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NATIONAL TOBACCO
CONTROL
PROGRAMME
INTRODUCTION
• Tobacco has been identified as the foremost cause of death and
disease that is entirely preventable.
• There are two types of tobacco products that are commonly used: 1.
1. smoking tobacco
2. smokeless tobacco.
• Smoking tobacco products include bidis, cigarettes, pipes, cigars,
hookah.
Smokeless tobacco products are chewing tobacco, betel quid with
tobacco, khaini, gutka, pan masala with tobacco.
• Workers engaged in tobacco cultivation suffer from an occupational
illness known as green tobacco sickness (GTS), an acute form of
nicotine toxicity resulting from absorption of nicotine through the skin.
GLOBALAND INDIA SCENARIO
As per WHO, if current trends continue, by 2030 tobacco use will
kill more than 8 million people worldwide each year.
• Nearly 8 - 9 lakh people die every year in India due to diseases
related to tobacco.
• Nearly 50% of cancers in males and 25% cancers in females in
India are directly attributed to tobacco use.
• Major risk factor for Cancer, Cardiovascular Diseases (CVD),
Diabetes, Chronic Lung Disease, stroke, infertility, blindness,
Tuberculosis (TB), Oral Cavity etc.
EVOLUTION OF NTCP
• The National Tobacco Program was launched in 2007 - 08
under 11 th Five Year Plan .
• India is party to the WHO Framework Convention on Tobacco
Control (FCTC) and is committed to implementing all provisions
of this international treaty.
• In order to protect the youth and masses from the adverse
effects of tobacco usage and to discourage the consumption of
tobacco the Govt. Of India enacted and comprehensive tobacco
control law namely – “Cigarettes and other Tobacco Products
(Prohibition of Advertisement and Regulation of Trade and
Commerce, Production, Supply and Distribution) Act, 2003. (
COTPA-2003 )
AIMS OF NTCP
• Promote a healthful environment by prohibiting smoking in public
places.
• Help the people quit tobacco use.
• To bring about greater awareness about the harmful effects of
tobacco use and Tobacco.
• Regulate and subsequently ban all tobacco related AD’S and
promotions.
• To fulfill the obligations under the WHO Framework Convention on
Tobacco Control (FCTC).
OBJECTIVES
• To bring about greater awareness about the harmful effects
of tobacco use and Tobacco Control Laws.
• To facilitate effective implementation of the Tobacco
Control Laws.
Ensure effective implementation of the COTPA 2003
• The objective of this program is to control tobacco
consumption and minimize the deaths caused by it
IMPLEMENTATION OF NTCP
• The technical assistance is provided by the identified officers from
the Directorate General of Health Services
i.e. Deputy Director General (DDG) / Chief Medical Officer (CMO).
• The NTCC is supported by Consultants in specific areas of tobacco
control like Policy, Legal, National Coordination and IEC & Advocacy.
District Level
Dedicated District Tobacco Control Cells for effective implementation and
monitoring of tobacco control initiatives
The key activities include
• Training of Key stakeholders: health and social workers, NGOs, school
teachers, enforcement officers etc.
• Information, Education and Communication (IEC) activities
• School Programmes
• Monitoring tobacco control laws
• Setting-up and strengthening of cessation facilities at the district level
IMPLEMENTATION OF NTCP
• Currently, the Programme is being implemented in all 36
States/Union Territories covering around 612 districts across the
country..
• Although COTPA 2003 is valid all over the country,
implementation of the same would be better.
• During the plan period, Tobacco Cessation Centers [TCCs] would
also be established to help people who wishes to quit tobacco
consumption in any from
National level
• Public awareness/mass media campaigns for awareness building and
behavioral change.
• Establishment of tobacco product testing laboratories.
• Mainstreaming research and training on alternative crops and
livelihood with other nodal Ministries.
• Monitoring and evaluation including surveillance of STCC,DTCC.
• Integrating NTCP as a part of health-care delivery mechanism under
the National Health Mission framework.
State Level
Dedicated State Tobacco Control Cells for effective implementation and monitoring of
tobacco control initiatives. The activities include;
• State Level Workshop
• Training of Trainers Programme for staff appointed at DTCC under NTCP.
• Refresher training of the DTCC staff.
• Training on tobacco cessation for Health care providers.
• Law enforcers training / sensitization Programme
CONTROLLING MEASURES
• The various activities planned to control tobacco use are as follows:
• Training and Capacity Building of health and social workers, NGOs, school
teachers, and enforcement officers
• IEC activity
• Monitoring Tobacco Control Laws and Reporting
• Survey and Surveillance.
CONTROLLING MEASURES
• Smoking in public places is prohibited and is a punishable offence.
• Direct/Indirect advertisements of tobacco products including sponsorship
and promotion are prohibited and is a punishable offence.
• Sale of tobacco products to and by minors (less than 18 years of age) is
prohibited and is a punishable offence.
• Sale of tobacco products within 100 yards of Educational Institutions is
prohibited and is a punishable offence.
• It is mandatory to display the pictorial warnings on tobacco products
packages.
ACHIEVEMENT
• National Tobacco Control Programme is being implemented in about 612 districts in all
States/UTs presently.
• The prevalence of tobacco use has reduced by six percentage points from 34.6% to 28.6%
during the period from 2009-10 to 2016-17. The number of tobacco users has reduced by
about 81 lakh (8.1 million).
ACHIEVEMENT
• Large specified health warnings on tobacco products covering
85% on both side of the principal display area of tobacco product
packs and inclusion of Quitline Number (1800112356) in the
specified health warnings for creating awareness among tobacco
users, and give them access to counseling services to effect
behavior change
• Regulation of the use of Cigarettes and other tobacco products in
films and TV programme.
• Established three National Tobacco Testing Laboratories
BARRIERS FOR THE EFFECTIVE
IMPLEMENTATION
Patient-related barriers:
• They do not have the motivation to quit tobacco use.
• They will consider tobacco cessation only when they have a related
health problem.
• lack of awareness of tobacco cessation centers (TCC).
Policy related barriers:
• NTCP does not have responsibility for taxation of tobacco
products, tax remains an underused tool to reduce tobacco
consumption in India.
• Tobacco related products are very easily available in road
side pan shop.
• Smuggling of tobacco products by youth and ignorance of
smokeless tobacco control approach are major challenges.
• Lack of Interdepartmental coordination in implementation
of COTPA 2003 (Police, transport, education)
BENEFIT OF QUITING TOBACCO
In 8 hours: Oxygen levels return to normal.
In 24 hours: Risk of heart attack begins to decrease.
In 72 hours: Lung function improves.
In 1-9 months: Coughing and shortness of breath decreases.
In 12 months: Risk of heart disease is half as compared to tobacco user.
In 5 years: Stroke risk is reduced.
In 10 years: Risk of lung cancer is less than half as compared to tobacco user.
In 15 years: Risk of heart disease is similar to a person who never smoked.
CONCLUSION
• Government of India launched the National
Tobacco Control Programme (NTCP) in the year
2007-08 during the 11th Five-Year-Plan
with the aim to create awareness about the
harmful effects of tobacco consumption.
Thank You

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NATIONAL TOBACCO CONTROL PROGRAMME [Autosaved].pptx

  • 2. INTRODUCTION • Tobacco has been identified as the foremost cause of death and disease that is entirely preventable. • There are two types of tobacco products that are commonly used: 1. 1. smoking tobacco 2. smokeless tobacco. • Smoking tobacco products include bidis, cigarettes, pipes, cigars, hookah. Smokeless tobacco products are chewing tobacco, betel quid with tobacco, khaini, gutka, pan masala with tobacco. • Workers engaged in tobacco cultivation suffer from an occupational illness known as green tobacco sickness (GTS), an acute form of nicotine toxicity resulting from absorption of nicotine through the skin.
  • 3. GLOBALAND INDIA SCENARIO As per WHO, if current trends continue, by 2030 tobacco use will kill more than 8 million people worldwide each year. • Nearly 8 - 9 lakh people die every year in India due to diseases related to tobacco. • Nearly 50% of cancers in males and 25% cancers in females in India are directly attributed to tobacco use. • Major risk factor for Cancer, Cardiovascular Diseases (CVD), Diabetes, Chronic Lung Disease, stroke, infertility, blindness, Tuberculosis (TB), Oral Cavity etc.
  • 4. EVOLUTION OF NTCP • The National Tobacco Program was launched in 2007 - 08 under 11 th Five Year Plan . • India is party to the WHO Framework Convention on Tobacco Control (FCTC) and is committed to implementing all provisions of this international treaty. • In order to protect the youth and masses from the adverse effects of tobacco usage and to discourage the consumption of tobacco the Govt. Of India enacted and comprehensive tobacco control law namely – “Cigarettes and other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003. ( COTPA-2003 )
  • 5. AIMS OF NTCP • Promote a healthful environment by prohibiting smoking in public places. • Help the people quit tobacco use. • To bring about greater awareness about the harmful effects of tobacco use and Tobacco. • Regulate and subsequently ban all tobacco related AD’S and promotions. • To fulfill the obligations under the WHO Framework Convention on Tobacco Control (FCTC).
  • 6. OBJECTIVES • To bring about greater awareness about the harmful effects of tobacco use and Tobacco Control Laws. • To facilitate effective implementation of the Tobacco Control Laws. Ensure effective implementation of the COTPA 2003 • The objective of this program is to control tobacco consumption and minimize the deaths caused by it
  • 7. IMPLEMENTATION OF NTCP • The technical assistance is provided by the identified officers from the Directorate General of Health Services i.e. Deputy Director General (DDG) / Chief Medical Officer (CMO). • The NTCC is supported by Consultants in specific areas of tobacco control like Policy, Legal, National Coordination and IEC & Advocacy.
  • 8. District Level Dedicated District Tobacco Control Cells for effective implementation and monitoring of tobacco control initiatives The key activities include • Training of Key stakeholders: health and social workers, NGOs, school teachers, enforcement officers etc. • Information, Education and Communication (IEC) activities • School Programmes • Monitoring tobacco control laws • Setting-up and strengthening of cessation facilities at the district level
  • 9. IMPLEMENTATION OF NTCP • Currently, the Programme is being implemented in all 36 States/Union Territories covering around 612 districts across the country.. • Although COTPA 2003 is valid all over the country, implementation of the same would be better. • During the plan period, Tobacco Cessation Centers [TCCs] would also be established to help people who wishes to quit tobacco consumption in any from
  • 10. National level • Public awareness/mass media campaigns for awareness building and behavioral change. • Establishment of tobacco product testing laboratories. • Mainstreaming research and training on alternative crops and livelihood with other nodal Ministries. • Monitoring and evaluation including surveillance of STCC,DTCC. • Integrating NTCP as a part of health-care delivery mechanism under the National Health Mission framework.
  • 11. State Level Dedicated State Tobacco Control Cells for effective implementation and monitoring of tobacco control initiatives. The activities include; • State Level Workshop • Training of Trainers Programme for staff appointed at DTCC under NTCP. • Refresher training of the DTCC staff. • Training on tobacco cessation for Health care providers. • Law enforcers training / sensitization Programme
  • 12. CONTROLLING MEASURES • The various activities planned to control tobacco use are as follows: • Training and Capacity Building of health and social workers, NGOs, school teachers, and enforcement officers • IEC activity • Monitoring Tobacco Control Laws and Reporting • Survey and Surveillance.
  • 13. CONTROLLING MEASURES • Smoking in public places is prohibited and is a punishable offence. • Direct/Indirect advertisements of tobacco products including sponsorship and promotion are prohibited and is a punishable offence. • Sale of tobacco products to and by minors (less than 18 years of age) is prohibited and is a punishable offence. • Sale of tobacco products within 100 yards of Educational Institutions is prohibited and is a punishable offence. • It is mandatory to display the pictorial warnings on tobacco products packages.
  • 14. ACHIEVEMENT • National Tobacco Control Programme is being implemented in about 612 districts in all States/UTs presently. • The prevalence of tobacco use has reduced by six percentage points from 34.6% to 28.6% during the period from 2009-10 to 2016-17. The number of tobacco users has reduced by about 81 lakh (8.1 million).
  • 15. ACHIEVEMENT • Large specified health warnings on tobacco products covering 85% on both side of the principal display area of tobacco product packs and inclusion of Quitline Number (1800112356) in the specified health warnings for creating awareness among tobacco users, and give them access to counseling services to effect behavior change • Regulation of the use of Cigarettes and other tobacco products in films and TV programme. • Established three National Tobacco Testing Laboratories
  • 16. BARRIERS FOR THE EFFECTIVE IMPLEMENTATION Patient-related barriers: • They do not have the motivation to quit tobacco use. • They will consider tobacco cessation only when they have a related health problem. • lack of awareness of tobacco cessation centers (TCC).
  • 17. Policy related barriers: • NTCP does not have responsibility for taxation of tobacco products, tax remains an underused tool to reduce tobacco consumption in India. • Tobacco related products are very easily available in road side pan shop. • Smuggling of tobacco products by youth and ignorance of smokeless tobacco control approach are major challenges. • Lack of Interdepartmental coordination in implementation of COTPA 2003 (Police, transport, education)
  • 18. BENEFIT OF QUITING TOBACCO In 8 hours: Oxygen levels return to normal. In 24 hours: Risk of heart attack begins to decrease. In 72 hours: Lung function improves. In 1-9 months: Coughing and shortness of breath decreases. In 12 months: Risk of heart disease is half as compared to tobacco user. In 5 years: Stroke risk is reduced. In 10 years: Risk of lung cancer is less than half as compared to tobacco user. In 15 years: Risk of heart disease is similar to a person who never smoked.
  • 19. CONCLUSION • Government of India launched the National Tobacco Control Programme (NTCP) in the year 2007-08 during the 11th Five-Year-Plan with the aim to create awareness about the harmful effects of tobacco consumption.