Background:
Graphic Health Warning (GHW) in 50% of all tobacco packets/packages has been implemented from 19 March 2016 following the tobacco control (TC) law that amendment in 2013 and rules notified in 2015. But, there are many small and large tobacco industries bypass and ignore the TC law in different ways. The study was conducted to identify and show the current GHW implementation and challenges in Bangladesh and the sample collection period of the study was January 2017 to April 2017.

Methods:
Out of 64, survey was conducted in 25 Districts and both qualitative and quantitative techniques, semi structured questionnaire and observational methods used to conduct the study. GHWs in all types of tobacco products were observed. 3 retail shops and 3 wholesale shops selected from each district. A research team was developed and organized a workshop regarding tobacco control law and GHW implementation for effectiveness and quality of the study and Excel software was used to analyze the data.

Results:
Total 5234 tobacco products was investigated, 1757 smoking tobacco (1497 Cigarette packets and 260 Bidi packets) and 3477 smokeless tobacco (3263 different packs of Jarda and 214 Gul). Study found that, 34% Bidi, 25% Jarda and 15% Gul in market without GHW. 64% bidi, 75% Jarda, 85% Gul provide GHWs, but among these, 50% bidi, 45% jarda and 30% gul doesn't follow law. It shows that, excluding cigarettes packets, bidi and smokeless tobacco vastly ignore about GHWs section of law. Absence of manufacturing date and different size/forms of smokeless tobacco and bidi packets, it is very difficult to measure GHWs implementation on all tobacco products.

Conclusions:
Its necessary to ensure uniform packets for smokeless tobacco and bidi with date of manufacture and monitoring for effective implementation of GHW provisions in Bangladesh.