Implementation research for taking tobacco control policies to scale in India: a realist evaluation study protocol
Autor: | Gera E. Nagelhout, Onno C. P. van Schayck, Giridhara R Babu, Upendra Bhojani, Vivek Dsouza, Pragati B Hebbar |
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Přispěvatelé: | RS: CAPHRI - R5 - Optimising Patient Care, Family Medicine, Health promotion |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
protocols & guidelines India Qualitative property protocols & Tobacco Use 03 medical and health sciences 0302 clinical medicine 0504 sociology Informed consent Tobacco medicine Humans guidelines 030212 general & internal medicine Health policy Smoking and Tobacco business.industry Public health public health 05 social sciences Tobacco control 050401 social sciences methods health policy Tobacco Products General Medicine Public relations Scale (social sciences) Medicine Implementation research business Qualitative research |
Zdroj: | BMJ Open, Vol 11, Iss 5 (2021) BMJ Open, 11(5):e050859. BMJ Publishing Group BMJ Open |
ISSN: | 2044-6055 |
Popis: | IntroductionThere are ongoing policies and programs to reduce tobacco use and minimise the associated health burden in India. However, there are several challenges in practice leading to different outcomes across Indian states. Inadequate understanding of how national tobacco control policies achieve their results under varied circumstances obstruct the implementation and scaling up of effective strategies. This study is a realist evaluation using largely qualitative methods to understand the implementation process of India’s tobacco control policies. It will do so by evaluating India’s Cigarettes and Other Tobacco Products Act (COTPA) and the National Tobacco Control Program (NTCP). The study aims to examine how, why, for whom and under which circumstances COTPA and NTCP are implemented in India.Methods and analysisA realist synthesis on implementation of tobacco control policies in low-income and middle-income countries is conducted. This is followed by qualitative data collection and analysis in three Indian states selected based on data from two rounds of the Global Adult Tobacco Survey. The study comprises of three steps (1): development of initial programme theories, (2) testing and refinement of initial programme theories and (3) testing and validation of refined programme theories. We will interview policy-makers, programme managers and implementers to identify facilitators and barriers of implementation. The purpose is to identify context-specific evidence-based strategies to gain insights into the implementation process of COTPA and NTCP. Further we aim to contribute to tobacco control research by establishing communities of practice to engage with cross-cutting issues.Ethics and disseminationThe Institutional Ethics Committee, at the Institute of Public Health (Bengaluru), has approved the protocol. Written informed consent forms will be obtained from all the participants. Dissemination has been planned for researchers, policy-makers and implementers as well as the public through peer-reviewed publications, conference presentation, webinars and social media updates.PROSPERO registration numberCRD42020191541. |
Databáze: | OpenAIRE |
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