The WHO FCTC Indicators:
Global School Personnel Survey,
2006–2009
Definitions of Indicators:
School personnel
nSchool personnel refer to teachers and administrators who were employed by a
participating school during the survey.
Current cigarette smoking
nSchool personnel who smoked cigarettes on at least one day during the
month preceding the survey.
Current use of tobacco products
nSchool personnel who used tobacco products other than cigarettes on
other than cigarettes
at least one day during the month preceding the survey.
Support for a ban on smoking
nSchool personnel who reported that they support a ban on smoking for
students and school personnel.
Knowledge
nSchool personnel who knew about the harmful effects of smoking and a
policy that prohibits tobacco use in schools.
Tobacco education in schools
nSchool personnel who responded "yes" to having been trained in preventing
tobacco use among youth.
Training for school personnel
nSchool personnel who thought specific training is required to prevent tobacco
use among students.
Acknowledgement: Centers for Disease Control and Prevention (CDC), Atlanta for their
technical and financial support.
Technical notes and definitions
The Global School Personnel Survey (GSPS) is a school-based survey of administrators, teachers and school personnel
intended to collect information among these professionals. It will help Member countries to monitor tobacco control
efforts and to better school personnel training regarding tobacco control. Also, GSPS can be used to evaluate the
implementation of the provisions of the WHO Framework Convention on Tobacco Control regarding training and
awareness among school personnel.
GSPS is composed of a core questionnaire designed to gather data on tobacco use, knowledge and attitudes of school
personnel toward tobacco, existence and effectiveness of tobacco control policies in schools, and training and materials
available for implementing tobacco prevention and control interventions.
This document presents data from school personnel employed in schools. Ten Member States of the WHO South-East
Asia Region participated in the survey and provided data from 2006 to 2009.
GSPS has the following domains:
l
Prevalence of tobacco use among school personnel.
l
Attitudes and knowledge of school personnel towards smoking.
lFacilities and support available for smoking cessation.
lRole and perception of school personnel toward cessation.
lTobacco curriculum in schools.
n
The GSPS indicators are categorized by domains and then coupled to the related Articles of the Framework
Convention, thus providing contextual information.
n
All related indicators are grouped according to their domains. However, Member States were free to adapt the
questionnaire according to their needs and resources. Hence, a dash (-) in a cell denotes the absence of certain
indicators in those countries.
n
Percentages reflect the prevalence of each indicator in each group, and not the distribution across groups.
n* (star) indicates an estimate based on a sample size (n) less than 35 individuals.
n
CI refers to 95% confidence interval.
NEPAL (2007)
SRI LANKA (2007)
THAILAND (2009)
TIMOR-LESTE (2009)
Indicators for Global School Personnel Survey
Total
%
CI
%
CI
%
CI
Ever smoked cigarettes 14.2 12.0–16.6 66.7 60.1–72.8 4.6 2.9–7.0 37.7 30.6–45.3 48.5 39.7–57.3 4.9 2.1–11.1 16.2 13.1–19.8 48.9 38.7–59.2 3.7 2.5–5.4 23.1 20.8–25.7 55.5 51.1–59.8 6.7 4.8–9.2 47.3 41.0–53.7 7.3 2.6–18.9 Current tobacco users 12.0 8.5–16.7 57.2 50.6–63.6 3.7 2.6–5.4 27.1 22.5–32.2 35.8 29.7–42.4 1.1 0.2–5.3 7.5 5.4–10.3 20.5 13.8–29.4 2.3 1.4–3.9 10.8 8.7–13.4 26.6 21.6–32.1 2.9 1.6–5.0 36.1 29.3–43.5 6.3 2.1–17.5 Current cigarette smokers 6.3 4.2–9.5 36.4 28.9–44.7 0.8 0.4–1.9 17.0 12.4–22.7 22.3 15.9–30.4 0.8 0.1–6.2 4.6 3.5–6.2 14.6 10.6–19.7 0.6 0.2–1.7 9.2 7.3–11.6 24.6 19.8–30.1 1.4 0.7–3.1 40.1 33.4–47.2 5.7 1.8–16.8 Currently using tobacco other than cigarettes 11.3 8.0–15.9 54.8 48.7–60.6 3.4 2.4–4.9 21.4 17.2–26.3 28.3 23.2–34.1 1.1 0.2–5.3 4.9 3.1–7.8 11.9 6.0–22.2 2.0 1.1–3.6 5.2 3.7–7.2 11.8 8.1–16.9 1.8 1.0–3.2 3.9 1.8–8.7 4.4 1.2–15.2
Ever used tobacco on school property in the past year
School personnel 5.4 3.0–9.4 27.8 17.7–41.0 1.3 0.8–1.9 7.3 4.5–11.5 9.0 5.4–14.7 1.9 0.6–6.4 1.8 1.3–2.6 3.0 1.4–6.3 1.1 0.6–1.9 8.8 7.3–10.5 21.4 17.3–26.2 2.4 1.0–5.4 26.2 19.1–34.9 5.8 1.9–16.2
Smoked on school property in the past year
Teachers – – – – – – – – – – – – – – – – – – 8.3 6.8–10.1 21.6 17.0–27.1 2.4 1.0–5.5 23.9 16.8–32.9 0.3 0.0–2.8 Administrators – – – – – – – – – – – – – – – – – – 16.6 9.2–28.1 20.1 11.1–33.7 2.4 0.9–6.5 40.5 23.6–59.9 56.7* 13.9–91.4
Percentage of school personnel who are
Teachers – – – – – – – – – – – – – – – – – – 94.5 93.5–95.4 86.9 84.9–88.8 98.3 97.5–98.9 85.9 80.2–90.1 90.3 81.2–95.3 Administrators – – – – – – – – – – – – – – – – – – 5.5 4.6–6.5 13.1 11.2–15.1 1.7 1.1–2.5 14.1 9.9–19.8 9.7 4.7–18.8
Schools should have a policy prohibiting tobacco use among
Students 98.8 96.3–99.6 93.9 79.8–98.3 99.7 99.4–99.9 98.5 96.9–99.2 98.0 95.8–99.0 100.0 – 92.0 90.4–93.3 92.4 88.1–95.3 91.9 89.7–93.6 96.8 95.7–97.6 96.1 93.6–97.6 97.1 96.1–97.9 88.5 82.2–92.8 90.0 77.6–95.9 School personnel 98.4 97.5–99.0 99.2 97.1–99.8 98.3 97.2–99.0 94.1 88.3–97.1 93.8 88.8–96.7 94.8 78.7–98.9 91.0 88.5–93.0 91.2 86.9–94.2 91.0 88.4–93.1 95.8 94.5–96.7 93.5 90.9–95.4 96.9 95.7–97.7 87.8 80.5–92.7 93.2 82.6–97.5
Schools have a policy in place that prohibits tobacco use among
Students 98.5 97.0–99.2 97.0 92.3–98.9 98.7 97.4–99.4 84.8 80.0–88.6 82.8 78.0–86.8 90.7 81.7–95.5 71.7 65.1–77.4 76.3 70.0–81.6 69.7 61.6–76.7 91.0 89.0–92.7 89.0 85.3–91.9 92.1 90.0–93.7 92.2 87.6–95.2 90.3 79.1–95.8 School personnel 89.8 86.8–92.2 84.8 77.7–89.9 90.7 87.9–92.9 80.0 74.9–84.3 78.1 71.3–83.6 86.3 78.6–91.5 62.3 53.1–70.6 67.4 54.9–77.8 60.1 50.8–68.7 82.3 79.8–84.6 81.0 77.5–84.0 83.0 80.0–85.7 68.5 59.0–76.7 64.3 52.4–74.7
Schools enforce a policy on tobacco use among
Students 99.4 98.1–99.8 98.8 92.6–99.8 99.5 98.6–99.8 96.4 93.0–98.2 96.2 92.3–98.2 97.1 91.8–99.0 75.9 67.8–82.5 81.3 72.7–87.7 73.7 64.9–81.0 99.6 99.1–99.9 99.7 99.2–99.9 99.6 98.7–99.9 69.1 55.9–79.7 69.3 46.7–85.3 School personnel 96.2 94.0–97.6 92.6 86.4–96.1 96.8 94.7–98.1 88.7 85.0–91.6 87.0 82.7–90.3 93.9 87.8–97.0 76.2 69.2–82.0 82.8 71.5–90.3 73.5 66.9–79.2 – – – – – – – – – – – –
Schools have a policy declaring it tobacco-free
School personnel 77.9 73.6–81.6 67.7 56.6–77.0 79.7 75.9–83.1 63.7 51.6–74.3 60.9 48.9–71.7 72.3 54.3–85.1 57.4 49.3–65.1 59.9 49.7–69.2 56.6 47.9–64.9 – – – – – – – – – – – –
Knowledge: smoke from others is harmful
School personnel – – – – – – – – – – – – – – – – – – 98.2 97.4–98.7 96.8 95.0–98.0 98.8 98.1–99.3 73.9 64.2–81.7 73.9 64.9–81.2
Had access to teaching-learning materials on tobacco use among youth and its prevention
School personnel – – – – – – – – – – – – – – – – – – 45.9 43.1–48.7 45.7 41.7–49.7 46.0 42.5–49.6 47.6 37.8–57.7 55.4 39.3–70.5
Ever received training in preventing tobacco use among youth
Teachers – – – – – – – – – – – – – – – – – – 34.6 31.0–38.4 41.1 36.1–46.2 31.6 27.6–35.9 19.6 12.9–28.7 19.2 10.0–33.5 School personnel 32.1 26.0–39.0 23.4 13.8–36.8 33.7 26.9–41.3 12.6 8.6–18.1 12.3 8.3–17.8 13.5 7.6–22.9 8.4 6.2–11.4 12.0 8.2–17.1 6.9 5.1–9.3 35.6 32.2–39.1 42.5 38.1–47.0 32.0 28.3–36.1 19.5 12.8–28.5 23.4 13.1–38.3
Schools have nonclassroom programme for students on prevention of tobacco use
School personnel 77.5 69.8–83.6 71.4 61.2–79.8 78.6 71.0–84.6 45.0 39.4–50.7 41.5 32.5–51.0 56.0 46.1–65.4 43.3 33.6–53.5 50.4 39.6–61.1 40.4 30.4–51.3 73.1 69.5–76.3 72.3 66.6–77.3 73.5 70.1–76.7 48.3 36.1–60.7 58.3 39.3–75.2
Concerned about tobacco use among youth
School personnel – – – – – – – – – – – – – – – – – – 82.8 80.1–85.2 80.2 76.2–83.6 84.2 81.0–87.0 50.5 40.9–60.1 55.4 42.6–67.5
Schools included the prevention of tobacco use in their curriculum
School personnel – – – – – – – – – – – – – – – – – – 82.7 79.3–85.7 81.5 76.4–85.7 83.3 80.1–86.1 29.9 22.6–38.4 38.8 23.2–57.1
Specific training to help students avoid tobacco use is needed
School personnel 78.9 75.1–82.2 77.0 67.3–84.4 79.3 75.2–82.8 93.2 90.3–95.2 92.0 87.9–94.8 96.6 92.8–98.5 63.5 56.6–69.9 68.0 60.0–75.1 61.9 54.1–69.2 83.2 81.2–85.0 80.1 76.3–83.4 84.8 82.7–86.6 90.9 85.5–94.4 95.0 84.0–98.6 66.7 58.2–74.2
Foreword
The WHO FCTC Indicators: Global School Personnel
Survey, 2006–2009
reflects the pattern of tobacco
use by school personnel, their knowledge of and
attitudes towards tobacco. It also examines the
schools' policies with regard to tobacco use in the
Member countries of the WHO South-East Asia
Region. Schools are vital places for the development
of positive lifestyles and the behaviours among young people.
Attitudes of teachers towards harmful substances such as tobacco
have a powerful impact on the minds of young people. Presenting and
disseminating the findings of the tobacco survey for school personnel
would invariably help school authorities to plan and promote tobacco
control activities for their students.
The Member States in the Region have conducted the Global School
Personnel Survey (GSPS) in order to make possible evidence-based
policy planning and programme development for tobacco control in
schools. It also demonstrates the great commitment that Member
States have towards fulfilling their obligations to achieve the provisions
of the WHO Framework Convention on Tobacco Control.
It is hoped that the information in
The WHO FCTC Indicators: Global
School Personnel Survey, 2006–2009
will provide impetus to the
tobacco control efforts in the Member countries as it contains useful
data on the important indicators of tobacco control. In addition to
disseminating the survey findings, this document will offer useful
direction to policy-makers and tobacco control managers to frame their
activities and programmes effectively.
Dr Samlee Plianbangchang
Regional Director
BHUTAN (2009)
INDIA (2006)
INDONESIA (2009)
MALDIVES (2007)
Indicators for Global School Personnel Survey
Total
%
CI
%
CI
%
CI
Male
Female
Total
%
CI
%
CI
%
CI
Male
Female
Total
%
CI
%
CI
%
CI
Male
Female
Total
%
CI
%
CI
%
CI
Male
Female
Tobacco use
Ever smoked cigarettes 60.0 51.9–67.5 71.2 63.4–78.0 12.5 5.6–25.8 40.0 35.9–44.3 50.8 42.6–58.9 31.2 27.5–35.1 15.0 13.0–17.2 19.9 17.2–22.8 2.7 1.8–4.1 31.6 27.9–35.6 71.9 65.0–77.9 6.3 4.0–9.7 28.6 24.4–33.3 55.6 49.7–61.3 10.7 7.3–15.5 Current tobacco users 37.8 30.9–45.2 43.7 35.9–51.7 12.2 7.0–20.6 20.5 16.5–25.1 30.5 23.4–38.5 11.7 8.0–16.7 29.2 27.0–31.5 35.0 32.2–38.0 13.7 10.6–17.6 21.3 18.3–24.7 51.4 43.7–59.0 2.5 1.4–4.5 14.5 11.9–17.6 26.3 21.3–32.0 6.3 4.1–9.5 Current cigarette smokers 23.4 18.2–29.6 28.2 22.0–35.4 3.4 0.8–12.9 14.9 11.9–18.6 18.8 13.7–25.1 11.1 7.7–15.7 12.8 11.1–14.7 16.9 14.7–19.4 2.4 1.6–3.8 21.2 18.1–24.6 51.8 44.2–59.3 2.1 1.1–4.0 11.8 9.0–15.2 24.3 18.9–30.6 3.2 1.5–6.7 Currently using tobacco other than cigarettes 25.0 19.5–31.5 28.1 21.6–35.8 10.5 5.9–18.0 9.2 6.7–12.5 18.8 13.7–25.4 1.6 0.9–2.9 23.7 21.7–25.9 28.0 25.6–30.6 12.5 9.6–16.2 2.6 1.6–4.2 5.2 2.9–9.3 0.9 0.3–2.6 6.3 4.5–8.8 7.2 5.4–9.4 5.1 3.1–8.4
Ever used tobacco on school property in the past year
School personnel 16.9 11.8–23.5 20.6 14.6–28.4 1.6 0.2–10.6 8.8 6.6–11.6 14.3 9.9–20.3 4.1 2.7–6.3 25.1 23.0–27.4 30.2 27.5–32.9 11.9 9.5–15.0 16.7 13.6–20.3 41.0 33.8–48.6 1.2 0.6–2.5 3.9 2.0–7.3 4.2 2.4–7.2 3.0 1.3–6.8
Smoked on school property in the past year
Teachers – – – – – – 9.3 7.0–12.4 15.4 10.4–22.4 4.4 2.9–6.7 – – – – – – 14.7 11.7–18.4 39.8 32.4–47.6 0.7 0.2–2.1 – – – – – – Administrators – – – – – – 2.3 0.5–10.5 4.1* 0.7–19.5 * – – – – – – – 24.7 16.1–36.0 44.4 29.7–60.2 3.8 1.2–11.7 – – – – – –
Percentage of school personnel who are
Teachers – – – – – – 91.8 89.6–93.6 89.8 83.1–94.0 93.9 91.1–95.9 – – – – – – 80.4 76.7–83.6 73.8 66.9–79.7 84.4 79.7–88.1 – – – – – – Administrators – – – – – – 8.2 6.4–10.4 10.2 6.0–16.9 6.1 4.1–8.9 – – – – – – 19.6 16.4–23.3 26.2 20.3–33.1 15.6 11.9–20.3 – – – – – –
Schools should have a policy prohibiting tobacco use among
Students 97.9 95.2–99.1 97.8 93.9–99.2 98.3 89.7–99.8 95.7 92.9–97.4 93.7 89.5–96.3 97.2 94.1–98.7 94.9 93.4–96.1 94.9 93.1–96.2 95.1 91.9–97.1 95.5 93.3–97.1 92.9 88.2–95.8 97.2 95.1–98.4 96.2 94.9–97.1 95.8 91.3–98.0 96.8 94.8–98.1 School personnel 97.0 94.2–98.4 96.6 92.7–98.5 98.4 89.3–99.8 90.7 86.8–93.5 87.4 81.7–91.5 93.2 89.0–95.9 95.2 93.8–96.3 95.9 94.1–97.1 93.7 90.9–95.6 84.9 80.0–88.8 80.2 71.3–86.9 88.0 82.4–92.0 96.0 94.7–97.0 93.5 91.1–95.3 97.7 96.3–98.6
Schools have a policy in place that prohibits tobacco use among
Students 83.1 74.5–89.2 84.2 76.2–89.9 79.7 60.2–91.1 90.8 85.0–94.5 90.6 85.3–94.1 90.8 82.8–95.3 64.6 60.8–68.3 66.5 62.7–70.2 59.8 54.0–65.4 – – – – – – 93.0 90.3–95.0 91.3 88.0–93.7 94.3 91.3–96.3 School personnel 65.9 55.4–75.1 67.6 56.1–77.2 58.4 42.4–72.8 73.4 68.9–77.4 70.0 65.0–74.5 76.0 68.3–82.3 55.2 51.3–59.2 56.1 52.2–59.9 53.0 47.0–59.0 – – – – – – 88.7 84.3–92.0 86.9 81.7–90.8 89.9 85.0–93.3
Schools enforce a policy on tobacco use among
Students 98.4 92.5–99.7 98.7 94.4–99.7 97.0 80.5–99.6 98.5 94.1–99.6 97.1 82.9–99.6 99.5 97.5–99.9 85.1 82.7–87.3 84.0 81.0–86.7 87.8 84.1–90.7 96.1 93.1–97.8 96.7 92.7–98.5 95.6 91.1–97.9 93.5 91.3–95.1 91.1 86.5–94.2 95.0 93.6–96.2 School personnel 96.1 92.8–97.9 96.4 92.9–98.2 95.0 80.0–98.9 – – – – – – – – – – – – 77.8 73.7–81.5 76.0 71.3–80.2 79.0 73.2–83.8
Schools have a policy declaring it tobacco-free
School personnel 49.8 39.3–60.4 47.3 35.8–59.2 61.2 44.2–75.9 – – – – – – 38.1 34.5–41.9 38.7 34.9–42.6 36.7 30.6–43.4 – – – – – – 73.6 66.7–79.5 72.3 61.6–80.9 74.8 68.8–80.1
Knowledge: smoke from others is harmful
School personnel – – – – – – 96.4 93.0–98.2 96.2 91.0–98.4 96.5 93.6–98.1 – – – – – – 97.1 95.7–98.1 95.5 92.5–97.3 98.1 96.1–99.1 – – – – – –
Had access to teaching-learning materials on tobacco use among youth and its prevention
School personnel – – – – – – 46.4 42.7–50.1 50.4 43.2–57.7 42.7 37.6–48.0 34.4 30.6–38.5 35.0 31.0–39.3 32.9 26.1–40.5 39.1 32.8–45.7 38.6 30.7–47.2 39.8 32.6–47.5 – – – – – –
Ever received training in preventing tobacco use among youth
Teachers – – – – – – 6.8 5.1–9.0 7.5 5.3–10.5 6.3 4.6–8.7 – – – – – – 18.3 12.2–26.5 15.3 9.1–24.6 19.9 13.0–29.1 – – – – – – School personnel 6.4 3.6–11.1 5.3 2.8–9.8 11.1 4.2–26.2 6.9 5.0–9.5 8.0 5.2–12.1 6.1 4.4–8.4 16.3 14.4–18.5 17.3 14.7–20.2 13.9 10.7–17.9 21.3 15.0–29.2 20.3 12.8–30.8 21.8 15.3–30.2 11.3 8.6–14.7 10.8 7.9–14.7 11.7 8.7–15.6
Schools have nonclassroom programme for students on prevention of tobacco use
School personnel 45.3 36.2–54.8 47.3 35.3–59.5 38.3 24.0–55.0 81.7 76.8–85.7 80.6 74.0–85.9 82.8 78.4–86.4 34.3 30.6–38.1 33.9 30.1–38.0 35.0 29.2–41.3 25.1 20.7–30.2 22.2 16.3–29.4 26.9 21.0–33.9 58.0 51.6–64.2 61.0 54.2–67.4 56.8 48.6–64.6
Concerned about tobacco use among youth
School personnel – – – – – – 69.8 66.6–72.8 70.9 64.3–76.7 68.6 64.8–72.2 72.5 69.7–75.1 71.9 68.5–75.2 73.9 69.3–78.1 85.5 82.0–88.4 79.0 71.6–85.0 89.5 85.7–92.3 – – – – – –
Schools included the prevention of tobacco use in their curriculum
School personnel – – – – – – 62.7 57.6–67.5 61.1 55.9–66.1 64.2 57.0–70.8 – – – – – – 51.9 46.1–57.6 50.9 44.5–57.3 52.2 44.8–59.6 – – – – – –
Specific training to help students avoid tobacco use is needed
School personnel 87.1 74.6–93.9 87.1 77.6–92.9 86.7 54.2–97.3 78.7 75.2–81.9 81.3 74.0–87.0 76.5 72.0–80.4 88.6 85.6–91.1 89.0 85.8–91.6 87.7 83.4–91.0 74.9 69.9–79.4 77.4 71.6–82.3 73.6 65.6–80.4 71.7 68.9–74.4 74.7 71.7–77.5 69.8 65.8–73.5
Total
%
CI
%
CI
%
CI
Male
Female
BANGLADESH (2007)
Ar
ticle 20-22: Scientific and technical
cooperation and communication of information
Ar
ticle 12: Education, communication, training and public awareness
