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As per the WHO-STEPS Survey (2019) conducted by Nepal Health Research Council (NHRC), 3.8 million adults or currently, 28.9% of adults aged 1569 years used smoked or smokeless tobacco products 7

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[DOI] [PMC free article] [PubMed] [Google Scholar] 76.Hill S, Blakely T, Kawachi I, Woodward A

By scaling up production, Mkwawa has created expanded market opportunities for smallholder farmers, resulting in higher incomes, increased household stability, and improved livelihoods