Executive Summary:
The Ministry of Health and Family Welfare addresses a parliamentary question regarding the National Tobacco Control Programme (NTCP). The response details the program's implementation status, funding, assessments of effectiveness, monitoring approaches, and proposed reforms for outcome-based evaluations. The information provided covers the period from 2020-2021 to 2024-2025, with state/UT-wise details included in an annexure.
Key Points / Main Content:
* **NTCP Implementation:**
* Launched in 2007-08 to reduce tobacco consumption and related diseases.
* Currently implemented in all 36 States/UTs, covering over 700 districts.
* Over 2,000 Tobacco Cessation Centers (TCCs) established nationwide through integrated efforts.
* Key interventions include setting up cessation facilities with pharmacological treatment, training health and social workers, conducting IEC activities, organizing an annual Tobacco-Free Youth Campaign, and monitoring tobacco control laws.
* **NTCP Funding:**
* Funds released to 3 National Tobacco Testing Laboratories and 4 Tobacco Quit Line Centers.
* Budget allocated and expenditure for these centers is detailed for the last five years (2020-21 to 2024-25).
* Funds for state/UT implementation are released through the NCD Flexipool of the National Health Mission (NHM). State/UT-wise details are available in the annexure.
* **NTCP Assessment and Monitoring:**
* Periodic assessments are conducted using the Global Adult Tobacco Survey (GATS) and Global Youth Tobacco Survey (GYTS).
* These surveys measure outcome-based indicators like tobacco use prevalence.
* GATS 2016-2017 showed a 17.3% relative reduction in overall tobacco use compared to 2009-2010.
* **NTCP Reforms:**
* The government proposes to reform NTCP's monitoring and evaluation framework.
* The reform aims to focus on measurable outcomes, including reduction in tobacco prevalence and the economic impact of tobacco use.
* **Annexure:**
* Provides state/UT-wise details of State Programme Implementation Plan (SPIP) Approvals and Expenditure for NTCP under NHM from F.Y. 2020-21 to F.Y. 2024-25.
Impact Analysis:
* **National Tobacco Testing Laboratories and Tobacco Quit Line Centers:**
* *Impact:* These entities receive funding for their operations.
* *Action Required:* Utilize allocated funds for tobacco testing and quit line services.
* **States/Union Territories:**
* *Impact:* Implementing agencies of NTCP, receiving funds through the NCD Flexipool of NHM.
* *Action Required:* Implement NTCP activities, utilize funds as per SPIP approvals, and submit Financial Management Reports.
* **Ministry of Health and Family Welfare:**
* *Impact:* Oversees the NTCP and its funding mechanisms.
* *Action Required:* Monitor program implementation, conduct assessments, and implement reforms for outcome-based evaluations.
* **Health and Social Workers, NGOs, School Teachers, and Enforcement Officers:**
* *Impact:* Integral to the implementation of NTCP at the ground level through training and IEC activities.
* *Action Required:* Participate in training programs, conduct IEC activities, and enforce tobacco control laws.
* **Citizens/Tobacco Users:**
* *Impact:* Beneficiaries of NTCP through reduced tobacco consumption and related diseases.
* *Action Required:* Utilize Tobacco Cessation Centers and quit line services for assistance in quitting tobacco use.
Key Entities Referenced
National Tobacco Control Programme (NTCP): A Government of India program launched in 2007-08 aimed at reducing tobacco consumption and minimizing the health burden caused by tobacco-related diseases.
Ministry of Health and Family Welfare: The Indian government ministry responsible for health policy in India.
National Health Mission (NHM): A program of the Ministry of Health and Family Welfare, through which funds are released to States/UTs for implementation of NTCP.
Tobacco Cessation Centres (TCCs): Centers established across the country under integrated efforts of NTCP, National Medical Commission (NMC) and National Dental Commission (NDC) to help people quit tobacco use.
Global Adult Tobacco Survey (GATS): A survey used by the Government of India to undertake periodic assessments of NTCP initiatives, measuring outcome-based indicators related to tobacco use.
Global Youth Tobacco Survey (GYTS): A survey used by the Government of India to undertake periodic assessments of NTCP initiatives, measuring outcome-based indicators related to tobacco use among youth.
Andhra Pradesh: A state in India where NTCP is being implemented.
Uttar Pradesh: A state in India where NTCP is being implemented.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO.1056
TOBE ANSWERED ON 25TH JULY2025
IMPLEMENTATION OFNTCP
1056.SHRITANGELLAUDAYSRINIVAS:
SHRIG.LAKSHMINARAYANA:
Willthe Ministerof HEALTH AND FAMILYWELFARE be pleasedtostate:
(a) the current status of implementation of the National Tabacco Control Programme
(NTCP) across the countryincluding numberof districts covered,Tobacco Cessation Centres
established andkeyinterventionsundertaken,State/UT-wise;
(b) the details of funds allocated, released and utilised for NTCP during last five years,
year-wise andState/UT-wise;
(c) whether the Government has conducted any assessment of the effectiveness of NTCP
in achieving reduction in tobacco use, improvement in quit rates and control of tobacco-
related diseases andif so, the detailsthereof:
(d) whether the Government's current monitoring of NTCP relies largely on activity-
based indicators such as the number of campaigns or sessions conducted, rather than on
outcome-based measures like actual decline in tobacco consumption and burden of disease
andif so,the detailsthereof; and
(e) whether the Government proposes to reform NTCP's monitoring and evaluation
framework to focus on measurable outcomes including reduction in tobacco
prevalenceandthe economicimpact of tobaccouse andif so, the detailsthereof?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND
FAMILYWELFARE
(SHRIPRATAPRAO JADHAV)
(a): The Government of India launched the National Tobacco Control Programme (NTCP) in
the year 2007-08 with the aim to reduce tobacco consumption and minimize the health
burden caused by tobacco-related diseases. Currently the program is implemented in all 36
StatesandUTs coveringmore than700districts.
India has over 2,000 Tobacco Cessation Centres (TCCs) that have been established
across the country under integrated efforts of NTCP, National Medical Commission (NMC)
and National Dental Commission (NDC). Some of the key interventions and thrust areas
underthe program are:
Setting-up and strengthening of cessation facilities including provision of
pharmacologicaltreatment facilitiesat district level.
Training of health and social workers, NGOs, school teachers, and enforcement
officers; Information,education,and communication(IEC) activities;
Organizes anannual60-dayTobacco-Free YouthCampaign;
Monitoring of tobaccocontrol laws;
(b): Under NTCP funds are released to 03 (three) National Tobacco Testing Laboratories and
04 Tobacco Quit Line Centers. The details of funds allocated and utilized during the last 05
(five)yearsare givenbelow:
(In Crore)
Year BudgetAllocated Expenditure
2020-21 12.00 7.95
2021-22 13.70 7.53
2022-23 24.00 19.76
2023-24 19.47 9.36
2024-25 11.10 9.96
Further, for implementation of NTCP in States/UTs, funds are released through NCD
Flexipool of National Health Mission (NHM) of Ministry of Health and Family Welfare. The
detailsof funds providedtoStates/UTs bythe NHM are at Annexure.
(c) to (e): The Government of India has undertaken periodic assessments of NTCP initiatives
through Global Adult Tobacco Survey (GATS) and Global Youth Tobacco Survey (GYTS)
which measure outcome-based indicators such as prevalence of tobacco use at the national
and sub-national levels, users desirous of quitting tobacco etc. As per the Global Adult
Tobacco Survey (GATS), 2016-2017, overall tobacco use was 28.6% which is a 17.3%
relativereduction from 34.6% reportedin2009–2010.
*****Annexure
State/UTwisedetailsofSPIPApprovalsandExpenditureforNationalTobaccoControlProgramme(NTCP)underNHMduringtheperiodofF.Y.2020-21andF.Y.2024-25
(Rs.InLacs)
2020-21 2021-22 2022-23 2023-24 2024-25
S.N
State/UT
o. SPIP SPIP SPIP SPIP SPIP
Expenditure Expenditure Expenditure Expenditure Expenditure
Approval Approval Approval Approval Approval
1 Andaman and Nicobar 16.33 2.36 23.75 1.41 26.00 2.68 28.00 3.67 26.00 9.25
2 AndhraPradesh 67.98 67.98 244.23 226.33 380.16 279.90 372.50 214.57 346.49 334.45
3 ArunachalPradesh 414.00 69.66 149.86 90.87 500.75 17.31 504.78 294.74 493.82 435.34
4 Assam 246.27 74.55 321.96 174.88 329.11 201.82 326.91 225.37 292.14 125.31
5 Bihar 188.61 20.33 220.81 7.92 169.71 10.63 184.15 12.95 98.52 20.78
6 Chandigarh 6.05 0 9.65 0.19 12.35 2.30 12.35 0.14 43.53 0
7 Chhattisgarh 284.70 171.07 492.88 229.34 386.80 328.69 386.80 173.80 572.30 223.71
8 Dadra & Nagar Haveli 15.92 3.71 0.04 9.72 16.90 4.81 16.90 2.25 23.57 8.40
9 Delhi 117.89 7.17 198.43 25.14 277.49 47.52 317.49 70.06 179.10 55.22
10 Goa 26.18 12.26 52.58 37.43 54.40 42.87 54.40 47.83 59.51 46.38
11 Gujarat 351.88 154.31 333.48 152.01 347.55 235.21 356.90 374.54 384.36 271.01
12 Haryana 171.50 40.18 215.20 128.57 212.80 169.09 213.20 173.83 224.30 141.42
13 HimachalPradesh 63.50 20.24 50.01 21.25 114.20 28.32 135.00 31.51 70.00 27.22
14 JammuandKashmir 265.05 1.52 83.60 49.77 64.10 9.68 69.48 13.36 76.70 23.72
15 Jharkhand 346.96 109.58 426.26 420.78 440.76 321.60 466.36 410.86 476.62 369.32
16 Karnataka 429.14 329.30 693.11 609.38 526.94 366.79 526.94 474.19 339.30 283.59
17 Kerala 217.70 65.78 336.43 90.35 445.71 115.73 326.00 191.96 154.00 43.01
18 Ladakh 0 0 13.54 4.86 27.80 12.33 23.80 20.63 38.20 31.52
19 Lakshadweep 14.71 0.87 14.16 1.92 18.50 4.30 19.43 2.54 17.50 3.79
20 MadhyaPradesh 454.90 26.97 251.45 30.05 438.47 112.06 760.12 279.26 281.60 110.76
21 Maharashtra 195.83 86.14 127.43 216.30 489.26 205.95 484.26 193.72 810.66 99.11
22 Manipur 95.14 1.50 146.80 3.68 116.80 6.58 116.80 3.03 90.30 47.86
23 Meghalaya 110.18 124.26 63.55 57.34 64.72 88.72 64.72 122.30 203.10 206.45
24 Mizoram 42.90 16.10 37.77 117.73 63.68 27.28 66.85 40.25 70.55 30.01
25 Nagaland 72.88 5.31 102.62 21.54 142.90 47.83 147.39 30.21 127.65 61.80
26 Odisha 238.46 90.73 461.95 262.53 442.04 299.21 592.26 424.31 423.21 242.66
27 Puducherry 18.18 7.87 23.93 8.25 20.13 15.13 17.83 5.52 27.75 22.28
28 Punjab 68.00 0 76.00 4.85 68.85 6.06 72.12 72.12 139.01 0.93
29 Rajasthan 422.08 305.46 753.18 639.17 805.22 509.89 805.22 549.82 947.40 571.85
30 Sikkim 19.20 1.68 22.52 0 23.39 15.05 23.04 10.19 23.07 22.80
31 TamilNadu 52.80 5.99 88.50 179.42 333.15 82.77 645.10 14.04 31.51 24.66
32 Telangana 84.32 43.56 75.35 5.75 85.00 0 37.50 0.17 11.55 0
33 Tripura 53.65 31.46 86.41 68.59 114.47 66.67 107.08 53.02 117.11 83.33
34 UttarPradesh 1,256.72 535.25 3,228.32 984.36 2,752.25 1,511.00 1,450.01 3,346.65 966.87
35 Uttarakhand 48.50 23.12 140.57 144.79 168.62 90.85 156.76 143.97 199.06 135.93
36 WestBengal 125.01 102.76 131.32 157.43 131.01 120.75 134.32 123.53 110.06 101.29
Note:
1. TheabovedataisasperavailableFinancialManagementReportssubmittedbytheStates/UTs.
2. Expenditure includes expenditure against Central Releases, State Releases & unspentbalances at the beginningof the year. Expenditure is as per
FMRssubmittedbyStates/UTsandisprovisional.
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