Stakeholders have suggested to the Purvkhola Rural Municipality to effectively implement the law made to control and regulate tobacco products. In the multilateral interaction held by the rural municipality, the participants also gave 11 points of commitment for the effective implementation of the Act.

The participants also suggested that tolls, interaction at the ward level, pay attention to regulation and monitoring, declare prohibited areas, and emphasize publicity. The participants suggest that areas where consumption of tobacco products should be banned should be established by interacting at the toll, ward and village levels.

In the commitment made with the participation of village representatives, health experts, representatives of political parties, civil society leaders, teachers, businessmen, media workers and students, it is mentioned that sales and distribution of tobacco products will be done only from shops that have received a permit as per the provisions of the Tobacco Products Sale and Distribution Law. They have promised not to issue permits within 100 meters of educational institutions, to ban sales, distribution and use, to sell and distribute tobacco products to under-18s and pregnant women. 

Mohan Dhakal, the Head of the Health Branch of Purvkhola Rural Municipality, has committed to completely ban the sale of cigarettes and electronic cigarettes, to include this subject in the local curriculum to increase public awareness about the harm of tobacco products, and to declare all government agencies, schools, colleges, health institutions, ward offices, religious places, and playgrounds as prohibited areas. 

They have committed to confiscate and destroy tobacco products that are against the law, form a committee on tobacco control at the municipal level, appoint a focal person and allocate the budget. In the program facilitated by Sanjivani Health Media Pvt. Ltd., he committed not to open and operate any tobacco industry within the village area, and not to do any advertising and sponsorship programs. 

Purvkhola rural municipality has made a separate law to control and regulate tobacco products and the commitment is made through multilateral interaction for implementation, said Nun Bahadur Thapa, chairman of the rural municipality. As tobacco products are harmful to human health, the rural municipality has issued the Tobacco Products (Control and Regulation) Act-2081 to control its use, so commitment to implementation will help, said Thapa. "The law was issued but it had not reached the implementation stage," he said, "that's why all the wards participated in the discussion, interaction and commitment." Made . Bhagirathi Bhattarai, vice president of the rural municipality, said that the Act passed by the village assembly has been published in the local gazette of Purvkhola rural municipality. Senior health education administrator and information officer of the Ministry of Health. Bhakta Bahadur KC said that in the Act made by Purvkhola Rural Municipality, some modified provisions have been found in the Act made by the Federal Government . He said that tobacco products in the Act include cigarettes, bidi cigars, sulfa, cockade, raw tobacco, khaini, gutkha along with heated tobacco, e-cigarettes, vapes, hookah, and lead.

It is mentioned in the act that the warning message and color pictures related to the harmful effects of tobacco consumption as prescribed by the federal law should be printed and engraved in Nepali language on at least 90 per cent of the total outer part of the wrappers, packets and parcels of the packaging and labels of any tobacco products.

In the law made by the rural municipality, it is mentioned that a fine of Rs. Punishments up to expulsion from public places are in the law. Yam Bahadur Chidi, Chairman of Mathagadi Rural Municipality, said that the person who cheats, who is an employee, will be warned and fined from 25 to 50,000 rupees if they are found to be advertising and sponsoring.

Sunder Prasad Shrestha, the chief administrative officer of Purvkhola rural municipality, said that the law passed by the rural municipality assembly was published in the gazette and has now reached the stage of implementation. "The commitment of all parties is also necessary to create a directory," he said, "I believe that there will be cooperation from all parties for this." Because it is related to public health, it is everyone's responsibility to implement it.

Subba Sukunraj Wik, Deputy of District Administration Office, Palpa, said that in order to control the situation where the incidence of diseases caused by tobacco consumption is high, this Act should be effectively implemented. He said that it has been proven that tobacco products are also the reason for the increase in the incidence of non-communicable diseases (cancer, heart, kidney, diabetes) in recent times. Khumkant Basyal, Ward President of Rambha Rural Municipality-5, said that since there is no option to control it, it is better to control and regulate it by making a law.  He said that if the work is carried forward by creating a guideline for the easy implementation of the

act, it will be a lesson to other municipalities as well. Anand Bahadur Chand, the head of Action Nepal, an activist for tobacco control and regulation, said that the number of people suffering from non-communicable diseases is increasing and the initiative of the local level to prevent human damage and death caused by tobacco consumption is commendable.