1. Monitoring progress in COTPA enforcement using compliance assessment studies

2. 11 Steps to Conduct Compliance 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. Smokefree expansion in India(Feb 2015)
S.No.
Name of the jurisdiction
Type of Jurisdiction/ State
Type of Intervention (Grant/TA only/TA with limited funding support(TALFS)
Date of Decleration/gone smokefree
Compliance conducterd Y/N
Lead organization
Opinion Poll Y/N
Population covered (in Millions)
2009( 1 jurisdiction) 1
Kottayam
District/ Kerala
Grant
Sep-09 N
NGO
1.9
2010(5 Jurisdictions) 2
Shimla
City/HP
TALFS
May-10 Y
GOV-NGO
0.4 3
Sikkim
State/Sikkim
GOV
6.7 4
Villupuram
District
2.9 5
Coimbatore
City
1.5 6
Bhubaneshwer
City/Orissa
Oct-10
1.1
12.6
2011(6 jurisdictions) 7
Ahmedabad+ Gandhnagar
District/Gujrat
May-11
8.6 8
Delhi
State
Sep-11
16.9 9
Chennai(CMA)
Jun-11
8.5 10
Mizoram
GOV-MULtI 11
Cochin
Oct-11
3.3 12
Trivandrum
District/Kerala
41.7 M

9. 42 M 2012(31 Jurisdictions) Y GOV-NGO GOV NGO 0.74 Jun-12 1.26 3.0113
Mohali
District/Punjab
TALFS
Jan-12 Y
GOV-NGO
1.1 14
Mansa TA
May-12
GOV N
0.7 15
Dharamshala
City/HP
Grant
0.05 16
Hamirpur
0.03 17
Solan 18
Mandi
0.06 19
Bilaspur 20
Keylong(Land S)
0.003 21
Nahan
0.04 22
Una 23
Chamba 24
Kullu 25
Recong-Peo(Kinnaur)
0.004 26
Badgam
District/J&K
NGO
0.74 27
Srinagar
Jun-12
1.26 28
Shajahanpur
District/UP
3.01 29
Dhar
District/MP
NGO-GOV
2.15 30
Burhanpur
District/ MP
0.76 31
Khandwa
Jul-12
1.31 32
Howrah
District/WB
4.9 33
Jhunjhnu
District/Rajasthan
2.31 34
Vellore
District/TN
3.93 35
Tiruvellure
3.73 36
Kanchipuram
3.99 37
Amritsar
Aug-12
2.49 38
Roopnagar
0.68 39
Ooty
City/TN
0.12 40
Khargone
Sep-12
1.9 41
Alirajpur
Nov-12
0.79 42
Jhabua 43
Bharwani
1.4 44
Indore
3.3
42 M

10. 2013(20 Jurisdictions) 33.2 Jaipur Apr-13 Y NGO-GOV 3.2 Goa North 0.745
Jaipur
City/Rajasthan
NTCP
Apr-13 Y
NGO-GOV N
3.2 46
Goa North
District/Goa
0.7 47
Goa South y 48
Dhallai
District/Tripura
NGO
0.4 49
Jorhat
District/Assam
GOV
1.1 50
Reasi
District/J&K
Grant
May-13
0.35 51
F. Sahib
District/Punjab
 TA
6.0 52
SBS Nagar 53
Gurdaspur
2.3 54
Himachal Pradesh
State
Jul-13
5.5 55
Munger
District/Bihar
NTCP/Grant
1.4 56
Bathinda
Aug-13 57
Sangrur
1.7 58
Sri Muktsar Sahib 1 59
Kapurthala
0.9 60
Hoshiapur
1.6 61
Pulwama
District
0.6 62
Jammu
Dec-13 63
South Goa 64
Pathanamthitta
1.3
33.2

11. 53.6 2014(23 jurisdiction) 65 Fazilka District/Punjab Jan-14 Y GOV 0.7
Jan-14 Y
GOV N
0.7 66
Ferozepur
2.1 67
Faridkot 68
Patiala
1.9 69
Jalandhar
2.2 70
Barnala
Aug-14
0.6 71
Ajmer
District/Rajasthan
Grant
NGO-GOV
2.6 72
Alwar
3.7 73
Nagaur
City/Rajasthan
3.4 74
Indore
District/MP
Nov-14 75
Ujjain 76
Ernakulam (Kakkanad)
District/Kerala
3.3 77
Idukki (Painavu)
1.2 78
Kannur 79
Kasaragod
1.4 80
Kollam
2.7 81
Kottayam 82
Palakkad
2.9 83
Pathanamthitta 84
Thrissur
3.2 85
Wayanad (Kalpetta)
0.9 86
Malappuram
4.2 87
Thiruvananthapuram 88
Bangalore (rural)
Karnataka y n
1.1
53.6

12. 2015 89
Tehri Garhwal
District/Uttarakhand
Grant
Jan-15
NGO-GOV
0.6 90
Pali
District/Rajasthan
2.0 91
Tarn-Taran
District / Punjab
1.1 92
Jalore
District / Rajasthan
1.8 93
Sehore
District/MP
Feb-15
1.3 94
Pathankot 1 95
Moga
0.9 96
Ludhiana
Mar-15
3.4 97
Bharatpur
Apr-15
2.5 98
Bikaner
2.3 99
Bhilwara
2.4
100
Kanpur
District / UP
May-15
4.5
101
Patna
District / Bihar
grant
Aug-15
5.8
102
East Siang
District / Arunchal Pradesh
GOV
0.09
103
Darbhanga
Sep-15
4.0
104
Katihar
3.0
105
Lakhisarai
1.0
106
Madhepura
107
Samastipur
4.2
108
Vaishali
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???