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Initiating tobacco cessation services in India: challenges and opportunities
Cherian Varghese1, Jagdish Kaur2, Nimesh G Desai3
1World Health Organization Regional Office for the Western Pacific, Manila, Philippines.
Establishing tobacco cessation clinics (TCCs) in India is feasible, demonstrating effectiveness in helping tobacco users quit or reduce consumption. Integrating these services into healthcare delivery remains a key challenge.
Area of Science:
- Public Health
- Clinical Services
- Behavioral Science
Background:
- Tobacco use is a major contributor to India's disease burden.
- Spontaneous tobacco cessation rates are very low.
- A network of 19 tobacco cessation clinics (TCCs) was established to assess service feasibility.
Purpose of the Study:
- To evaluate the process and operational aspects of establishing TCCs.
- To determine the feasibility of providing tobacco cessation services in India.
Main Methods:
- A review of TCC records was conducted.
- Baseline and follow-up data were collected using pre-designed forms.
- Services included quitting tips, behavioral counseling, and adjunct medication.
Main Results:
- Over five years, 34,741 individuals attended TCCs.
- At six-week follow-up, 14% quit and 22% reduced tobacco use by over 50%.
- Sustained cessation/reduction rates at 3, 6, and 9 months were 26%, 21%, and 18%, respectively.
Conclusions:
- Effective tobacco cessation clinics can be established in developing countries.
- Integrating TCC services into the existing healthcare delivery system presents a significant challenge.
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