Monitoring progress in COTPA enforcement using compliance assessment studies Raipur,7-8 April 2016

1. Monitoring progress in COTPA enforcement using compliance assessment studiesRaipur,7-8 April 2016 Dr. Rana J Singh MD DPHA IFPM Sr. Technical Advisor(Tobacco Control) The Union South-East Asia(The Union)

2. 11 Steps to ConductCompliance Survey for Section 4(Smokefree) • Know the Smoke Free Law • Determine status of enforcement • Clarify the purpose of your conducting the compliance study • Assess available resources and secure the needed resources • Clarify the scope of your compliance surveys • Set up a timeline for a compliance survey

3. 11 steps….. • Develop set tools and procedures • Choose locations to visit • Conduct compliance observation • Analyse your compliance survey results • Use the results

4. Compliance Survey Overall Purpose: To measure compliance to smokefree provisions of legislation Objectives: • To ascertain the level of compliance by public places to Section-4 (prohibition of smoking in a public place) of legislation • To understand the status of enforcement mechanism in the jurisdiction • To rank/ assess various geographical establishments in compliance of section 4

5. Methodology a) Study Area- All Public places in a jurisdiction b)Study Design- Cross-sectional Study (Formative Research) c) Study period- 7 days -One Month •  Preparation (designing study tools, pretesting, printing etc) • Data collection • Analysis and Dissemination of Results- d)Geographical scope (Venues of visit)-For the purpose of study, all the potential public places in the district can be divided into 5-7 broad types of venues- a. Restaurants and bars, shopping malls b. Government buildings (banks, court, public offices etc) c. Educational institutions (school and colleges) d. Health care facilities (public and private) e. Transit stations (railway stations, bus stations, airport)

6. Methodology Study tools- • Observation checklist which includes • Display of mandatory ‘no smoking signs’ at strategic places in establishments. Signage Requirements-Dimensions, content and format of signs, located at strategic places complying with law or not • Is anyone smoking inside or entering/exiting the location? • Look for ashtrays, matches, cigarette butts visible at the location • Is there a designated smoking room (DSR) etc. • Is there any tobacco smoke smell In addition, the owner (institute In-Charge) of 10% of establishments (selected proportionately from among the selected establishments for observation) will be provided with Interview schedule

7. Methodology Data Collection: • Each of the sampled public places will be visited one by one by the field investigator. During the study, an observational checklist will be used. No interaction will be done with anyone at the sampled site except with the institute in-charge. • Time of data collection- The compliance observations will be done at an unannounced timings, in order to capture typical behaviour. • In the government buildings and educational institutions- office timings (9 am-5 pm) and school hours ( 8am -2 pm)respectively • In Health care facilities- visiting hours (10-11 am and 4-8 pm) • In transit points, shopping malls, bars and restaurants- Busiest hours (evening hours) How long the data collector stay in the location- The average time depends from 20 minutes to half hour for one location depending on the area covered.

8. 41.7 M

9. 42 M

12. 47.3 M More than 230 million people have been protected from harms of Second-hand smoking(SHS) and demonstrated through rigorous compliance assessment surveys conducted by third party

13. Smokefree Journey in India • Four states (Sikkim, Delhi, Mizoram and Himachal Pradesh), 18 cities, 90 districts have achieved high level of compliance to smoke-free laws and  became or were declared smoke-free by respective government authorities. 

14. Smokefree Declaration Certificate-Ajmer District in Rajasthan

15. SMOKEFREE HIMACHAL PRADESH Declaration by State Health Minister, Mr.Kaul Singh Thakur (A Compliance Assessment report was also released)

16. SMOKEFREE Bangalore (Rural) district Declaration by State Health Minister, Mr.U.T.Khader (Along with release of compliance assessment report) Bangalore Rural District was declared Smokefree by the Health Minister of Karnataka

17. Smokefree Declaration of Nagaur and Alwar districts in in Rajasthan

18. Tobacco Free declaration of Kanpur (Urban) district on World No Tobacco Day 2015,

19. Till December 2015

20. Conclusion • Compliance surveys are useful in assessing the degree to which a smoke free law is being obeyed and implemented in public places and workplaces • They also provide answers to another question, whether compliance improves with successive waves of enforcement?

21. Conclusion(Contd…) The findings that emerge can be used: • To document compliance rates • To identify types of venues and demographic regions where intensive IEC activities and fresh waves of enforcement efforts are needed • And to monitor trends in compliance over time

22. Conclusion(Contd…) • Like opinion polls, compliance surveys also serve a strategic purpose. A timely presentation of survey findings to policymakers can ensure a way forward to smoke free public places and can prove instrumental in policy change, policy implementation and strengthening enforcement

23. Thanks Questions???