May 30, 2025
WHO’ MPOWER Framework
Why in News? Unlike in other countries where higher prices have deterred smoking, prices remain low in India; tobacco affordability undermines the World Health Organization’s MPOWER framework and weakens control, hindering efforts to reduce tobacco-related cancers; implementing robust policies are the need of the hour to curb tobacco use.
Relevance : UPSC Pre & Mains
Prelims : MPOWER framework
Mains : GS 2/ health/ Social Justice
What is MPOWER framework?
- The MPOWER framework, developed by the World Health Organization (WHO), is a set of six evidence-based tobacco control measures designed to reduce tobacco use and its associated health risks, including tobacco-related cancers.
- It aims to support countries in implementing effective policies to curb tobacco consumption. The framework is particularly relevant in contexts like India, where low tobacco prices and high affordability undermine these efforts.
MPOWER Framework Components:
Monitor tobacco use and prevention policies:
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- Involves collecting data on tobacco use, prevalence, and policy effectiveness to inform interventions.
- Example: Surveys to track smoking rates and youth tobacco use.
Protect people from tobacco smoke:
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- Promotes smoke-free environments through laws banning smoking in public places, workplaces, and public transport.
- Example: India’s Cigarettes and Other Tobacco Products Act (COTPA) 2003 includes provisions for smoke-free zones, but enforcement varies.
Offer help to quit tobacco use:
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- Encourages access to cessation services, such as counseling, quitlines, and affordable pharmacotherapies.
- Example: India has national quitlines and some cessation programs, but access remains limited, especially in rural areas.
Warn about the dangers of tobacco:
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- Requires effective health warnings on tobacco packaging and mass media campaigns to educate the public.
- Example: India mandates large pictorial warnings on tobacco products (85% of pack surface), but awareness campaigns need strengthening.
Enforce bans on tobacco advertising, promotion, and sponsorship (TAPS):
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- Aims to restrict tobacco marketing to reduce its appeal, especially among youth.
- Example: India’s COTPA bans most forms of tobacco advertising, but surrogate ads and point-of-sale promotions persist.
Raise taxes on tobacco:
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- Increases prices to reduce affordability, discouraging consumption, especially among price-sensitive populations like youth.
- Example: India’s tobacco taxes (via GST and cess) are relatively low compared to global standards, making products affordable and undermining this measure.
About the Cigarettes and Other Tobacco Products Act (COTPA), 2003 :It is an Indian legislation enacted to regulate the manufacture, sale, distribution, and promotion of tobacco products in India, with the primary aim of protecting public health by reducing tobacco consumption and exposure to second-hand smoke. Below is a concise overview of COTPA 2003 based on available information:
Key Provisions of COTPA 2003:
Prohibition of Smoking in Public Places (Section 4):
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- Smoking is banned in public places such as offices, restaurants, schools, public transport, and hospitals to prevent exposure to second-hand smoke.
- Designated smoking areas are permitted in certain places like hotels, restaurants, and airports with specific ventilation requirements.
Ban on Advertising and Promotion (Section 5):
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- Direct and indirect advertisements of tobacco products are prohibited, except for point-of-sale displays and on-package branding.
- Surrogate advertising (promoting tobacco brands through non-tobacco products) is also restricted.
Prohibition of Sale to Minors (Section 6):
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- Sale of tobacco products to individuals under 18 years is banned.
- Sale of tobacco products within 100 yards of educational institutions is prohibited.
Packaging and Labeling Requirements (Section 7-10):
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- Tobacco products must carry pictorial health warnings covering at least 85% of the principal display area (amended over time).
- Warnings must include text and images depicting health risks like cancer and other tobacco-related diseases.
- Ingredients and nicotine/tar content must be disclosed on packages.
Regulation of Sale and Distribution:
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- Restrictions on the sale, storage, and distribution of tobacco products to ensure compliance with health regulations.
- Penalties for violations include fines and imprisonment, depending on the offense.
Amendments :
2008: Expanded the smoking ban to cover more public places and introduced stricter advertising rules.
2011 onwards: Larger pictorial warnings (85% of package area) were mandated, with periodic updates to warning images.
2020: Proposals to ban loose cigarette sales and increase the legal age for tobacco purchase to 21 were discussed but not fully implemented by 2023.
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