The document outlines the rationale and components of a smoking cessation program in the Philippines, noting that tobacco use causes many deaths worldwide each year and that most smokers want to quit but fail without support or treatment. The program aims to promote smoking cessation and provide services to help current smokers quit through training health workers, advocacy, health education, and research.
The document outlines the rationale and components of a smoking cessation program in the Philippines, noting that tobacco use causes many deaths worldwide each year and that most smokers want to quit but fail without support or treatment. The program aims to promote smoking cessation and provide services to help current smokers quit through training health workers, advocacy, health education, and research.
The document outlines the rationale and components of a smoking cessation program in the Philippines, noting that tobacco use causes many deaths worldwide each year and that most smokers want to quit but fail without support or treatment. The program aims to promote smoking cessation and provide services to help current smokers quit through training health workers, advocacy, health education, and research.
The document outlines the rationale and components of a smoking cessation program in the Philippines, noting that tobacco use causes many deaths worldwide each year and that most smokers want to quit but fail without support or treatment. The program aims to promote smoking cessation and provide services to help current smokers quit through training health workers, advocacy, health education, and research.
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
You are on page 1/ 5
Poco, Jovic Miguel B.
MD 1Y2-1
SMOKING CESSATION PROGRAM
Rationale:
The use of tobacco continues to be a major cause of health problems worldwide. There is currently an estimated 1.3 billion smokers in the world, with 4.9 million people dying because of tobacco use in a year. If this trend continues, the number of deaths will increase to 10 million by the year 2020, 70% of which will be coming from countries like the Philippines. (The Role of Health Professionals in Tobacco Control, WHO, 2005)
The World Health Organization released a document in 2003 entitled Policy
Recommendations for Smoking Cessation and Treatment of Tobacco Dependence. This document very clearly stated that as current statistics indicate, it will not be possible to reduce tobacco related deaths over the next 30-50 years unless adult smokers are encouraged to quit. Also, because of the addictiveness of tobacco products, many tobacco users will need support in quitting. Population survey reports showed that approximately one third of smokers attempt to quit each year and that majority of these attempts are undertaken without help. However, only a small percentage of cigarette smokers (1-3%) achieve lasting abstinence, which is at least 12 months of abstinence from smoking, using will power alone (Fiore et al 2000) as cited by the above policy paper.
The policy paper also stated that support for smoking cessation or “treatment of tobacco dependence” refers to a range of techniques including motivation, advise and guidance, counseling, telephone and internet support, and appropriate pharmaceutical aids all of which aim to encourage and help tobacco users to stop using tobacco and to avoid subsequent relapse. Evidence has shown that cessation is the only intervention with the potential to reduce tobacco-related mortality in the short and medium term and therefore should be part of an overall comprehensive tobacco-control policy of any country.
The Philippine Global Adult Tobacco Survey conducted in 2009 (DOH, Philippines GATS Country Report, March 16, 2010) revealed that 28.3% (17.3 million) of the population aged 15 years old and over currently smoke tobacco, 47.7% (14.6 million) of whom are men, while 9.0% (2.8 million) are women. Eighty percent of these current smokers are daily smokers with men and women smoking an average of 11.3 and 7 sticks of cigarettes per day respectively.
The survey also revealed that among ever daily smokers, 21.5% have quit smoking. Among those who smoked in the last 12 months, 47.8% made a quit attempt, 12.3% stated they used counseling and or advise as their cessation method, but only 4.5% successfully quit. Among current cigarette smokers, 60.6% stated they are interested in quitting, translating to around 10 million Filipinos needing help to quit smoking as of the moment. The above scenario dictates the great need to build the capacity of health workers to help smokers quit smoking, thus the need for the Department of Health to set up a national infrastructure to help smokers quit smoking.
The national smoking infrastructure is mandated by the Tobacco Regulations Act which orders the Department of Health to set up withdrawal clinics. As such DOH Administrative Order No. 122 s. 2003 titled The Smoking Cessation Program to support the National Tobacco Control and Healthy Lifestyle Program allowed the setting up of the National Smoking Cessation Program.
Vision: Reduced prevalence of smoking and minimizing smoking-related health risks.
Mission: To establish a national smoking cessation program (NSCP).
Objectives:
The program aims to:
1. Promote and advocate smoking cessation in the Philippines; and
2. Provide smoking cessation services to current smokers interested in quitting the
habit.
Program Components:
The NSCP shall have the following components:
1.Training
The NSCP training committee shall define, review, and regularly recommend training programs that are consistent with the good clinical practices approved by specialty associations and the in line with the rules and regulations of the DOH.
All DOH health personnel, local government units (LGUs), selected schools, industrial and other government health practitioners must be trained on the policies and guidelines on smoking cessation. 2. Advocacy
A smoke-free environment (SFE) shall be maintained in DOH and participating non-DOH
facilities, offices, attached agencies, and retained hospitals. DOH officials, staff, and employees, together with the officials of participating non-DOH offices, shall participate in the observance and celebration of the World No Tobacco Day (WNTD) every 31 st of May and the World No Tobacco Month every June.
3. Health Education
Through health education, smokers shall be assisted to quit their habit and their immediate family members shall be empowered to assist and facilitate the smoking cessation process.
4. Smoking Cessation Services
5. Research and Development
Research and development activities are to be conducted to better understand the
nature of nicotine dependence among Filipinos and to undertake new pharmacological approaches. Poco, Jovic Miguel B. MD 1Y2-1
A. Based on your own appreciation of your chosen health program, write
description of its objectives and strategies.
The program aims to promote smoking cessation for smokers in the
country through helping those smokers who wants to quit smoking for this could minimize the risk of having diseases because of smoking. The program also focuses on creating a successful smoking cessation program for future quitters.
The program would promote smoking cessation through making
DOH and participating non-DOH facilities, offices, attached agencies, and retained hospitals to a smoke-free environment and they shall participate in the celebration of the World No Tobacco Day every May 31 and the World No Tobacco Month every June.
The objectives can also be achieved through health education
wherein the smoker’s family shall be educated about the cessation process and the smoker shall be assisted throughout the whole process.
There is already a National Smoking Cessation Framework
detailing Smoking Cessation services at different levels of care and further research is being done for the continuous development of the program and its services.
B. Discuss the importance of the implementation of this program.
The implementation of this program is important because based on
what I have read, smoking is one of the leading causes of health problems in the world. And even if smokers do want to quit, most of them failed in quitting completely. This program is significant for both smokers and non- smokers. This is important for smokers because this gives them a way for them to quit smoking entirely and this program raises awareness for the positive effects of smoking cessation. For those people who are non- smokers, when there are less people smoking, there is also a lesser chance of one inhaling 2nd hand smoke from tobacco. So having less people smoking could help in the overall wellbeing of the country and its people. C. Who will be its target beneficiaries and who will be involved in its implementation?
The national smoking infrastructure is mandated by the Tobacco
Regulations Act which orders the Department of Health to set up withdrawal clinics. As such DOH Administrative Order No. 122 s. 2003 titled The Smoking Cessation Program to support the National Tobacco Control and Healthy Lifestyle Program allowed the setting up of the National Smoking Cessation Program. The target beneficiaries of this program would be the people who are smoking and those smokers that would want to quit smoking entirely. Institutions with Primary, Secondary or Tertiary level of care can have smoking cessation services and services increase from primary to tertiary level.
D. Using the internet and other relevant resources research on the possible problems or loopholes on the implementation of this program.
Based on an article on the American College of Cardiology website,
there are many barriers to implementing smoking cessation in patients. One of those barriers is the patient itself, if the person is simply not motivated to stop smoking. Having programs for helping people to quit smoking is useless especially for those people who do not want to quit at the first place. It is also stated in the article that current era patients are well aware of the harms of tobacco usage, but they still have little motivation to quit.
E. Recommend possible solutions to these problems.
For this problem, I think the government should not stop. They should not stop in raising awareness for the harms of tobacco usage. They should not stop in finding ways on how to convince people to stop and quit smoking. Because if they did not stop there will come a time where people would control their usage of tobacco and where people could just quit smoking without having too much of a challenge in doing so successfully.
