SHORT REPORT
Cigarettes and Other Tobacco Products Act (COTPA) implementation in education institutions in India: A cross-sectional study
 
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1
Tata Trusts Cancer Care Program, Mumbai, India
2
Sambandh Health Foundation, Haryana, India
3
School of Cancer and Pharmaceutical Sciences, King’s College London, London, United Kingdom
CORRESPONDING AUTHOR
Akash Pradhan   

Tata Trusts Cancer Care Program, Bombay House, 24 Homi Mody Street, Mumbai, 400 001, India
Submission date: 2020-05-08
Final revision date: 2020-07-22
Acceptance date: 2020-07-24
Publication date: 2020-09-10
 
Tob. Prev. Cessation 2020;6(September):51
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Tobacco use is a major risk factor for cancer and other noncommunicable diseases and is the single largest cause of preventable deaths worldwide causing premature death. There are various laws and legislations for tobacco control in India. The Cigarettes and Other Tobacco Products Act (COTPA) 2003 was enacted in 2004 but is not enforced rigorously. The aim of this study was to determine any violation of COTPA Section 4 (prohibition of smoking in public places) around educational institutions and Section 6b (prohibition of sale of tobacco products near educational institutions).

Methods:
A cross-sectional, observational study was conducted in 307 schools and colleges selected across 12 districts in 5 states in India. Data were collected by the tobacco control coordinators. From the centre of the city, the coordinators travelled in four different directions to a maximum distance of 10 km radius. Along the path, any educational institutions that were encountered were surveyed for violation of COTPA Sections 4 and 6b.

Results:
Out of 307 schools surveyed across the five states, an average of 85% of the schools violated Section 4 and an average of 69% violated Section 6b.

Conclusions:
A coordinated effort by all stakeholders, especially by the police, educational institutions, and the community, is required. Adherence to the guidelines on Tobacco-Free Educational Institutions can improve the implementation of COTPA in and around educational institutions.

ACKNOWLEDGEMENTS
We thank the Programme Coordinators from Tata Trusts, Niraj Kaushik, Shrikanth Gouspure, Ramavath Bhashya, Ambuj Kumar Pandey and Ashish Supase for collecting the data and reporting from their respective districts and states.
CONFLICTS OF INTEREST
The authors have each completed and submitted an ICMJE form for disclosure of potential conflicts of interest. The authors declare that they have no competing interests, financial or otherwise, related to the current work. A. Sarin and S. Seth report grants from Tata Trusts, during the conduct of the study.
FUNDING
There was no source of funding for this research.
PROVENANCE AND PEER REVIEW
Not commissioned; externally peer reviewed.
 
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