developed working with these departments in terms of the specific role that each department could play and how COTPA implementation could be institutionalized. The project then moved its focus to the district level. Through experience and shared learning, an operational model was developed on how a district could achieve a high level of COTPA compliance by actions of several departments (and private stakeholders) within a duration of three to four months. Gadag became the first district that achieved high compliance to COTPA and where the model was refined. The project then expanded its coverage to one after another district.

By early 2017, the project covered 24 districts. Based on the data generated by various government departments, these 24 districts achieved a high level of enforcement and compliance with COTPA. As part of the process, we worked with 11 government departments and trained over 4000 officers, mainly from the police and education departments. During the project duration, we also engaged in demanding newer and effective tobacco control policies (e.g. ban on Gutka and smokeless tobacco products, high taxation on tobacco products) and stricter implementation of existing policies. The comparison between the two rounds of the Global Adult Tobacco Survey conducted by the Ministry of Health and Family Welfare (Government of India) along with other partners reveal that between 2009-10 and 2016-17, the prevalence of the current tobacco use in Karnataka reduced from 28.2% to 22.8% – meaning there were about 9 lakh fewer tobacco users in 2016-17 compared to seven years ago. The prevalence of exposure to second-hand smoke (passive smoking) also reduced from 37.2% in 2009-10 to 23.9% in 2016-17.

This project was primarily supported through grants from the Campaign for Tobacco-Free Kids.

Tobacco control in Karnataka (2012-2017) – Institute of Public Health, Bengaluru (India)

– Hebbar PB, Bhojani U, Kennedy J, Rao V. From policy to practice: lessons from Karnataka about implementation of tobacco control laws. Indian Journal of Community Medicine 2017;42(2):77-80

Cluster updates

Workshop on Tobacco Control, JIPMER 2019

The 5th National Workshop on Tobacco Control, held in JIPMER from 26th August to 30th August 2019, was attended by IPH researchers, Riddhi Dsouza,  Vivek Dsouza, and Adhip Amin. Three major themes were addressed in the Workshop. First, the history and politics of...

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Inauguration of SARC-CCT in Sri Lanka

Panelists Dr. Mary Assunta & Dr. Upendra Bhojani. Image credit: SARC-CCT The University of Colombo works systematically on tobacco control and was established as a tobacco observatory Sri Lanka in 2016. Recently, this observatory was expanded to the South Asia...

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Policy Roundtable: Urban Health Governance in India

Image credit: Observer Research Foundation Dr. Upendra Bhojani, India Alliance Fellow and Director at IPH, was invited to participate in a Roundtable discussion hosted by Observer Research Foundation (ORF) and World Health Organization, India in Delhi on the 26th July...

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Video on “Tobacco-Free Generation”

"Tobacco-free generation" is a proposal wherein children born after a certain year grow up in tobacco free environments, with legislation in place restricting exposure, sale and use of tobacco for that generation. This is potentially a very powerful intervention, that...

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India Alliance Fellows Meet 2019

IPH Faculty and Wellcome Trust DBT India Alliance research fellows Upendra Bhojani and Pragati Hebbar attended the 9th Annual Fellows' Meet in Bengaluru from June 13 - 15th 2019. The annual fellows meet serves as a platform to bring together India Alliance Fellows and...

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Duration of project

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