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Efforts made for Tobacco Control in the State:

Uttar Pradesh is the most populous state in the country with almost 200 million people spread across 75 districts. The state is home to 42% of India’s poor. It has a higher incidence of tobacco use (about 34%) as compared to the national average. Tobacco is cultivated, processed and products are being manufactured in the state with more than 20 million people benefitting from its trade in Uttar Pradesh. The state also has the highest prevalence of throat and mouth cancer cases - about 24 %. The Tobacco epidemic is one of the biggest public health threats in India has ever faced. Approx. 10 lac people die every year in India. India has the unfortunate distinction of having the second largest population of tobacco consumers in the world after China. UPVHA is working in the field of tobacco prevention & control since 2008 in collaboration with VHAI. Now, we have developed the program and implementing in the selected districts of Uttar Pradesh in collaboration with The Union against Tuberculosis and Lung Diseases, New Delhi.

The fundamental aim of this project is effective implementation and enforcement of the Tobacco Control Act (COTPA), 2003 especially Section 4, 5 and 6 in the state of Uttar Pradesh. The objective is to create tobacco free educational institutions & smoke free public places of 148blocks headquarters of 12 districts in Uttar Pradesh viz., Lucknow, Sitapur, Hardoi, Shahjahanpur, Bareilly, Rampur, Pilibhit, KanpurNagar, Unnao, Fatehpur, Faizabad&Ambedkar Nagar with the active involvement of government, state and district administration, elected representatives, civil societies. The project envisages creating smoke free public places, Tobacco Free Educational Institutions and build capacity of policy makers, law enforcers, coalition partners,educational institutions, Panchayati Raj Institutions,& NGOs on section 4, 5, 6, & 7 of COTPA. The project will monitor and report violations to appropriate authority.The project was initiated in twelve districts from September 2014 with the technical support from The Union against Tuberculosis and Lung Diseases, New Delhi with the following objectives:

Objective 1: Establish a political and administrative commitment and institutional framework for the implementation of tobacco control
Objective 2: Build capacity for effective implementation of tobacco control interventions and program
Objective 3.: Establish and constitute an enforcement mechanism for implementation COTPA
Objective 4. Create effective coalitions to include inter-sectoral coordination between different departments, civil society and public private partnerships
Objective 5.Conduct strategic policy focused research, monitoring and evaluation

UPVHA initiated a strong policy and media advocacy to generate political and administrative support, and subsequently very important policy level decisions were taken to strengthen the COTPA 2003 and make it effectively implementable in the state. Though combination of activities like mass awareness with stakeholders through media, rallies, sensitization the enlisted enforcement authorities through workshops/ trainings, focusing on Policy advocacy & media sensitization. UPVHA also focused on raise of tobacco taxes as an important intervention. Though the project was sanctioned from September 2013 but this was actually grounded from November 2013. During the reporting period following activities were conducted in the selected district under the project: