Compliance with national tobacco control legislation: a survey of tobacco vendors of Peshawar, Khyber Pakhtunkhwa

Introduction:Tobacco  remains  the  world’s  leading preventable cause of death, with the majority of tobacco-caused  deaths  occurring  in   low-and   middle-income countries. The Government of Pakistan 2002 Prohibition of  Smoking  in  Enclosed  Places  and  Protection  of  Non-smokers Health Ordinance comprehensively prohibits all kinds of tobacco  advertisement,  sponsorship, and ban of selling   cigarettes   to   minors,   near   the   vicinity   of educational   institutes   and   to   sell   tobacco   without a license. However, it is a common observation that tobacco vendors do not comply with the policy.

Objective: To  assess  the  compliance with anti-tobacco laws by tobacco vendors in the city of Peshawar, Khyber Pakhtunkhwa, Pakistan.

Material & Methods: A   cross-sectional   study   was conducted in 145 shops across 2 jurisdictions (Hayatabad and Peshawar city) of Peshawar. The implementations of tobacco laws like advertisement, tobacco selling to minors(<18   years)and   tobacco   selling   in   the   vicinity   of educational   institutes   were   assessed   through   a   self-structured  questionnaire.  The  data were transferred  and analyzed   through   SPSS   version   22for   descriptive statistics.

Results:The  most common  method of advertisement of tobacco   products   was stickers   (33.3%)   followed   by dangles  (29.6%)  and  product  showcasing  (15.7%).  The percentage  of  tobacco  sold  to  minors  was  63%;42% vendors were near the educational institutes. The selected shopsweresellingsmokeless  tobacco (82.6%  shops)  as well,alongside cigarettes. Unlicensed shops were 97.9% which approximately makes the whole of the sample size.Conclusion: The  compliance  of   tobacco  vendorsinPeshawartowards tobacco law is very poor. Also, the sale of tobacco to minors was found to be a routine occurrence.Keywords:Tobacco;Cigarettes;  Tobacco,  Smokeless; Minors; Smokers

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