Persai Divya, Panda Rajmohan, Gupta Adyya
Public Health Foundation of India, New Delhi 110019, India.
School of Public Health and Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, SA 5005, Australia.
Adv Prev Med. 2016;2016:4018023. doi: 10.1155/2016/4018023. Epub 2016 Jan 3.
Introduction. While extensive scientific evidence exists on the tobacco epidemic, a lack of understanding of both policies and their appropriate way of implementation continues to hinder effective tobacco control. This is especially so in the developing countries such as India. The present study aims to understand current implementation practices and the challenges faced in mainstreaming tobacco control policy and program. Methods. We chose a qualitative study design to conduct the case analysis. A total of 42 in-depth interviews were undertaken with seven district officials in six districts of Andhra Pradesh. A conceptual framework was developed by applying grounded theory for analysis. Analysis was undertaken using case analysis approach. Results and Discussion. Our study revealed that most program managers were unfamiliar with the comprehensive tobacco control policy. Respondents have an ambiguous opinion regarding integration of tobacco control program into existing health and development programs. Respondents perceive lack of resources, low prioritization of tobacco control, and lack of monitoring and evaluation of smoke-free laws as limiting factors affecting implementation of tobacco control policy. Conclusion. The findings of this study highlighted the need for a systematic, organized action plan for effective implementation of tobacco control policy and program.
引言。尽管存在大量关于烟草流行的科学证据，但对政策及其适当实施方式的缺乏了解仍在阻碍有效的烟草控制。在印度等发展中国家尤其如此。本研究旨在了解当前的实施做法以及将烟草控制政策和计划纳入主流所面临的挑战。方法。我们选择了定性研究设计来进行案例分析。对安得拉邦六个地区的七位地区官员进行了总共42次深入访谈。通过应用扎根理论进行分析，构建了一个概念框架。采用案例分析方法进行分析。结果与讨论。我们的研究表明，大多数项目经理不熟悉全面的烟草控制政策。受访者对将烟草控制计划纳入现有卫生和发展计划的看法模棱两可。受访者认为缺乏资源、烟草控制的优先级低以及对无烟法律缺乏监测和评估是影响烟草控制政策实施的限制因素。结论。本研究的结果强调了制定系统、有组织的行动计划以有效实施烟草控制政策和计划的必要性。
