India's consensus statement tobacco control priorities: Review of current strategies and the way forward.

INTRODUCTION

Tobacco consumption remains a significant global public health challenge, causing over 8 million preventable deaths annually, with India bearing a substantial burden as second largest producer and consumer of tobacco products. Despite some advanced tobacco control policies, there are certain gaps, which requires effective implementation. To address these challenges, a national consultation was organized, bringing together experts to identify priorities in tobacco control in India and formulate an action plan.

DESIGN

METHODS

A national consultation on 'tobacco control priorities in India-challenges and way forward' was organised where a total of 40 experts from the government, developmental organizations, and academia participated to formulate Short, Intermediate and Long-term priorities for tobacco control in India. Preceding the consultation, an extensive literature review and policy analysis were conducted to establish initial priorities. Subsequently, a consensus statement was developed to assist policymakers in identifying tobacco control priorities in India with agoal to achieve SDG 3a, aiming to strengthen the implementation of the WHO FCTC.

RESULTS

The proposed short-term priorities focused on promoting anti-tobacco curricula in health educational institutions, expanding cessation services, creating a national task force for Tobacco Control, training, monitoring and evaluation, and strengthening Tobacco Control Act. The intermediate priorities focused on advancing tobacco taxation, creating Tobacco-Free environments, adopting and implementing FCTC Article 5.3, building the capacity of National Tobacco Testing Laboratories and implementating Tobacco Vendor Licensing. The development of a comprehensive, multi-sectoral strategy to address the policy gaps and maintain resources to support the sustainability of tobacco control efforts to reach the goal of tobacco-free India were long-term priorities.

CONCLUSIONS

National policies and legislation play a crucial role in strengthening the comprehensive tobacco control framework. The collaborative formulation of short, intermediate, and long-term priorities for tobacco control in India is essential for their phased implementation toward achieving a Tobacco-Free Generation, emphasizing a holistic approach for addressing challenges and leading the way ahead.