Institute of Public Health Bengaluru, Bangalore, Karnataka, India
Institute of Public Health Bengaluru, Bangalore, Karnataka, India.
BMJ Open. 2021 May 18;11(5):e050859. doi: 10.1136/bmjopen-2021-050859.
There are ongoing policies and programs to reduce tobacco use and minimise the associated health burden in India. However, there are several challenges in practice leading to different outcomes across Indian states. Inadequate understanding of how national tobacco control policies achieve their results under varied circumstances obstruct the implementation and scaling up of effective strategies. This study is a realist evaluation using largely qualitative methods to understand the implementation process of India's tobacco control policies. It will do so by evaluating India's Cigarettes and Other Tobacco Products Act (COTPA) and the National Tobacco Control Program (NTCP). The study aims to examine how, why, for whom and under which circumstances COTPA and NTCP are implemented in India.
A realist synthesis on implementation of tobacco control policies in low-income and middle-income countries is conducted. This is followed by qualitative data collection and analysis in three Indian states selected based on data from two rounds of the Global Adult Tobacco Survey. The study comprises of three steps (1): development of initial programme theories, (2) testing and refinement of initial programme theories and (3) testing and validation of refined programme theories. We will interview policy-makers, programme managers and implementers to identify facilitators and barriers of implementation. The purpose is to identify context-specific evidence-based strategies to gain insights into the implementation process of COTPA and NTCP. Further we aim to contribute to tobacco control research by establishing communities of practice to engage with cross-cutting issues.
The Institutional Ethics Committee, at the Institute of Public Health (Bengaluru), has approved the protocol. Written informed consent forms will be obtained from all the participants. Dissemination has been planned for researchers, policy-makers and implementers as well as the public through peer-reviewed publications, conference presentation, webinars and social media updates.
CRD42020191541.
印度正在实施各项政策和计划，以减少烟草使用并减轻相关的健康负担。然而，在实践中存在一些挑战，导致印度各邦的结果存在差异。由于对国家烟草控制政策在不同情况下如何实现其结果的理解不足，阻碍了有效策略的实施和推广。本研究使用主要定性方法进行了一项实际评估，以了解印度烟草控制政策的实施过程。它将通过评估印度的《香烟和其他烟草产品法》（COTPA）和《国家烟草控制计划》（NTCP）来做到这一点。该研究旨在考察 COTPA 和 NTCP 在印度是如何、为何、为谁以及在何种情况下实施的。
对低收入和中等收入国家实施烟草控制政策进行了实际主义综合评估。在此之后，根据两轮全球成人烟草调查的数据，在三个印度邦进行了定性数据收集和分析。该研究包括三个步骤：（1）制定初始方案理论，（2）测试和改进初始方案理论，（3）测试和验证改进后的方案理论。我们将采访政策制定者、计划管理人员和执行者，以确定实施的促进因素和障碍。目的是确定基于具体情况的循证策略，以深入了解 COTPA 和 NTCP 的实施过程。此外，我们还旨在通过建立实践社区来参与跨领域问题，为烟草控制研究做出贡献。
公共卫生学院（班加罗尔）的机构伦理委员会已批准该方案。将从所有参与者那里获得书面知情同意书。计划通过同行评议的出版物、会议演讲、网络研讨会和社交媒体更新向研究人员、政策制定者和执行者以及公众进行传播。
PROSPERO 注册号：CRD42020191541。
