Global Policy progress in Article 16 of WHO FCTC on cigarettes (CIG) and smokeless tobacco (SLT)

Background Article 16 of WHO FCTC focuses upon limiting the supply and exposure of tobacco products to Minors. Implementation of Article 16 has been researched by few local and regional studies, primarily focusing on Cigarettes. This paper evaluates global progress in the area of access of SLT products to minors and compares with cigarettes. Methods A cross-sectional database of notified policies in FCTC ratified countries (n = 179) was prepared for SLT and CIG. Indicators studied were: Ban on Sale to minors; Treaty requirements (under the Ban on Sale to Minor); ban on sale by minor, prohibition on distribution of free tobacco products and prohibition on sale of loose/individual tobacco products. Countries were categorized according to World Bank Income groups and WHO regions. Data was analyzed using SPSSv17.0. Results Unequal implementation of provisions under Article 16 has been implemented for CIG and SLT products (nearly 79% Parties for CIG and 67% for SLT). Most countries have a partial (or none) policy in place (only 12% Parties have notified all provisions under Article 16(1) for CIG, and 10% for SLT). Implementation has been evaluated for CIG through indicators in GYTS, but not for SLT. Conclusions A comprehensive policy formulation on banning sale of tobacco to minors and its proper enforcement is required to prevent access and availability of tobacco including SLT to minors.