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Initiating tobacco cessation services in India: challenges and opportunities / Cherian Varghese;Jagdish Kaur;Nimesh G Desai;Pratima Murthy;Savita Malhotra;Subbakrishna D K;Vinayak M Prasad;Vineet G Munish

Tác giả : Cherian Varghese;Jagdish Kaur;Nimesh G Desai;Pratima Murthy;Savita Malhotra;Subbakrishna D K;Vinayak M Prasad;Vineet G Munish

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2012

Chủ đề : 1. behaviour counselling. 2. health services. 3. India. 4. nicotine replacement therapy. 5. Tobacco cessation. 6. Journal / periodical articles.

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Tóm tắt :

Background: Tobacco use contributes significantly to the diseases burden in India. Very fewtobacco users spontaneously quit. Therefore, beginning 2002, a network of 19 tobacco cessationclinics (TCCs) was set up over a period of time to study the feasibility of establishing tobaccocessation services.Methods: Review of the process and operational aspects of setting up TCCs was carried out byevaluation of the records of TCCs in India. Baseline and follow-up information was recorded on apre-designed form.Results: During a five-year period, 34 741 subjects attended the TCCs. Baseline informationwas recorded in 23 320 cases. The clients were predominantly (92.5%) above 20 years, married(74.1%) and males (92.2%). All of them received simple tips for quitting tobacco; 68.9% receivedbehavioural counselling for relapse prevention and 31% were prescribed adjunct medication.At six-week follow-up, 3255 (14%) of the tobacco users had quit and 5187 (22%) had reducedtobacco use by more than 50%. Data for three, three-monthly follow-ups was available for 12 813patients. In this group, 26% had either quit or significantly reduced tobacco use at first follow-up(three-months), 21% at the second (six-months) and 18% at the third follow-up (nine-months)had done so.Conclusions: It is feasible to set up effective tobacco cessation clinics in developing countries.Integration of these services into the health care delivery system still remains a challenge.

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https://iris.who.int/handle/10665/329824