National Tobacco Control Programme Overview

A program launched in 2007-08 to reduce tobacco use in India. It aims to raise awareness of tobacco's harm, restrict tobacco supply, enforce the COTPA Act, and assist with quitting.

The central point of the NTCP, responsible for coordinating tobacco control efforts across India.

A state-level body under the NTCP, responsible for implementing tobacco control measures within its state.

A local-level body under the NTCP, responsible for implementing tobacco control measures within its district.

A key law in India regulating tobacco advertising, production, and sale.

The simultaneous presence and interaction of tuberculosis (TB) and tobacco use, leading to a higher risk of developing TB, a more severe disease, and poorer treatment outcomes.

The Revised National TB Control Programme (RNTCP) is India's national program to eliminate tuberculosis.

This framework aims to coordinate the RNTCP and NTCP to address the shared problem of TB and tobacco co-morbidity.

A crucial part of the framework, the 'Brief Advice' approach promotes a short, simple intervention delivered by healthcare professionals to help smokers quit.

The 5 A's method, used within Brief Advice, helps healthcare professionals to identify smokers, understand their motivation, and provide tailored assistance.

This method strengthens the 5 A's approach by adding five more steps to reinforce quit attempts and prevent relapse.

The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003 (COTPA) is an act that aims to regulate tobacco production and sales in India.

A nationwide program in India aimed at combating tuberculosis, offering diagnostic, treatment, and prevention services.

Enhancing the knowledge and skills of healthcare providers on the relationship between TB and tobacco, promoting collaborative practices for better patient care.

Strategies and initiatives designed to raise public awareness about the connection between TB and tobacco use, promoting healthy behaviors.

A documented framework outlining how RNTCP and NTCP will work together, covering roles, responsibilities, and timelines.

A combination of tools, resources, and guidelines developed to support and operationalize the collaboration between RNTCP and NTCP.

A process established to effectively coordinate activities between the National Tobacco Control Program (NTCP) and the Revised National TB Control Program (RNTCP) at various levels.

A strategy for improving collaboration between the National Tobacco Control Program (NTCP) and the Revised National TB Control Program (RNTCP) to address the shared problem of TB and tobacco co-morbidity.

A collaborative effort to raise awareness and educate the public about the dangers of tobacco use and its connection to tuberculosis.

Jointly conducted assessments to monitor the effectiveness of RNTCP-NTCP collaboration activities and ensure program success.

A group of symptoms, including cough, fever, significant weight loss, and night sweats that have persisted for more than two weeks, suggestive of active tuberculosis (TB) and warranting further confirmation and treatment.

A structured approach for brief advice, involving five steps: Ask, Advise, Assess, Assist, and Arrange, to guide healthcare providers in supporting tobacco users to quit.

The 5 R's approach, built upon the 5 A's, involves five additional steps to reinforce a quit attempt and prevent relapse: Relevance, Risks, Rewards, Roadblocks, and Repetition.

This program aims to identify and manage active TB cases among individuals seeking tobacco cessation services, recognizing the higher risk of TB among tobacco users.

This involves training healthcare providers about the connection between TB and tobacco use, enabling them to better identify and manage TB in tobacco users.

The Quitline software records the details of suspected TB clients and generates a report. The dashboard provides information about these clients and shares it with the CTD division for further action. This streamlines the process of identifying potential TB cases.

The dashboard part of the Quitline software displays information about suspected TB clients, including their profiles. This information is shared with the CTD division for further investigation and action.

This involves training Quitline counselors to identify TB symptoms and record information. They can then refer suspected cases to a health facility for a proper diagnosis.

The National Tobacco Quitline is exploring ways to link its dashboard report with the RNTCP's “TB Missed Call” initiative. This ensures that suspected TB patients are tracked and have visited a health facility for diagnosis.

The protocol for managing TB patients referred to the Tobacco Cessation Centre (TCC) includes intensive counseling and follow-up. The Fagerstrom Test for Nicotine Dependence is used to assess dependence levels, and treatment is tailored accordingly.

Medication for tobacco cessation is divided into two main groups: Nicotine Replacement Therapy (NRT) and Non-Nicotine Replacement Therapy. These medications are used to help individuals quit successfully.

The 12th Five Year Plan allocates Rs. 200,000 annually for pharmacological treatment of tobacco dependence at the district level. This funding supports the procurement and storage of NRT drugs, which must be guided by existing NHM guidelines.

The TCC records information about the referred TB patient in the 'Tobacco Cessation Form'. This information is then compiled by the DTCC and shared with the District Tobacco Officer (DTO) to track the quitting status of the patient.

Regular meetings where state-level staff from the National Tobacco Control Programme (NTCP) and the Revised National TB Control Programme (RNTCP) review the progress of collaborative activities to address the shared problem of TB and tobacco use.

A set of actions that state-level staff from both the NTCP and RNTCP take on a quarterly basis to ensure the smooth implementation of collaborative activities related to TB and tobacco.

A document that outlines the specific steps for implementing the TB-tobacco collaborative activities in districts.

A plan that details how the National Tobacco Control Programme (NTCP) and the Revised National TB Control Programme (RNTCP) will work together to address the problem of TB and tobacco use at a local level.

A set of guidelines outlining the roles and responsibilities of the District Nodal Officer (DNO) of the National Tobacco Control Programme (NTCP) for implementing TB-tobacco collaborative activities.

Information collected from TB patients about their tobacco use and quitting status, which is used to monitor and evaluate collaborative activities.

A short, simple intervention delivered by healthcare professionals to encourage patients to quit tobacco use.

Providing intensive individualized support to help smokers quit tobacco use.

A collaborative effort between the National Tobacco Control Programme (NTCP) and the Revised National TB Control Programme (RNTCP) designed to tackle the shared problem of TB and tobacco use.

A training program for the staff of the Revised National TB Control Programme (RNTCP) and the National Tobacco Control Programme (NTCP) to help them effectively implement collaborative activities related to TB and tobacco.

A program to promote awareness about the harmful effects of tobacco use and the importance of quitting, especially among TB patients.

Monitoring and reporting on the progress of the TB-tobacco collaborative activities, including the collection of data on patient characteristics, tobacco use, and outcomes of intervention.