Examining physicians’ preparedness for tobacco cessation services in India: Findings from primary care public health facilities in two Indian states

Abstract

The study highlights a lack of preparedness of primary care physicians to deliver tobacco cessation services. Both the curriculum in medical school and on-the-job training require an addition of a learning component on tobacco cessation. The addition of this component will enable existing primary care facilities to deliver tobacco cessation services.

Strategies for Tobacco Control in India: A Systematic Review

“…Regarding cessation, knowledge of options for input was reported to be much higher in a 2011 study [ 47 ] than in an earlier study (published 1995) [ 51 ], but still only 17% of participants felt sufficiently knowledgeable and skilled to deliver cessation services. 20% felt sufficiently prepared in a 2009–10 study [ 48 ].…”

Exploring practices of tobacco consumption and preparedness towards tobacco cessation amongst primary health care physicians in a selected district of Maharashtra, India

“…Response rate varied from 65.1 -83.8% in the studies conducted amongst health services doctors elsewhere. 21,22,16 Tobacco use was prevalent among 19(25.67%) participants of which 10 (52.64%) were present tobacco users and 9 (47.36%) had used tobacco in the past. Prevalence of tobacco use was variable in the studies conducted amongst doctors working in the government health set ups elsewhere.…”

“…14-17 However there is a limited published evidence about their preparedness and practices regarding tobacco cessation amongst them. [18][19][20][21][22][23][24] India including Maharashtra which is bearing a huge burden of tobacco users both in the present and in the near future is no exception to this situation. In this view, a study was undertaken to assess knowledge, attitude, practices in the above context amongst the doctors working in the government health set up in Maharashtra.…”

Current Trends and Impact of Smoking Cessation Interventions for Adult Smokers in Low and Middle Income Countries: A Systematic Literature Review

“…For the ten studies that assessed physicians' capacity, eight were cross-sectional surveys (Vanphanom et al, 2011;Zhou et al, 2010;Muller and Wehbe, 2008;Heydari et al, 2012;Merill et al, 2009;Raw et al, 2010;Panda et al, 2013;and Pine-Abata et al, 2012), one employed stratified random sampling methodology (Gong et al, 2012), and the last was a review (Li et al, 2007). Five of the articles that explored the reach, adoption and institutionalisation were cross-sectional studies (Muller and Wehbe, 2008;Raw et al, 2010;Pine-Abata et al, 2012) and one was a review (Heydari et al, 2012).…”

“…One study recruited participants through mass media publicities (Zhu et al, 2009), two were simulated cohorts of smokers (Higashi and Barendregt 2011;Gilbert et al, 2004), and one was a cross-sectional analysis of the Global Adult Tobacco Survey (GATS), India (Srivastava et al, 2013). For the ten studies on physicians' capacity, six studies recruited physicians from hospitals and health centres (Li et al, 2007;Zhou et al, 2010;Vanphanom et al, 2011;Gong et al, 2012;Merill et al, 2009;and Panda et al, 2013). The other four studies were deduced from filled questionnaires sent to the identified government officials responsible for tobacco dependence treatment in the study countries (Muller and Wehbe, 2008;Heydari et al, 2012;Raw et al, 2010;Pine-Abata et al, 2012).…”