Lok Sabha Question No. 1056 (UNSTARRED), answered on 2025-07-25
Subject: Implementation of NTCP
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri G Lakshminarayana, Shri Tangella Uday Srinivas

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO.1056 TO BE ANSWERED ON 25 TH JULY 2025

## IMPLEMENTATION OF NTCP

## 1056. SHRI TANGELLA UDAY SRINIVAS: SHRI G. LAKSHMINARAYANA:

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

(a) the current status of implementation of the National Tabacco Control Programme (NTCP) across the country including number of districts covered, Tobacco Cessation Centres established and key interventions undertaken, State/UT-wise;

- (b) the details of funds allocated, released and utilised for NTCP during last five years, year-wise and State/UT-wise;
- (c) whether the Government has conducted any assessment of the effectiveness of NTCP in achieving reduction in tobacco use, improvement in quit rates and control of tobaccorelated diseases and if so, the details thereof:
- (d) whether the Government's current monitoring of NTCP relies largely on activitybased indicators such as the number of campaigns or sessions conducted, rather than on outcome-based measures like actual decline in tobacco consumption and burden of disease and if so, the details thereof; and
- (e) whether the Government proposes to reform NTCP's monitoring and evaluation framework to focus on measurable outcomes including reduction in tobacco prevalence and the economic impact of tobacco use and if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

(a): The Government of India launched the National Tobacco Control Programme (NTCP) in the year 2007-08 with the aim to reduce tobacco consumption and minimize the health burden caused by tobacco-related diseases. Currently the program is implemented in all 36 States and UTs covering more than 700 districts.

India has over 2,000 Tobacco Cessation Centres (TCCs) that have been established across the country under integrated efforts of NTCP, National Medical Commission (NMC) and National Dental Commission (NDC). Some of the key interventions and thrust areas under the program are:

-  Setting-up and strengthening of cessation facilities including provision of pharmacological treatment facilities at district level.
-  Training of health and social workers, NGOs, school teachers, and enforcement officers;
-  Information, education, and communication (IEC) activities;
-  Monitoring of tobacco control laws;
-  Organizes an annual 60-day Tobacco-Free Youth Campaign;

(b): Under NTCP funds are released to 03 (three) National Tobacco Testing Laboratories and 04 Tobacco Quit Line Centers. The details of funds allocated and utilized during the last 05 (five) years are given below:

(In Crore)

| Year    |   Budget Allocated |   Expenditure |
|---------|--------------------|---------------|
| 2020-21 |              12    |          7.95 |
| 2021-22 |              13.7  |          7.53 |
| 2022-23 |              24    |         19.76 |
| 2023-24 |              19.47 |          9.36 |
| 2024-25 |              11.1  |          9.96 |

Further, for implementation of NTCP in States/UTs, funds are released through NCD Flexipool of National Health Mission (NHM) of Ministry of Health and Family Welfare. The details of funds provided to States/UTs by the NHM are at Annexure.

(c) to (e): The Government of India has undertaken periodic assessments of NTCP initiatives through Global Adult Tobacco Survey (GATS) and Global Youth Tobacco Survey (GYTS) which measure outcome-based indicators such as prevalence of tobacco use at the national and sub-national levels, users desirous of quitting tobacco etc. As per the Global Adult Tobacco Survey (GATS), 2016-2017, overall tobacco use was 28.6% which is a 17.3% relative reduction from 34.6% reported in 2009-2010.

*****

(Rs. In Lacs)

| S.N o.   | State/UT             | 2020-21       | 2020-21     | 2021-22       | 2021-22     | 2022-23       | 2022-23     | 2023-24       | 2023-24     | 2024-25       | 2024-25     |
|----------|----------------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|
| S.N o.   | State/UT             | SPIP Approval | Expenditure | SPIP Approval | Expenditure | SPIP Approval | Expenditure | SPIP Approval | Expenditure | SPIP Approval | Expenditure |
| 1        | Andaman and Nicobar  | 16.33         | 2.36        | 23.75         | 1.41        | 26.00         | 2.68        | 28.00         | 3.67        | 26.00         | 9.25        |
| 2        | Andhra Pradesh       | 67.98         | 67.98       | 244.23        | 226.33      | 380.16        | 279.90      | 372.50        | 214.57      | 346.49        | 334.45      |
| 3        | Arunachal Pradesh    | 414.00        | 69.66       | 149.86        | 90.87       | 500.75        | 17.31       | 504.78        | 294.74      | 493.82        | 435.34      |
| 4        | Assam                | 246.27        | 74.55       | 321.96        | 174.88      | 329.11        | 201.82      | 326.91        | 225.37      | 292.14        | 125.31      |
| 5        | Bihar                | 188.61        | 20.33       | 220.81        | 7.92        | 169.71        | 10.63       | 184.15        | 12.95       | 98.52         | 20.78       |
| 6        | Chandigarh           | 6.05          | 0           | 9.65          | 0.19        | 12.35         | 2.30        | 12.35         | 0.14        | 43.53         | 0           |
| 7        | Chhattisgarh         | 284.70        | 171.07      | 492.88        | 229.34      | 386.80        | 328.69      | 386.80        | 173.80      | 572.30        | 223.71      |
| 8        | Dadra & Nagar Haveli | 15.92         | 3.71        | 0.04          | 9.72        | 16.90         | 4.81        | 16.90         | 2.25        | 23.57         | 8.40        |
| 9        | Delhi                | 117.89        | 7.17        | 198.43        | 25.14       | 277.49        | 47.52       | 317.49        | 70.06       | 179.10        | 55.22       |
| 10       | Goa                  | 26.18         | 12.26       | 52.58         | 37.43       | 54.40         | 42.87       | 54.40         | 47.83       | 59.51         | 46.38       |
| 11       | Gujarat              | 351.88        | 154.31      | 333.48        | 152.01      | 347.55        | 235.21      | 356.90        | 374.54      | 384.36        | 271.01      |
| 12       | Haryana              | 171.50        | 40.18       | 215.20        | 128.57      | 212.80        | 169.09      | 213.20        | 173.83      | 224.30        | 141.42      |
| 13       | Himachal Pradesh     | 63.50         | 20.24       | 50.01         | 21.25       | 114.20        | 28.32       | 135.00        | 31.51       | 70.00         | 27.22       |
| 14       | Jammu and Kashmir    | 265.05        | 1.52        | 83.60         | 49.77       | 64.10         | 9.68        | 69.48         | 13.36       | 76.70         | 23.72       |
| 15       | Jharkhand            | 346.96        | 109.58      | 426.26        | 420.78      | 440.76        | 321.60      | 466.36        | 410.86      | 476.62        | 369.32      |
| 16       | Karnataka            | 429.14        | 329.30      | 693.11        | 609.38      | 526.94        | 366.79      | 526.94        | 474.19      | 339.30        | 283.59      |
| 17       | Kerala               | 217.70        | 65.78       | 336.43        | 90.35       | 445.71        | 115.73      | 326.00        | 191.96      | 154.00        | 43.01       |
| 18       | Ladakh               | 0             | 0           | 13.54         | 4.86        | 27.80         | 12.33       | 23.80         | 20.63       | 38.20         | 31.52       |
| 19       | Lakshadweep          | 14.71         | 0.87        | 14.16         | 1.92        | 18.50         | 4.30        | 19.43         | 2.54        | 17.50         | 3.79        |
| 20       | Madhya Pradesh       | 454.90        | 26.97       | 251.45        | 30.05       | 438.47        | 112.06      | 760.12        | 279.26      | 281.60        | 110.76      |
| 21       | Maharashtra          | 195.83        | 86.14       | 127.43        | 216.30      | 489.26        | 205.95      | 484.26        | 193.72      | 810.66        | 99.11       |
| 22       | Manipur              | 95.14         | 1.50        | 146.80        | 3.68        | 116.80        | 6.58        | 116.80        | 3.03        | 90.30         | 47.86       |
| 23       | Meghalaya            | 110.18        | 124.26      | 63.55         | 57.34       | 64.72         | 88.72       | 64.72         | 122.30      | 203.10        | 206.45      |
| 24       | Mizoram              | 42.90         | 16.10       | 37.77         | 117.73      | 63.68         | 27.28       | 66.85         | 40.25       | 70.55         | 30.01       |
| 25       | Nagaland             | 72.88         | 5.31        | 102.62        | 21.54       | 142.90        | 47.83       | 147.39        | 30.21       | 127.65        | 61.80       |
| 26       | Odisha               | 238.46        | 90.73       | 461.95        | 262.53      | 442.04        | 299.21      | 592.26        | 424.31      | 423.21        | 242.66      |
| 27       | Puducherry           | 18.18         | 7.87        | 23.93         | 8.25        | 20.13         | 15.13       | 17.83         | 5.52        | 27.75         | 22.28       |
| 28       | Punjab               | 68.00         | 0           | 76.00         | 4.85        | 68.85         | 6.06        | 72.12         | 72.12       | 139.01        | 0.93        |
| 29       | Rajasthan            | 422.08        | 305.46      | 753.18        | 639.17      | 805.22        | 509.89      | 805.22        | 549.82      | 947.40        | 571.85      |
| 30       | Sikkim               | 19.20         | 1.68        | 22.52         | 0           | 23.39         | 15.05       | 23.04         | 10.19       | 23.07         | 22.80       |
| 31       | Tamil Nadu           | 52.80         | 5.99        | 88.50         | 179.42      | 333.15        | 82.77       | 645.10        | 14.04       | 31.51         | 24.66       |
| 32       | Telangana            | 84.32         | 43.56       | 75.35         | 5.75        | 85.00         | 0           | 37.50         | 0.17        | 11.55         | 0           |
| 33       | Tripura              | 53.65         | 31.46       | 86.41         | 68.59       | 114.47        | 66.67       | 107.08        | 53.02       | 117.11        | 83.33       |
| 34       | Uttar Pradesh        | 1,256.72      | 535.25      | 3,228.32      | 984.36      | 2,752.25      | 1,511.00    |               | 1,450.01    | 3,346.65      | 966.87      |
| 36       | West Bengal          | 48.50 125.01  | 102.76      | 131.32        | 157.43      | 131.01        | 120.75      | 134.32        | 123.53      |               | 101.29      |
| 35       | Uttarakhand          |               | 23.12       | 140.57        | 144.79      | 168.62        | 90.85       | 156.76        | 143.97      | 199.06 110.06 | 135.93      |

Note:

1. The above data is as per available Financial Management Reports submitted by the States/UTs.
2. Expenditure includes expenditure against Central Releases, State Releases & unspent balances at the beginning of the year. Expenditure is as per FMRs submitted by States/UTs and is provisional.

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