Strategy for Improving Smoking Cessation Services in Primary Health Care

Risky Kusuma Hartono, Evita Rosdiana Hutapea

Abstract


Amidst the rising numbers of smokers in Indonesia and the increasing burden of smoking-related diseases on the country, the Smoking Cessation Services (SCS) still fail to operate optimally. The aim of this research is to develop a more effective strategy for the SCS model based on the challenges encountered during its implementation. The research method employed qualitative study with a case study approach. The research location was in Depok City, chosen as a national exemplary of SCS. Research period from February to May 2024. Data collection was conducted through in-depth interviews and observations at Community Health Centers who involved in SCS including health professionals, health promotors, and managers. The findings indicate that the SCS is not yet optimal due to insufficiently trained staff, low patient turnout, and failure to achieve the target quit rate. The services still focus on counseling and have not yet incorporated pharmacotherapy. The research concludes that short-term alternative strategies include follow-up calls to patients, establishing telecommunication groups with patients, and reaching out to new patients through schools, while long-term strategies such as program integration and building a telemedicine information system could be implemented to enhance patient visits.

Keywords


Health personnel training; smoking cessation services; cigarettes; evaluation; quit rate.

Full Text:

PDF

References


Agus, G., Pramana, I., Aryani, P., Cintya, P., Yuliyatni, D., & Ani, L. S. (2021). Evaluasi program klinik berhenti merokok (KBM) di Puskesmas Banjarangkan 2 V. Jurnal Medika Udayana, 10(3), 58–67. https://doi.org/10.24843.MU.2021.V10.i3.P10

Ayuningtyas, D. A., Tuinman, M. A., Prabandari, Y. S., & Hagedoorn, M. (2021). Smoking cessation experience in Indonesia: does the non-smoking wife play a role? Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.618182

Bauld, L., Bell, K., McCullough, L., Richardson, L., & Greaves, L. (2010). The effectiveness of NHS smoking cessation services: a systematic review. Journal of Public Health, 32(1), 71–82. https://doi.org/10.1093/pubmed/fdp074

Bella, A., Dartanto, T., Nurshadrina, D. S., Kusnadi, G., Moeis, F. R., Nurhasana, R., Satrya, A., & Thabrany, H. (2023). Do parental smoking behaviors affect children’s thinness, stunting, and overweight status in Indonesia? evidence from a large-scale longitudinal survey. Journal of Family and Economic Issues, 44, 714–726. https://doi.org/10.1007/s10834-022-09864-x

Centers for Disease Control, & World Health Organization. (2021). Global adult tobacco survey.

Central Bureau of Statistics. (2019). Survei Sosial Ekonomi Nasional 2019.

Darmawan, E. S., & Azni, N. (2022). Role of accreditation to the performance of non communicable diseases (NCD’s) control program and control in accredited and non accredited primary health care in Cimahi district. Journal of Indonesian Health Policy and Administration, 7(1), 176–190. https://doi.org/10.7454/ihpa.v7i1.3213

Gould, G. S., Bar-Zeev, Y., Bovill, M., Atkins, L., Gruppetta, M., Clarke, M. J., & Bonevski, B. (2017). Designing an implementation intervention with the Behaviour Change Wheel for health provider smoking cessation care for Australian Indigenous pregnant women. Implementation Science, 12(114). https://doi.org/10.1186/s13012-017-0645-1

Hartono, R. K., Hamid, S. A., & Hafizurrachman, M. (2019). Do the number of cigarettes smokes per day contribute to the incident of malignant cancer? Asian Pacific Journal of Cancer Prevention, 20(5), 1403–1408. https://doi.org/10.31557/APJCP.2019.20.5.1403

Jenssen, B., Leone, F., Evers-Casey, S., Beidas, R., & Schnoll, R. (2019). Building systems to address tobacco use in oncology: early benefits and opportunities from the cancer center cessation initiative. JNCCN Journal of the National Comprehensive Cancer Network, 17(6), 638–643. https://doi.org/10.6004/jnccn.2019.7312

Kasri, R. A., Rahmat, M. I., Ahsan, A., Muhammad, A., Purnamasari, A. T., Amalia, N., & Yuniar, A. M. (2020). Islam dan kesehatan masyarakat: studi kasus konsumsi rokok di Indonesia. UI Publishing.

Kassim, S., Al-Haboubi, M., & Croucher, R. (2016). Short-term smoking cessation in english resident adults of Bangladeshi origin: a service review. Nicotine and Tobacco Research, 18(4), 410–415. https://doi.org/10.1093/ntr/ntv097

Levy, D. E., Klinger, E. V., Linder, J. A., Fleegler, E. W., Rigotti, N. A., Park, E. R., & Haas, J. S. (2017). Cost-effectiveness of a health system-based smoking cessation program. Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco, 19(12), 1508–1515. https://doi.org/10.1093/ntr/ntw243

Meilissa, Y., Nugroho, D., Luntungan, N. N. H. W., & Dartanto, T. (2022). The 2019 economic cost of smoking-attributable diseases in Indonesia. Tobacco Control, 31, s133–s139. https://doi.org/10.1136/tobaccocontrol-2021-056890

Misnaniarti, Nugraheni, W. P., Nantabah, Z. K., Restuningtyas, F. R., Hartono, R. K., Rachmawati, T., Mubasyiroh, R., & Kusnali, A. (2023). Smoking behavior and hypertension among health workers during the COVID-19 pandemic: a case study in Java and Bali-Indonesia. Frontiers in Cardiovascular Medicine, 10(1146859). https://doi.org/10.3389/fcvm.2023.1146859

National Institute of Health Research and Development. (2018). Laporan Nasional RISKESDAS 2018. In Kementerian Kesehatan RI (Vol. 1, Issue 1). https://www.kemkes.go.id/article/view/19093000001/penyakit-jantung-penyebab-kematian-terbanyak-ke-2-di-indonesia.html

Pipe, A. L., Evans, W., & Papadakis, S. (2022). Smoking cessation: health system challenges and opportunities. Tobacco Control, 31, 340–347. https://doi.org/10.1136/tobaccocontrol-2021-056575

Saba, M., Diep, J., Saini, B., & Dhippayom, T. (2014). Meta-analysis of the effectiveness of smoking cessation interventions in community pharmacy. Journal of Clinical Pharmacy and Therapeutics, 39, 240–247. https://doi.org/10.1111/jcpt.12131

Sari, P., Sary, L., Angelina Febriani, C., Penawar Jaya, P., Rejo, P., Margo, B., Tulangbawang, K., Studi Kesehatan Masyarakat, P., Kesehatan Masyarakat, F., Kunci, K., & berhenti merokok, upaya. (2021). Kesadaran berhenti merokok masyarakat di wilayah kerja Puskesmas Penawar Jaya Kabupaten Tulang Bawang tahun 2020. Jurnal Dunia Kesmas, 10(1), 96–108. http://ejurnalmalahayati.ac.id/index.php/duniakesmas/index

Shelley, D., Nguyen, L., Pham, H., VanDevanter, N., & Nguyen, N. (2014). Barriers and facilitators to expanding the role of community health workers to include smoking cessation services in Vietnam: A qualitative analysis. BMC Health Services Research, 14(606). https://doi.org/10.1186/s12913-014-0606-1

Thanomsat, K., Yunibhand, J., & Preechawong, S. (2022). Effectiveness of an integrated smoking cessation service model on smoking status: A preliminary study. Tobacco Induced Diseases, 20(104). https://doi.org/10.18332/tid/155375

Thomas D, A. M. J. B. B., & George, J. (2017). System change interventions for smoking cessation. Cochrane Database of Systematic Reviews, 2. https://doi.org/10.1002/14651858.CD010742.pub2

World Health Organization. (2008). A policy package to reverse the tobacco epidemic. World Health Organization.

World Health Organization. (2016). Earmarked tobacco taxes: lessons learnt from nine countries. World Health Organization. http://www.who.int




DOI: http://dx.doi.org/10.17977/um044v9i22024p1-12

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Risky Kusuma Hartono, Evita Rosdiana Hutapea

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Preventia , ISSN: 2528-3006 (online), ISSN: 2528-2999 (cetak) email: jurnalpreventia@um.ac.id

Jurnal Preventia: Jurnal Kesehatan Masyarakat Indonesia diindeks oleh:

     

 

 


This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

View My Stats