An observational study of compliance with tobacco-free school guidelines in Udupi district, Karnataka (India)

Abstract

Background: National tobacco‑free school guidelines were introduced in India in 2009. We assessed compliance with these guidelines across both government, government‑aided, and private schools in Udupi district of Karnataka state in India. Methods: We visited 915 upper primary and high schools across Udupi district and used a standardized checklist for visual inspection of the school environment and interviews with a school representative to ascertain compliance with guidelines (display of a tobacco‑free school/institution board, presence of no smoking signage, no tobacco sale within 100 yards, presence of a Tobacco Control Committee, integration of tobacco control activities into the school health program, and availability of a copy of Cigarettes and Other Tobacco Products Act). Results: A tobacco‑free school board was displayed at the main entrance of 73% of schools, and there was no evidence of tobacco products on sale within 100 yards of 96% of schools. However, only 5% of the schools reported having the Committee; 4% reported having a copy of the Cigarettes and Other Tobacco Products Act, 2003 with the school, and no smoking signage was observed in < 1%. Integration of tobacco control activities into the school health program was reported in 91% of schools. Conclusions: Compliance with tobacco‑free school guidelines in Udupi was far from complete, indicating the need for enhanced implementation and monitoring.