确定在印度国家和地方一级有效实施烟草控制计划的优先事项:德尔菲研究
Sonu Goel1,2,3, Diksha Walia4, Prakash Chandra Gupta5
1Professor, Department of Community Medicine and School for Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
建立印度国家和地方烟草控制优先事项的共识至关重要. 关键优先事项包括加强立法,监测计划,并让民间社会参与有效控制烟草流行病.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 流行病学 流行病学
背景情况:
- 印度面临着巨大的烟草控制挑战,有2668万成年吸烟者.
- 国家烟草控制计划 (NTCP) 代表了印度在烟草控制方面的进展.
- 有效的政策执行对于应对不断升级的烟草流行病至关重要.
研究的目的:
- 在国家烟草控制计划 (NTCP) 的国家和地方优先事项上达成共识.
- 使用修改后的Delphi技术来识别和排名关键的烟草控制策略.
主要方法:
- 一个经过修改的三阶段的Delphi过程,涉及21名专家.
- 专家们确定,评分 (利克尔特尺度0-4),并对国家和地方烟草控制优先事项进行排名.
- 在国家和地方两级的十大优先事项上达成共识.
主要成果:
- 最重要的国家优先事项:修改烟草管制立法 (COTPA),监测NTCP的实施,保护卫生政策免受烟草行业的干扰.
- 最重要的地方优先事项:执行COTPA和电子烟禁令 (PECA),让民间社会参与,并促进无烟学校和村庄.
- 在10个国家和10个地方优先事项上达成共识.
结论:
- 国家政策和立法对于一个强大的烟草控制框架至关重要.
- 所有政府层面的有效实施和执法对于打击印度的烟草威胁至关重要.
- 优先考虑立法修正,监测和民间社会参与,可以提高烟草控制成果.
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