Tobacco cessation in India–Current status, challenges, barriers and solutions

作     者：Gupta, Rakesh Pednekar, Mangesh S. Kumar, Rajeev Goel, Sonu 

作者机构：Santokba Durlabhji Memorial Hospital & Medical Research Institute and President Rajasthan Cancer Foundation Jaipur Rajasthan India Healis Sekhsaria Institute for Public Health Navi Mumbai Maharashtra India Department of Community Medicine and School of Public Health Post Graduate Institute of Medical Education and Research Chandigarh India Public Health Masters Program School of Medicine University of Limerick Ireland Faculty of Human and Health Sciences Swansea University United Kingdom 

出 版 物：《Indian Journal of Tuberculosis》 (Indian J. Tuberc.)

年 卷 期：2021年第68卷

页      面：S80-S85页

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Barriers Cessation Challenges India Tobacco 

摘      要：The attention to tobacco cessation (TCs) has increased globally by WHO through the Framework Convention on Tobacco Control (FCTC) and MPOWER. In India, NTCP (National Tobacco Control Program), the National and three Regional Quitlines and mCessation, some apex national institutes, and professional dental bodies and others have eased an access to quit, the proportion of the former users has been dismally low-below 2% at population level. The challenges of not having: (1) TCCs at secondary and tertiary care as well as in the larger private healthcare setups;(2) participatory health system and healthcare professionals;(3) motivated tobacco users to quit even in short-term;(4) focused NTCP due to convergent NHM (National Health Mission);and, (5) optimal coverage to the health-insured “need a priority attention. Also, there is need to eliminate the barriers existing: (a) at all levels in the governance, health system and other stake-holding sectors;and, (b) due to the interference of the tobacco industry. Overall, (i) setting the norm of quitting since all tobacco users are actually patients;(ii) increasingthe awareness of benefits of quitting and incentivizing it;(iii) establishing a systems approach in all health facilities of screening, treatment and follow-up of the treated tobacco users besides coding them;plus (iv) amending COTPA (the Cigarettes and Other Tobacco Products Act of 2003) can increase the quit rates in India and LMICs. © 2021 Tuberculosis Association of India