Article Text

Download PDFPDF
Awareness, attitudes and practices relating to Article 5.3 of the WHO Framework Convention on Tobacco Control among members of tobacco control committees in a southern Indian state
  1. Praveen Kumar1,
  2. Veena Ganesh Kamath2,
  3. Asha Kamath3,
  4. Muralidhar M Kulkarni2,
  5. John Britton4
  1. 1Department of Commerce, Manipal Academy of Higher Education, Manipal, Karnataka, India
  2. 2Department of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
  3. 3Department of Data Science, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India
  4. 4Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK
  1. Correspondence to Dr Veena Ganesh Kamath, Department of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India; veenak{at}


Background and objectives The tobacco industry (TI) has undermined tobacco control policy for decades. The WHO Framework Convention on Tobacco Control Article 5.3 implementation guidelines provide guidance for preventing TI interference. Government officials responsible for policy implementation must understand these guidelines to manage TI tactics. This study assessed awareness, attitudes and practices of Article 5.3 guidelines among members of District Level Coordination Committees (DLCC) in Karnataka mandated with overseeing tobacco control activity.

Method A semistructured questionnaire survey of awareness, attitudes and adherence to Article 5.3 guidelines among 102 DLCC members carried out between January and July 2019.

Result Responses were received from 82 members, comprising 51 (62%) from health and 31 (38%) from non-health departments. Our study demonstrates a lack of understanding of Article 5.3 and its guidelines, even among those actively involved in tobacco control at the district level. Nearly 80% of respondents were aware that corporate social responsibility (CSR) by tobacco companies is an indirect form of promoting tobacco. However, 44% of members felt that CSR funding from the TI should be used to combat tobacco-related harm. A higher proportion (12%) of health respondents agreed that subsidies should be provided to tobacco agriculture compared with non-health (3%).

Conclusion Awareness of international guidance designed to prevent the TI influence on health policy among policymakers in this Indian state is low. Respondents from non-health departments were less aware of TI CSR. Those in health departments were more receptive towards taking a TI role in the future .

  • Tobacco industry
  • Advocacy
  • Low/Middle income country
  • Public policy

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Twitter @MRC-UK Antitobacco, @MuralidharKulk8

  • Contributors PK, AK, VGK and MMK conceptualised the work and designed the questionnaire. PK collected the data and wrote the first draft, with AK leading the analysis of the study. MMK and VGK contributed to the drafting and editing of the manuscript while JB provided feedback during manuscript preparation. All authors contributed to the writing of the final manuscript and agreed with its results and conclusions. VGK accepts full responsibility for the finished work and the conduct of the study, has access to the data and controls the decision to publish.

  • Funding This work was supported by the UK Research and Innovation (UKRI) with funding from the Global Challenges Research Fund (GCRF). The activities and results presented in this publication were undertaken as part of the Tobacco Control Capacity Programme (MR/P027946/2).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.