SMOKING

CESSATION
PROGRAM

MA. KAHREN MAE M. PASCUA

FAMMED PGI-BIHMI
July 10, 2019
• An estimated 1.3 billion smokers
in the world

• 4.9 million people dying

because of tobacco use in a
year.

• Number of deaths by year 2020

• 10 million
• Motivation
• Advise and guidance
• Counseling
• Telephone and internet support
• Appropriate pharmaceutical aids
Around 10 million Filipinos needing help to quit smoking as of the
moment.
DOH Administrative Order No. 122 s. 2003

“ The Smoking Cessation Program to support the

National Tobacco Control and Healthy Lifestyle
Program”
Vision: Reduced prevalence of smoking
and minimizing smoking-related health risks.

Mission: To establish a National Smoking

Cessation Program (NSCP).
The program aims to:

1. Promote and advocate smoking cessation in the Philippines;

and

2. Provide smoking cessation services to current smokers

interested in quitting the habit.

OBJECTIVES
 1. Training

2. Advocacy

3. Health Education

4. Smoking Cessation Services

5. Research and Development

The NSCP shall have the following

components:
 The NSCP training committee shall define, review, and
regularly recommend training programs.

All DOH health personnel, LGUs, selected schools,

industrial and other government health practitioners must
be trained on the policies and guidelines on smoking
cessation.

1. Training
 2. Advocacy

A smoke-free environment (SFE) shall be

maintained in DOH and participating
non-DOH facilities, offices, attached
agencies, and retained hospitals.
 2. Advocacy

DOH officials, staff, and

employees, together with the
officials of participating non-DOH
offices, shall participate in
the observance and celebration of
the World No Tobacco Day/Month
3. Health Education

• Smokers shall be assisted to quit their habit

and their immediate family members shall be
empowered to assist and facilitate the smoking
cessation process.
4. Smoking Cessation Services
LEVEL OF CARE STAFFING Intervention Package DRUGS/MEDS EQUIPMENTS
PRIMARY LEVEL BHW • Risk assessment/ Risk None • Risk Assessment
I. Barangay RM Tool
Health Station screening (Note: Use Risk • Quit Contract
Assessment Form)
• Assess for Tobacco Use • Referral Form
• If smoker, do Brief
Intervention Advice (5 A's)
• If non-smoker, Congratulate
and advice continue Healthy
Lifestyle activity
 4. Smoking Cessation Services
LEVEL OF CARE STAFFING Intervention Package DRUGS/MEDS EQUIPMENTS
PRIMARY LEVEL Above Plus •Above Plus • Use of Nicotine Patient Assessment Tool:
Nurses Doctors and •Stages of change
II. RHU
other health •Quit Clinic Replacement
•DOH Protocol provides: therapy particularly •WHO Mental Health
personnel
Nicotine patch and Checklist
SECONDARY LEVEL •Assessment of client's Smoking History, •Motivation and Confidence
Current Smoking Status and Readiness to Nicotine Gum is
advocated to quit
stop smoking •Smoking History and
TERTIARY LEVEL •Planning for clients Readiness to stop Current Smoking Status
smoking •Self-test for reason for
•Quit day: Pharmacologic, Psychological smoking (Horn's Smoker's
and Behavioral Interventions Selt-test)
•Fagerstrom Nicotine
Dependencetest
- Identifying and address triggers for going •Self-test on Readiness to
back into smoking stop smoking
- Dealing with cravings to smoke •Previous attempts to stop
- Managing withdrawal syndromes smoking
•Monitoring and Prevention of Relapse •Form:
Quit Contract
Quit Lines
5. Research and Development
• Research and development activities are to
be conducted to better understand the
nature of nicotine dependence among
Filipinos and to undertake new
pharmacological approaches.
Partner Organizations:

• LUNG CENTER OF THE PHILIPPINES

• PHILIPPINE COLLEGE OF CHEST PHYSICIAN
• PHILIPPINE GENERAL HOSPITAL
• WORLD HEALTH ORGANIZATION
• PHILIPPINE ACADEMY OF FAMILY PHYSICIANS
• PHILIPPINE MEDICAL ASSOCIATION
• FRAMEWORK CONVENTION ON TOBACCO CONTROL
• PSYCHOLOGICAL ASSOCIATION OF THE PHILIPPINES
• SEVENTH DAY ADVENTIST
• PHILIPPINE AMBULATORY PEDIATRIC ASSOCIATION
• PHILIPPINE PSYCHIATRIC ASSOCIATION
• METROPOLITAN MANILA DEVELOPMENT AUTHORITY
Prochaska and Di Clemente’s
stages of change