ROLE OF STAKE HOLDERS

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Atul Thakur
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    3.4 ROLE OF STAKE HOLDERS
    Provision of Tobacco Free Campus and Role of Students, Role Of Students In Their Family
    And Immediate Surroundings, Role Of NGOs and Other Agencies
    3.4.0. Objectives
    3.4.1. Introduction
    3.4.2. Provision of Tobacco Free Campus and Role of Students
    3.4.2.1. Objective of these Guidelines
    3.4.2.2. Guidelines for Tobacco Free Campus (Govt of India)
    3.4.3. Roles and Responsibilities of Students in Tobacco Free Campus
    3.4.3.1. Preparing Students for Tobacco and Drug Campus
    3.4.3.2. Role and Responsibilities of Students in Drug & Tobacco Free
    Campus
    3.4.4. Role of Students in Tobacco & Drug Prevention in Their Family and Society
    3.4.4.1. Role of Students in Drug abuse in Family
    3.4.4.2. Role of Students in Society and community against substance abuse
    3.4.4.3. Value of youth participation in drug prevention program
    3.4.5. Role of NGOs in Prevention of Substance abuse
    3.4.6. Role of National bodies
    3.4.7. Let Us Sum Up
    3.4.8. Key Words
    3.4.9. Check Your Learning
    3.4.10. Suggested Readings

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    3.4.0. Objectives
    In the earlier units, we covered substance misuse from a variety of perspectives. This
    chapter attempts to make you aware of the importance of taking action in the fight against
    addiction. Since substance misuse affects not just one person but also the entire world, a country,
    a society, and a family; it is crucial that all societal stakeholders get involved. There is a need for
    specialized organizations, NGOs, and individualssuch as studentsto mount an effective
    defense against this evil. After finishing this unit, you will be aware of the part that various stake
    holders, including you, can play in eliminating addiction from society. After studying this lesson,
    you will be able to:
    Know about the role of students in the fight against addictions of drugs.
    assess the duty of students for bringing awareness in school, family and surrounding for
    the eradication of substance abuse;
    give an overview of the role of NGOs and other specialized national and international
    agencies for eradication of drugs, tobacco and alcohol addiction in India.
    3.4.1. Introduction
    The usage of drugs is an increasing concern across the world. No civilization or nation
    may assert immunity. The globe has understood that unless we mount a calculated defense and
    develop successful intervention tactics, this evil will consume the entire planet. Addiction to
    alcohol, drugs, and cigarettes is increasing among adolescents and college-bound teenagers as a
    result of a number of variables that have been explored in earlier units. This implies that the
    threat of addiction affects even schools and colleges. As a result, society's and humanity's futures
    are both in risk. Addiction is consuming both youths and adults alike outside of academic
    campuses, in the villages and urban areas. This is something that many of us have realized, and
    occasionally, at least some of us have believed that something concrete ought to be done in order
    to stop things from continuing in this way.
    The government works to reduce both the supply and the demand for certain substances.
    However, the government cannot handle everything, particularly in a huge nation like India.
    Individuals, such as students and NGOs, have a moral obligation to support the government's
    efforts to end the drug epidemic. The function of students on the university, in the home, and in
    the neighborhood is discussed in this chapter. Because society contributes to substance misuse in
    various ways, it has to be made aware of its part in fostering addiction and given the tools to stop
    it from happening again. Various organs make up society. All of these organs must be involved
    in order to plan an efficient prevention and treatment strategy. We'll talk about how to attain this

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    balance. The individual, family, and community may not fully comprehend some aspects of
    prevention and treatment. For those area how the government agencies are working to control the
    threat of addiction will be also dealt here in the following paragraphs.
    3.4.2. Provision of Tobacco Free Campus and Role of Students
    Tobacco use is the leading global contributor to preventable disease and premature
    mortality, killing half of its users before they reach reproductive maturity. Use of tobacco
    increases the chance of developing diseases such as cancer, cardiovascular disease (CVD),
    diabetes, chronic pulmonary disease, stroke, infertility, blindness, TB, oral cavities, etc.
    According to the Global Youth Cigarettes Survey (GYTS), 2009, 14.6% of Indian youths
    between the ages of 13 and 15 use tobacco. Many health issues, such as more frequent and
    severe asthma episodes, respiratory infections, ear infections, sudden infant death syndrome
    (SIDS), coronary heart disease, stroke, lung cancer, etc., are brought on by passive smoking or
    second-hand smoke exposure in newborns, youths, and adults.
    Over 13.00 lakh people in India die from tobacco-related causes each year, or about 3500
    people every day. Public health risks associated with spitting up tobacco and tobacco products
    include the spread of gastro-intestinal illnesses, pneumonia, and the swine flu, as well as the
    possibility of transmitting tuberculosis because the bacteria can survive in spit for up to a day.
    Given the aforementioned information, governments all around the world, including
    India, have passed laws prohibiting smoking on school grounds. Colleges and institutions that
    have enacted laws banning the use of tobacco products at all indoor and outdoor campus sites are
    considered to have tobacco-free campuses. It is well established that tobacco use is bad for the
    environment, smokers, and bystanders. Colleges have been developing tobacco usage rules ever
    since this problem was first identified in an effort to raise health standards, create a more
    enjoyable campus environment, and lessen nicotine's harmful environmental effects.
    In order to implement measures to reduce tobacco usage, the Government of India passed
    the Cigarettes and other Tobacco Products (Prohibition of Advertisement and Regulation of
    Trade and Commerce, Production, Supply and Distribution) Act, 2003 (COTPA 2003) in 2004..
    Various laws prohibit smoking in public places, selling tobacco to and to minors, selling tobacco
    within 100 yards of educational institutions, and engaging in direct and indirect tobacco product
    advertising and promotion. These have been discussed in the last sub units. The NTCP is a
    comprehensive programme that emphasizes community involvement, school programmes, IEC,

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    and advocacy in addition to offering a strong foundation for the implementation of tobacco
    control laws and activities.
    The Government of India released, launched, and prepared the "Guidelines for Tobacco
    Free Schools/Educational Institutions" in 2008 and the "Step by Step Guidelines for
    implementation of Section 6(b) of the Act and Rules" in 2017. This was done in response to the
    GYTS and GATS findings that there is significant tobacco use among adolescents and young
    adults, despite the fact that they are most susceptible to exposure to tobacco use. Since then,
    numerous further actions have been taken. These rules were created as a result of the GATS2
    data, which also indicated that the earlier guidelines needed to be reviewed.
    While some educational institutions only forbid smoking on their campuses, some
    universities and colleges have made it illegal to use any kind of tobacco, cannabis, or other
    substance. The intensity and rigor of each college's cigarette policy varies slightly. Colleges are
    attempting to reduce tobacco use in a variety of ways, not only by outright prohibiting it on
    campus. Many colleges provide students seeking to quit tobacco use cessation programmes and
    ongoing support.
    The Government of India has created Guidelines for "Tobacco-Free Educational
    Institutions (ToFEI)" under the NTCP, and all schools in the nation are required to abide by
    them. The Central Board of Secondary Education (CBSE) also adopted it for use in all of the
    schools that are associated with it. In reaction to the lax enforcement of the law in educational
    institutions, these principles were developed.
    3.4.2.1. Objective of these Guidelines
    The purpose of these guidelines is to provide tobacco control programmes for teenagers
    and young adults a new lease on life. Any educational institution, including schools at all levels,
    colleges for further or professional education, and universities, both in the public and private
    sectors, may implement these rules.
    3.4.2.2. Guidelines for Tobacco Free Campus (Govt of India)
    An Educational Institution should display of Tobacco free School or Tobacco-free
    Institutionboard at a prominent place on the boundary wall outside the main entrance.
    The signage should be displayed in the language of instruction in the Educational
    Institution and also in the local language if it is so possible.

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    A representative of the students, a teacher, or an official from the staff of the educational
    institution should be chosen to serve as the tobacco monitor(s) (the student from class IX
    onwards). Tobacco Monitors should be assigned as Health & Wellness Ambassadors.
    The placard should also include the name, title, and phone number of the tobacco
    monitor(s). It is possible to designate more than one tobacco monitor, and doing so might
    be a good idea. Smokers should be careful not to be identified as Tobacco Monitors.
    The administration of an educational institution should make sure that no tobacco
    products are sold there or within 100 yards of the building. Calling the National Quitline
    at 1800-11-2356 is the best way to report any violations. If at all possible, the
    management should work with the community, particularly parents, and local law
    enforcement to put a stop to such transactions. It should be noted that clause 6(b), which
    prohibits the sale of tobacco products within 100 yards of educational institutions, also
    allows the Head of the Institution to levy fines for violations. To ensure that no tobacco
    products are offered inside the defined area, educational institutions should also use the
    assistance of local authorities to mark such limits or areas that clearly define the 100
    yards area.

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    The administration of a school must forbid the use of tobacco products on the school's
    property by anybody, including students, teachers, other staff members, drivers of school
    buses, and visitors. The Campus Code of Conduct should include the "No Tobacco Use"
    rule, and infractions should result in disciplinary action in accordance with their internal
    policy.
    Because all educational institutions' grounds are public spaces by definition, smoking on
    their property is against section 4 of the COTPA. According to the COTPA, 2003, the
    Head of all Educational Institutions is also permitted to levy and collect fines for such
    offences.
    Due to the 2011 Food Safety and Standards (Prohibition and Restrictions on Sales)
    Regulation's prohibition on the use of tobacco and nicotine as food additives, many States

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    have issued the required directives to make it illegal to purchase gutkha and pan masala
    (containing tobacco or nicotine). Despite being a standardized product under the Food
    Safety and Standards Act of 2006 and the Regulations enacted thereunder, Pan Masala
    without tobacco and/or nicotine should not be consumed because it is harmful to health.
    By encouraging them to use the Quitline and Cessation programmes, educational
    institutions may aid tobacco users and addicts in their efforts to stop using tobacco. The
    Quitline is a good source of details regarding these options.
    A tobacco-free educational institution is not allowed to take part in any event that is
    sponsored by a business that encourages the use of tobacco products or that manufactures
    or distributes them in any way. Additionally, EIs and students should not accept any
    award or scholarship established by such companies..
    The management of educational institutions and tobacco monitors must also be on the
    lookout for tobacco substitutes like e-cigarettes and similar devices, such as Heat-Not-
    Burn devices, Vape, e-Sheesha, and e-Nicotine Flavored Hookah. Even though they are
    not tobacco products, these products are nevertheless bad for your health. E-cigarettes
    come in a wide range of sizes and designs that resemble conventional cigarettes, cigars,
    pipes, pens, USB flash drives, and other items. They also have a slick, high-tech design
    and rechargeable batteries. These products are typically sold as safer substitutes for
    traditional cigarettes, but this safety claim is untrue. There is evidence that these products
    lead to nicotine addiction in young adults and adolescents. The Quitline can receive
    reports of any use of these products on campus.
    The institution may use the Self-Evaluation Scorecard for Tobacco Free Educational
    Institution recommended by the Ministry of Health and Family Welfare, (MoHFW)
    Government of India, to evaluate the state of implementation of the Tobacco Free
    Educational Institutions Guidelines in their institution on a semi-annual basis and to
    obtain a certificate to this effect for those EIs who score 90% or higher marks. The
    Educational Institutions might decide to take part in the Tobacco Free Educational
    Institutions Award Scheme after they are convinced that they have attained the
    benchmark score. If a Tobacco Free Educational Institution's score is verified to be equal
    to or higher than the benchmark score, the EI will get a Tobacco Free Educational
    Institution Certificate. The MoHFW will release specific information regarding the
    Tobacco Free Educational Institution Award Scheme separately.

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    Tobacco Control activities: The Educational Institutions should undertake tobacco
    control activities from time to time. Some suggestive activities are as under
    o There must be a "Tobacco Control Committee" in place. A science teacher, or any
    other instructor, a school counsellor (if available), at least two NSS/NCC/scout
    representatives, at least two parent representatives, a municipal councilor, a
    member of PRIs, and any other member may serve as its chairperson. The
    committee will keep an eye on the school's or institution's tobacco control efforts.
    The committee must meet every three months and submit a report to the district
    office.
    o Tobacco-free pledge gatherings; competitions for posters, slogans, essays,
    quizzes, and debates; and street plays, among other activities. Posters that have
    been created with information regarding the negative effects of tobacco use
    should be placed prominently around the educational facility.
    o Integration of tobacco control activities with ongoing School Health Programme
    of the State.
    o The Educational institution management should encourage tobacco control
    initiatives by students /teachers/ other staff and certificates of appreciation or
    awards may be given to those who take initiative and do good work in this regard.

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    o Educational institutions could ask local law enforcement officials, such as the
    State Nodal Officer for Tobacco Control in the State Health Directorate, to
    participate in school assemblies and give a speech on tobacco control. These
    officials may also be consulted for technical or other feedback. This will make it
    easier to lobby decision-makers on tobacco-related issues.
    o Marking of 100 yards area from the outer limit of boundary wall / fence of the
    Educational Institution.
    Besides the above suggestive list, the Educational Institutions team should explore other
    options as well to make their campus tobacco free.
    3.4.3. Roles and Responsibilities of Students in Tobacco Free Campus
    Simply making policy for prevention of Tobacco usage in educational institutions will
    not going to achieve its objectives. It is necessary for the various stake holders to perform their
    responsibilities honestly. National Tobacco Control Cell, Ministry of Health and Family Welfare,
    Government of India, State/District Tobacco Control Cell and Civil Society Organizations
    should properly perform their role and responsibilities to make educational institution tobacco
    free. MoH&F, Government of India has laid down role and responsible of all the above-
    mentioned stake folders in its guidelines for Tobacco Free Educational Institutions. And all the
    aforesaid stake holders are doing their duties. Apart from the above stake holders, for making
    Educational Institutions tobacco free and drug free, active participation of students is of outmost
    necessity. In the following paragraphs responsibilities students for the mission of Tobacco Free
    Campus initiatives are discussed.
    An Exemplary Pledge for Students
    I pledge that I will not use tobacco products, illegal drugs, or alcohol. I will do my best
    to educate my friends and family and neighborhood about the dangers of using such
    products and how they are life killers. I will always make the right decision by refusing
    to take any such product and resist their consumption and sale to the people of my
    surroundings.

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    3.4.3.1. Preparing Students for Tobacco and Drug Campus
    Students are undeniably an integral part of society. They possess boundless energy and
    enthusiasm, and they often offer fresh perspectives on relevant issues. With their unique
    experiences, viewpoints and vitality, young people are capable of making extremely important
    contributions to society.
    School and college going adolescent, young person’s confront difficult choices with
    respect to drugs, alcohol, and tobacco and sometimes respond by experimenting or by rebelling
    against traditional sources of authority. These days, drug abuse has become more prominent
    among youth. Today, there is a clear need for effective drug prevention programs directed
    toward youth. And participation of youths in such prevention program is now an utmost
    necessity. Thus, in the case of tobacco free campus initiative participation of students is
    essential. But a question arises here, how can we make the students actively participate in the
    crusade against substance abuse? Is it necessary to train them? How and where to train them?
    And the answer to these questions is training in the school and colleges.
    Schools and colleges are among the most common settings for substance use prevention
    efforts. It is here in the classroom that students are groomed by teachers. Thus, school should
    train the students appropriately before seeking their participation in fight against substance use.
    Some of the possible way to train the students in school are as follows:
    School should engage themselves in supporting the development of social, emotional and
    decision-making skills of students in early years and providing opportunities to practice
    these skills in the context of substance use-related issues; and helping youth understand
    and resist negative social influences.
    School should develop a positive school culture that encourages pro-social behaviors and
    the active participation of students in school life, and developing clear substance use
    norms and policies and supportive practices to address any possible incidents of
    substance use or mental health-related issues can contribute to substance use prevention.
    In tertiary education (comprising universities, colleges and vocational schools),
    addressing school policies and culture, altering the environment through social marketing
    campaigns and providing brief interventions can prevent substance use, and student
    participation in the planning, targeting, delivery and marketing of such interventions can
    also be valuable.
    Educational institutions should conduct prevention programmes. Because preventive
    programme provides a basis for teaching young people to develop healthy behavioral

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