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Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS
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Challenges in Expanding the Role of Health Care Providers and Delivering Treatment in India -- Jagdish Kaur, MBBS

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Presentation by Jagdish Kaur, MBBS, Union Health Ministry, India, at the Global Bridges Preconference at the 15th World Conference on Tobacco OR Health in Singapore.

Presentation by Jagdish Kaur, MBBS, Union Health Ministry, India, at the Global Bridges Preconference at the 15th World Conference on Tobacco OR Health in Singapore.

Published in: Health & Medicine
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  • 1. CHALLENGES faced inexpanding the role of healthcare providers and delivering treatment - India Dr Jagdish kaur
  • 2. Tobacco Use in India - GATS 84% tobacco users use it every day Smokers 14% Smokeless tobacco users 26%
  • 3. Burden of tobacco use Second largest consumer of tobacco in the world 275 million adults are tobacco users Prevalence in rural areas 38%, urban areas 25% Multiple smoking and SLT products in use
  • 4. Burden… Prevalence of overall tobacco use among males – 48% Among females – 20% Prevalence of smoking among males – 24% Among females 3% Prevalence of SLT use among males is 33% Among females 18%
  • 5. GYTS India 2009 13-15 years school students 14.6% use tobacco (boys 19%, girls, 8.3%) 4.4% smoke (boys 5.8%, girls 2.4%) 21.9% live in the homes where other smoke in their presence
  • 6. Multiple tobacco products in use
  • 7. Smoking productsBidis Hukka (Hubble Bubble)
  • 8. Smokeless Tobacco products Gutkha Mawa Khaini Mishri (masheri)Qiwam Creamy Pan masala snuff (betel quid)
  • 9. Smokeless Tobacco products Red Tooth Powder Snus (snuff)) ZardaOther smokeless forms of tobacco products are: Gudhaku (tobacco paste) Tuibur (Tobacco water)
  • 10. Quit attempts among SmokersGATS India 2010- Among smokers, 38% made an attempt to quit tobacco use in the past 12 months. 38% males, 39% females 39% urban, 38% rural Highest proportion of smokers who made an attempt to quit – 15-24 age group (47%) 1
  • 11. Quit attempts among SLT users 35% current and former users made an attempt to quit tobacco use in the past 12 months. 39% males, 29% females 37% urban, 35% rural Highest proportion of SLT users who made an attempt to quit – 15-24 age group (44%) 1
  • 12. Role of HCPs 53% of smokers who visited a HCP in the past 12 months were asked about the smoking habits and 46% were advised to stop smoking. 64% of smokers age 65 and above were asked about smoking habits and 58% were advised to quit, as compared to only 31% in the age group 15-24 years who were asked about smoking and 26% were advise to quit. 1
  • 13. Role of HCPs 35% of SLT users who visited a HCP were asked about the habit of SLT use and 27% were advised to quit. Males, urban residents and older persons were more likely to be asked about SLT use and advised about quitting. 1
  • 14. Methods of Quitting For Smoking For SLTCounseling 9.2% Counseling 7.6%Pharmacotherapy 4.1%Others (traditional medicines, switching Others (traditional medicines, otherto SLT, cold turkey) 26% products, cold turkey ) 26% 1
  • 15. Interest in quitting 47% of current smokers planned to quit smoking eventually (either within 12 months or after 12 months). 53% had no plans to quit. Younger smokers (15-24 yrs) and smokers with higher education were relatively more inclined to quit. A comparatively higher proportion of students planned to quit smoking either within a month or within a year. 1
  • 16. Interest in quitting 46% of users of SLT wanted to quit eventually. 55% had no plans to quit. 48% males and 39% females were interested in quitting. The proportion of SLT users interested in quitting decreased with age and increased with the level of education. A comparatively higher proportion of students planned to quit SLT use 1
  • 17. Training in Tobacco cessation UG medical, dental, nursing and pharmacy curriculum does not cover tobacco dependence treatment adequately. 1
  • 18. Available treatment methods Counseling NRT – gum Bupropion Varenicline Cost/affordability is a factor 1
  • 19. infrastructure for tobacco cessation  A network of Tobacco cessation clinics established in collaboration with WHO  Cessation facilities at the district hospital level under NTCP  General hospitals and TB hospitals  Private hospitals and clinics  Tobacco cessation Intervention Initiative by IDA 1
  • 20. India is thesecondcountry inSEAR to havenationalguidelines ontobaccodependencetreatment 2
  • 21. Manual fortraining ofprimaryhealth caredoctors wasdeveloped fortraining intobaccocontrolincludingcessation 2
  • 22. A Guide to trainhealth workersin tobaccocontrol including‘brief advice’was developedto build capacity. 2
  • 23. TB Tobacco Integration Project Highest burden for TB in the world, accounting for one fifth of the global incidence – 2 million cases annually. TB-Tobacco association is proven. Revised National Tuberculosis Programme under implementation all over the country. Doctors and health workers were trained to provide ‘brief advice’ to TB patients who were smokers/tobacco users. Encouraging preliminary results. 2
  • 24. Opportunities Interest in quitting tobacco use is high, especially among youth. Integration of tobacco cessation with on going national health programmes. 80% health care in private sector- involve private practitioners by training in tobacco dependence treatment. 2
  • 25. Main challenges Large proportion of population using tobacco Multiple tobacco products in use Limited infrastructure and capacity of health care delivery system for tobacco cessation Curriculum of health professionals lack training in tobacco dependence treatment (although covers alcohol and substance use). 2
  • 26. Way forward Develop and implement cost effective strategies for tobacco dependence treatment. Build capacity of health care delivery system to deal with high demand for quitting tobacco use. Integrate tobacco cessation in youth health programmes. Quitline 2
  • 27. Thank You 2

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