Quiz 7.
After completing the quiz, you will be told whether your answer was correct or incorrect and the number of points you got. Incorrect answers are marked in red.
You can take the quiz many times, there are no restrictions.
The quiz score is converted to a scale from 0 to 100 percent.
A Ministry of Health in a lower-middle-income country wants to introduce THR but has limited regulatory capacity and no existing standards for safer nicotine products. Smoking prevalence is high among urban men, and policymakers are under pressure to show early progress.
Which first step should the Ministry prioritise to build momentum?
Launch a nationwide THR clinic network immediately
Develop basic import and product quality standards for safer nicotine products
Establishing basic import and quality standards is a quick, feasible step that builds structure and safety. Nationwide clinic rollout is unrealistic, and equal taxation or bans undermine THR goals.
Increase taxes equally on all nicotine products
Ban e-cigarettes until regulatory capacity improves
A country is revising its National NCD Strategy. Smoking contributes to high rates of cardiovascular disease (CVD) and chronic respiratory illness. THR is not currently part of national guidelines.
How should THR be positioned to strengthen the NCD strategy?
As an isolated programme run outside the Ministry of Health
As an optional intervention only for wealthy people who smoke
As a complementary component that supports CVD and respiratory disease reduction
THR contributes directly to NCD reduction when integrated into national strategies. It should complement, not replace, cessation or be limited to privileged groups.
As a replacement for all cessation programmes
In a rural province, smoking rates are highest among low-income agricultural workers. Safer nicotine products are unavailable locally, and misinformation is common. Women face high stigma around both smoking and nicotine use.
Which combination of actions best promotes equity?
Increase excise taxes on safer nicotine products
Launch gender-neutral THR campaigns only on national television
Expand distribution through community drug shops and train local health workers to deliver targeted, stigma-sensitive education
Community distribution and locally delivered, gender-sensitive education address affordability, awareness, stigma, and access
Require all THR information to be delivered only by urban specialists
A country relies heavily on international consultants for nicotine product policy advice. The government wants to strengthen long-term capacity and reduce dependence on external guidance.
What is the most strategic action?
Outsource all regulatory functions permanently
Invest in local research institutions, laboratory testing capacity, and training for regulators and clinicians
Local research, testing capability, and workforce training build autonomy and legitimacy. Outsourcing or suspending progress undermines sustainability
Suspend all THR plans until full capacity is developed
Hire foreign experts for indefinite in-country supervision
A country begins tracking people who smoke transitions to safer nicotine products but is unsure what else to measure.
Which M&E indicator is most appropriate for guiding evidence-driven policy?
Public opinion about international agencies
Daily import prices of luxury goods
Product safety and compliance rates across the supply chain
Compliance and safety data inform regulation, protect consumers, and support policy refinement
Total number of tobacco retailers