印度执行COTPA的现状,挑战和解决方案
Rakesh Gupta1, Garima Bhatt2, Ranjit Singh3
1Rajasthan Cancer Foundation and Honorary Consultant, Tobacco Cessation, Santokba Durlabhji Memorial Hospital & Medical Research Institute, Jaipur, Rajasthan, India.
The Indian journal of tuberculosis
|January 31, 2025
概括
在印度,有效执行"香烟和其他烟草制品法" (COTPA) 对公众健康至关重要. 加强COTPA实施需要更好的机构参与,培训和问责制,以减少烟草负担.
科学领域:
- 公共卫生政策 公共卫生政策
- 烟草控制立法 烟草控制立法
- 实施卫生计划实施情况
背景情况:
- 成功的公共卫生计划取决于有效实施和期望的结果.
- 像香烟和其他烟草制品法案 (COTPA) 这样的立法措施需要强有力的执法才能取得成功.
研究的目的:
- 评估国家烟草控制计划 (NTCP) 下COTPA执法的部分成功.
- 确定有效实施COTPA的障碍,并提出改善印度烟草控制的解决方案.
主要方法:
- 分析COTPA执法现状,突出国家烟草管制细胞 (STCC) 面临的挑战.
- 审查导致不良合规的因素,包括缺乏执行计划,不规则的培训和没有问责制.
主要成果:
- 由于缺乏所有权,利益相关方 (包括民间社会组织) 的不充分参与以及监测不足等问题,COTPA执法只取得了部分成功.
- 由于COTPA中没有执行责任条款,导致了多样化和普遍不良的合规性.
结论:
- 在印度,严格执行COTPA对于减少烟草负担至关重要.
- 卫生和家庭福利部 (MoHFW) 必须修改COTPA,采用以结果为导向的战略,并考虑到2030年结束烟草的游戏.
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