Tobacco cessation interventions in primary care in India: A randomised trial
Rajmohan Panda, Divya Persai and Manu Mathur
Dr Rajmohan Panda Senior Public Health Specialist, Public Health Foundation of India (PHFI).
Tobacco control requires a comprehensive approach . The present study aims to examine the effectiveness of health system intervention when combined with different interventions in enhancing knowledge and practices of physicians in tobacco cessation in primary care settings in India.
This study was a randomized control trial conducted among 583 physicians in 12 districts of two states of India in 2011-2013. Blocks were randomly assigned to one of the four interventions (Health system-H, Community-C, Youth-Y and control conditions). Change in knowledge and information provided on effects of tobacco and NRT was the primary outcome. Logistic regression model was applied to assess the impacts of interventions.
Highest increase was observed in knowledge of physicians on adverse birth outcomes (25%) and NRT (20%) and information provided on effects of tobacco during ante-natal care (10%) in HC intervention units. Probability of providing information by physicians on effects of tobacco on chronic diseases was 5% higher in HC intervention units as compared to HCY & HY intervention units.
Implementing health system intervention with community intervention can help deliver effective tobacco cessation measures in primary care settings in India.
WHO Report on the Global Tobacco Epidemic, 2008: The MPOWER package. Geneva, World Health Organization, 2008.
Dr.Rajmohan Panda MD, MPH is a Senior Public Health Specialist at the Public Health Foundation of India (PHFI). He has a Global Health Leadership master’s degree from Emory University, certificate in Global Tobacco Control Leadership from Johns Hopkins and a public health leader implementation research certification in Non Communicable Diseases (NCDs) from Emory University, USA. He has led several projects on tobacco including the current global bridges project in collaboration with mayo clinic USA.
Dr Panda had led reviews of the National Health Mission and has been a key speaker on important panels on Universal Health Care and Tobacco Control in national and international forums
Source of funding: The study is part of a project called STEPS funded by the gates foundation and was executed between 2011-2013