Lok Sabha Question No. 3057 (UNSTARRED), answered on 2019-12-06
Subject: Evaluation of the NTCP
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ganesan Selvam, Dhanush M Kumar, Vijay Kumar Dubey

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUEST ION NO. 3057 TO BE ANSWERED ON 6 TH DECEMBER, 2019

## EVALUATION OF THE NT CP

## 3057. SHRI SELVAM G.: SHRI DHANUSH M. KUMAR: SHRI VIJAY KUMAR DUBEY:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a)  whether  the  Government  has  failed  to  achieve  the  target  of  reducing  the  productio supply of tobacco products while implementing National Tobacco Cont rol Programme, if so, the details thereof and the reasons therefor;
- (b)  whether  the  Government  has  conducted  monitoring  and  evaluation/  assessment  of  t National Tobacco Control Programme (NTCP) at the national and State level;
- (c) if so, the details along with the outcome thereof indicating the shortcomings noticed and t measures  taken/proposed  to  be  taken  by  the  Government  to  plug  the  loopholes  in implementation;
- (d) whether the Government has undertaken public awareness campaigns on adverse effects o tobacco usage on health;
- (e) if so, the details of the campaign undertaken and the funds allocated and utilized State/UT - wise during each of the last three years; a nd
- (f) the steps taken by the Government to ensure effective implementation of the provision Cigarettes and other Tobacco Products Act, 2003 to help the people quit tobacco use?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

- (a): The National Tobacco Control Programme (NTCP) was launched in 2007 - 08 to reduce the demand  and  supply  of  tobacco  products  through  creating  awareness  on  harmful  effects tobacco products; implementation of the C igarettes and other Tobacco products (Prohibition of Advertisement and Regulations of Trade and Commerce Production, Supply and Distribution Act, 2003 (COTPA, 2003) and providing cessation facilities to tobacco users. There was a of 5% reduction in prevalence of tobacco use by the end of 12th Five Year Plan and as per

second round of Global Adult Tobacco Survey  (2016 - 17),  the  prevalence  of  tobacco  use  has decreased by 6 percentage points during the period from 2009 - 10 to 2016 -17.

(b) & (c): An evaluation of the NTCP was undertaken in 2013 in 10 States which revealed th need for regular capacity building/training of various stakeholders in tobacco control; av of limited funds with NTCP and appropriate utilization; integration of NTCP w ith other health programmes;  to  create  demand  and  an  enabling  environment  for  tobacco  cessation  facili standardized mechanism for monitoring and evaluation of NTCP; setting up of tobacco tes laboratories; active engagement of civil society.

The Government has taken several measures to address the findings of the evaluat viz. development of various training modules and organisation of Training of Trainers; to the  availability  of  funds,  State  and  district  level  of  NTCP  have  been  subsumed under  the National  Health  Mission  and  the  States  submits  their  Financial  Monitoring  Reports  (F quarterly;  NTCP  has  been  integrated  with  various  other  National  Health  Programme establishment  of  Tobacco  Cessation  Centres  at  district  level,  Tobacco  Quit line  services  and mCessation  services;  establishment  of  three  National  Tobacco  Testing  Laboratories; provision for engaging civil society at State/district level etc.

(d)  &  (e):  The  Ministry  undertakes  various  anti - tobacco  campaigns  vide  different  mode of communication  including  TV,  radio,  print  media,  social  media,  films,  train  wrap  etc. displaying awareness material in trade fair, mela etc. on a regular basis about the adver of tobacco usage on health.

The details of the campaign unde rtaken and funds allocated/expenditure at central level i at Annexure - I and State/UT - wise allocation / expenditure is at Annexure - II .

(f): The aims of the National Tobacco Control Programme (NTCP) are to ensure effective implementation of the provisions under COTPA, 2003 and to help the people quit tobacco along with other objectives.

The  enforcement  of  provisions  of  COTPA,  2003  and  Rules  made  thereunder is  the responsibility  of  the  States/Union  Territories.  For  effective  implementation  of  this Central Government has notified authorized officers from various Departments and also adv States/Union Territories, from time to time, for strict comp liance of COTPA, 2003.

The  Ministry  started  tollfree  Tobacco  Quitline  services  to  provide  tobacco  cess services to the community and the same has been expanded in September 2018 and pan -Indi 'mCessation'  initiative  for  providing  cessation  services  t hrough  text - messaging  via  mobile phones. Under NTCP, there is a provision for setting up Tobacco Cessation services at d level. Apart from this, tobacco cessation centers have also been set up in Colleges/Institutions across the country.

Annexure-I Allocation/expenditure towards awareness campaign on tobacco control / adverse effects of tobacco uses at Central level for last three years:

| Financial Year   | Allocation/Expenditure (in Rs.) 10,54,58,547/-   | Campaign                                                                                                                                                                                                                                                                                                                                                                                                   |
|------------------|--------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 2016-17          |                                                  | Advertisement through Satellite channels and Outdoor Publicity during Seventh Session of the Conference of Parties (COP7). Advertisement in newspapers on World No Tobacco Day, 2016 and publication of Notifications in the Gazette of India relating to tobacco control law. Campaign on mCessation.                                                                                                     |
| 2017-18          | 16,10,39,911/-                                   | Advertisement in newspapers on World No Tobacco Day, 2017 Mass-Media Campaign for telecast of tobacco control spotnamely 'TB and Tobacco' on TV and Radio on World No Tobacco Day, 2017. Organization of thematic show and mass- awareness slogan walkathon on World No Tobacco Day, 2017. Telecast of tobacco control spots namely 'TB and Tobacco' and 'Clinical' through Doordarshan and Prasar Bharti. |
| 2018-19          | 28,21,43,420/-                                   | Telecast of tobacco control spot namely 'What damage will Cigarette/Bidi do' through DAVP, Prasar Bharti and Doordarshan. Telecast of tobacco control spot namely 'COUGH' through DAVP, Prasar Bharti                                                                                                                                                                                                      |

and Doordarshan.

## Annexure-II

## State/UT wise details of SPIP Approvals and Utilisation for IEC/SBCC Campaign under National Tobacco Control Programme (NTCP) for the last three years

(Rs. in Lakhs)

| S.No.                     | State/UT          | 2016-17        | 2016-17     | 2017-18        | 2017-18     | 2018-19        | 2018-19     |
|---------------------------|-------------------|----------------|-------------|----------------|-------------|----------------|-------------|
| A. High Focus States      |                   | SPIP Approvals | Expenditure | SPIP Approvals | Expenditure | SPIP Approvals | Expenditure |
| 1                         | Bihar             | 133.00         | 21.65       | 82.00          | 0.01        | 61.00          | 13.25       |
| 2                         | Chattisgarh       | 63.00          | 19.25       | 20.12          | 4.88        | 21.90          | 14.61       |
| 3                         | Himachal Pradesh  | 0.00           | 4.00        | 0.00           | 0.00        | 0.00           | 0.00        |
| 4                         | Jammu& Kashmir    | 21.00          | 0.00        | 21.00          | 8.24        | 10.00          | 7.76        |
| 5                         | Jharkhand         | 98.00          | 44.95       | 175.00         | 65.40       | 100.00         | 83.09       |
| 6                         | Madhya Pradesh    | 0.00           | 20.56       | 171.53         | 51.24       | 0.00           | 0.00        |
| 7                         | Orissa            | 51.00          | 12.79       | 148.70         | 16.02       | 82.72          | 23.07       |
| 8                         | Rajasthan         | 69.70          | 49.68       | 0.00           | 79.49       | 101.00         | 101.00      |
| 9                         | Uttar Pradesh     | 504.00         | 228.77      | 525.00         | 292.77      | 375.00         | 229.88      |
| 10                        | Uttarakhand       | 39.00          | 4.29        | 8.30           | 8.17        | 0.00           | 0.00        |
|                           | Sub Total         | 978.70         | 405.94      | 1151.65        | 526.22      | 751.62         | 472.66      |
| B. NE States              |                   |                |             |                |             |                |             |
| 11                        | Arunachal Pradesh | 0.00           | 0.00        | 140.00         | 49.03       | 0.00           | 2.10        |
| 12                        | Assam             | 28.00          | 3.30        | 112.00         | 81.06       | 72.50          | 64.49       |
| 13                        | Manipur           | 20.52          | 0.00        | 26.00          | 0.00        | 5.00           | 0.30        |
| 14                        | Meghalaya         | 0.00           | 0.00        | 0.00           | 0.00        | 0.00           | 0.00        |
| 15                        | Mizoram           | 63.00          | 1.15        | 63.00          | 10.10       | 0.00           | 4.60        |
| 16                        | Nagaland          | 77.00          | 0.00        | 190.74         | 11.95       | 3.40           | 0.00        |
| 17                        | Sikkim            | 0.00           | 6.37        | 0.00           | 0.00        | 0.00           | 0.00        |
| 18                        | Tripura           | 28.00          | 3.30        | 28.00          | 36.80       | 16.75          | 8.31        |
|                           | Sub Total         | 216.52         | 14.12       | 559.74         | 188.93      | 97.65          | 79.80       |
| C. Non- High Focus States |                   |                |             |                |             |                |             |
| 19                        | Andhra Pradesh    | 70.00          | 172.52      | 91.00          | 72.82       | 0.00           | 0.00        |
| 20                        | Goa               | 2.30           | 1.68        | 5.00           | 0.00        | 0.00           | 0.00        |
| 21                        | Gujarat           | 87.05          | 38.45       | 150.30         | 131.91      | 0.00           | 0.00        |

| 22                  | Haryana                   | 14.00   | 0.00   | 6.41    | 1.10    | 5.00    | 0.00   |
|---------------------|---------------------------|---------|--------|---------|---------|---------|--------|
| 23                  | Karnataka                 | 126.00  | 47.58  | 153.00  | 136.21  | 93.00   | 89.53  |
| 24                  | Kerala                    | 0.00    | 0.00   | 45.19   | 23.35   | 8.00    | 9.22   |
| 25                  | Maharashtra               | 66.20   | 7.93   | 150.28  | 32.69   | 151.09  | 15.48  |
| 26                  | Punjab                    | 0.00    | 0.00   | 66.02   | 2.54    | 32.00   | 8.40   |
| 27                  | Tamil Nadu                | 35.00   | 4.48   | 69.75   | 0.00    | 27.50   | 27.50  |
| 28                  | Telangana                 | 0.00    | 0.00   | 0.00    | 0.00    | 10.00   | 0.00   |
| 29                  | West Bengal               | 133.00  | 11.29  | 48.00   | 27.20   | 57.00   | 10.04  |
|                     | Sub Total                 | 533.55  | 283.93 | 784.95  | 427.82  | 383.59  | 160.17 |
| D. Small States/UTs |                           |         |        |         |         |         |        |
| 30                  | Andaman & Nicobar Islands | 7.00    | 0.00   | 9.00    | 0.50    | 0.00    | 0.30   |
| 31                  | Chandigarh                | 0.00    | 0.00   | 0.00    | 0.00    | 0.00    | 0.00   |
| 32                  | Dadra & Nagar Haveli      | 7.00    | 7.91   | 18.30   | 0.00    | 0.00    | 0.00   |
| 33                  | Daman &Diu                | 0.50    | 0.00   | 1.00    | 0.16    | 0.50    | 0.44   |
| 34                  | Delhi                     | 14.00   | 0.00   | 77.00   | 0.00    | 0.00    | 5.65   |
| 35                  | Lakshadweep               | 2.00    | 0.00   | 2.00    | 1.85    | 1.00    | 1.79   |
| 36                  | Puducherry                | 4.00    | 2.95   | 7.00    | 4.69    | 2.00    | 0.27   |
|                     | Sub Total                 | 34.50   | 10.86  | 114.30  | 7.20    | 3.50    | 8.45   |
|                     | Grand Total               | 1763.27 | 714.85 | 2610.64 | 1150.18 | 1236.36 | 721.08 |

1. SPIP means State Programme Implementation Plan.

## Note:

2. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of the year.
3. The above data is as per FMRs submitted by States/UTs, hence is provisional.