Institutionalization of Indian Tobacco Control Programme at Grassroot level - experiences from state of Jharkhand in India. (Enabling institutional structure is key to sustained results)
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1
Government of Jharkhand, India
2
Socio Economic and Educational Development Society (SEEDS), India
3
International Union Against Tuberculosis and Lung Disease, Tobacco Control, India
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A644
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KEYWORDS
TOPICS
ABSTRACT
Background and challenges to implementation:
In
Jharkhand, prevalence of tobacco is a serious concern as its 50.01% (n=19.5 million) of adults are edicted to
tobacco as against national average of 34.6% as per GATS 2010. Government of
India launched National Tobacco Control Programme (NTCP) IN 2010-11 in two districts
of Jharkhand i.e. Dhanbad & East Singhbhum as pilot basis. Enforcement of Indian
tobacco control law, capacity building, awareness generation, school health
programs and cessation are main components of NTCP.
Currently
Jharkhand State Tobacco Control Cell in technical collaboration with SEEDS and
The Union is implementing a project on tobacco control in 6 districts of state.
Intervention or response:
Several
effective strategic interventions were undertaken. All primarily revolved
around institutionalization of efforts, value systems, management practices and
administrative structures. Institutional framework was developed through four
pronged strategies i.e. intense advocacy,
capacity building & follow up
with government officials, effective
monitoring at state and district level and consistent media mobilization without losing out to capture even a smaller
event related to tobacco control issues.
Collaborative
and systematic efforts were made. Meetings / workshops / trainings and brainstorming
sessions were conducted in collaboration with the District Administration.
Results and lessons learnt:
These
resultes in sensitisation of program managers, law enforcers and media resulting in noticablely high commitment to
the cause. Innovatively, formation of anti-tobacco squads, inter-departmental
State and Districts Tobacco Control Coordination Committees´ meetings,
enforcement reviews in monthly crime review meetings were conducted. This
provided distinctive outcomes:
- Appointment
of nodal officers at- state level
- Appointment
of three nodal officers in each district,
- Synergy
between efforts of health, police and general administration,
- Review
by Deputy Commissioners in their monthly meetings of all departments
Conclusions and key recommendations:
It is established that successful enforcement and implementation
is achieved only through well-established institutionalization of tobacco
control within existing system. Enabling
Institutional Structure is indeed Key to Sustained Results.