A technical presentation on intervention and evaluation design of a Global Bridges/Pfizer IGLC grant-funded project — “Strengthening Cessation Capacity in the National Tobacco Control Programme of India.”
This briefing gives expert, concise guidance on how to deliver Very Brief Advice (VBA) to pregnant women who smoke and how to carry out routine carbon monoxide (CO) testing with all pregnant women. Smoking in pregnancy is a significant health problem for the mother and the baby. Many women who smoke will quit by themselves before becoming pregnant and others will stop once their pregnancy is confirmed; other pregnant women will need considerable support to stop smoking successfully.
Nicotine inhaled from smoking tobacco is highly addictive. But it is primarily the toxins and carcinogens in tobacco smoke – not the nicotine – that cause illness and death. The best way to reduce these illnesses and deaths is to stop smoking. In general, stopping in one step (sometimes called ‘abrupt quitting’) offers the best chance of lasting success (see NICE guidance on smoking cessation). However, there are other ways of reducing the harm from smoking, even though this may involve continued use of nicotine.This guidance is about helping people, particularly those who are highly dependent on nicotine, who:may not be able (or do not want) to stop smoking in one stepmay want to stop smoking, without necessarily giving up nicotinemay not be ready to stop smoking, but want to reduce the amount they smoke.This guidance recommends harm-reduction approaches which may or may not include temporary or long-term use of licensed nicotine-containing products. (See box 1 for details.)The recommendations cover:Raising awareness of licensed nicotine-containing products.Self-help materials.Choosing a harm-reduction approach.Behavioural support.Advising on licensed nicotine-containing products.Supplying licensed nicotine-containing products.Follow-up appointments.Supporting temporary abstinence.People in closed institutions.Staff working in closed institutions.Commissioning stop smoking services.Education and training for practitioners.Point-of-sale promotion of licensed nicotine-containing products.Manufacturer information on licensed nicotine-containing products
The aim of the document is to set out an English national standard for criteria for throughput and success rates that will enable meaningful comparisons between the different local stop smoking services