Journal Article Details

Background: In Bangladesh 37.8 million adults currently used tobacco in different format. Among these 19.2 million adults used tobacco in smoking format (15 million used cigarettes & 5.3 million used bidi). 22 million adults (16.2% men and 24.8% women) currently used smokeless tobacco (GATS 2017). The report shows that the smokeless tobacco user is higher than smoking tobacco. As per Bangladesh Cancer Society total 12.6 million people died for using tobacco in Bangladesh, which makes total expenses 30,570 Coror Bangladeshi taka in a year.

Objectives: The primary objectives of the study was to identify the distribution policy of Smokeless and bidi and the major objectives were to measure the obstacles for implementation of Pictorial warnings and find out the best/suitable packets for effective implementation of GHWs for Smokeless and Bidi.

Methodology: Cross sectional study design, quantitative and qualitative approaches have been used to conduct the study. In qualitative approach observational methods and checklist form were developed to collect the primary data. Checklist form was developed on the basis of section 10 of tobacco control law in Bangladesh. All types of tobacco products (all Varity and unique pack as per availability) was observed for GHW implementation as per law (all contents of section 10) and three retail shops and three wholesale shops was selected in a big market area (Mostly Public Gathering Place) from a district. Purposive sampling methods and systematic technique was followed. Data were collected by using GHWs monitoring software from all 64 districts by 8 cycles in 8 different times. 8 Districts and sub-districts were selected covering from all 8 divisions in a cycle. Data collection period were selected on the basis of tobacco control law. As per law tobacco industry must change rotationally the image of GHWs (In every three months). That’s why data collection period was on the three months. All types of tobacco products (as per availability and unique pack) were observed for GHW implementation as per law and at least three retail shops and three wholesale shops were selected in a big market area from each district.