PhD Scholar, Recipient of Institute for Global Tobacco Control Scholarship 2021-2022, Department of Public Health Dentistry, Dr. D Y Patil Dental College and Hospital, Dr. D Y Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India.
Department of Community Medicine, Dr.D Y Patil Medical College and Hospital, Dr.D Y Patil Vidyapeeth, Pimpri, Pune, India.
Indian J Tuberc. 2024 Jul;71(3):297-303. doi: 10.1016/j.ijtb.2023.05.016. Epub 2023 Jun 3.
Revised guidelines for Tobacco-Free Educational Institutes (ToEFI) were laid down in 2019 and they provide for tobacco free environment leading to a healthy life, implementation of legal provisions, and recognition about various approaches available for tobacco cessation.
To assess Madhyamik Vidyalays (MVs) for their compliance to the guidelines for ToFEI at the baseline using self-evaluation score card as part of operational research.
A cross sectional study was carried out during March 2021 among 19 MVs of Pimpri-Chinchwad block in Pune District, Maharashtra using census sampling. Trained data collectors scored for all 9 ToFEI criteria including the mandatory one's and their weightage points were calculated.
Eight {42%(0.21-0.64)} MVs had displays on tobacco-free area and awareness on the harms of tobacco displayed inside the premises and another three (16%(0.04-0.37)} had only the display of ToFEI signage at their boundary wall. No MV met with 4 or more criteria out of the total 9 criteria. The highest weightage of 29-30 out of 100 was achieved by only 2 {11%(0.01-0.30)} MVs and 5 {26%(0.10-0.49)} MVs achieved 0 points. No significance was given to tobacco free school probably because of untrained teachers and unawareness of the guidelines.
This study demonstrates that minimal importance has been given to the revised ToEFI guidelines in making MVs tobacco-free. Hence, none of the them could attain the tobacco-free status.
2019 年制定了修订后的《无烟草教育机构指南》(ToEFI),该指南规定了创建无烟环境以实现健康生活、执行法律规定以及认识到各种可用的戒烟方法。
使用自我评估记分卡作为操作研究的一部分,在基线评估 Madhyamik Vidyalays(MVs)对 ToFEI 指南的遵守情况。
2021 年 3 月,在马哈拉施特拉邦浦那区皮姆普里-钦奇瓦德街区的 19 所 MV 中进行了一项横断面研究,采用普查抽样。经过培训的数据收集者对所有 9 项 ToFEI 标准进行了评分,并计算了它们的权重分数。
有 8 所(42%(0.21-0.64))MV 展示了禁烟区和校内烟草危害意识的宣传,另有 3 所(16%(0.04-0.37))仅在其围墙处展示了 ToFEI 标识。在总共 9 项标准中,没有一所 MV 达到 4 项或更多标准。只有 2 所(11%(0.01-0.30))MV 获得了 29-30 分中的最高权重,而 5 所(26%(0.10-0.49))MV 则获得了 0 分。可能由于教师未经培训且对指南缺乏了解,所以没有一所 MV 重视无烟学校。
本研究表明,在使 MV 成为无烟环境方面,对修订后的 ToEFI 指南的重视程度较低。因此,没有一所 MV 能够达到无烟状态。