Tobacco Cessation within TB Programmes

TB, Tobacco, Smoking, Cessation, Tuberculosis

Tobacco cessation within TB programmes: A ‘real world’ solution for countries with dual burden of disease.

The University of Leeds is conducting research as part of an international consortium project called TB and Tobacco, led by the University of York’s Department of Health Sciences and funded by the European Union’s Horizon 2020 research and innovation programme. The overarching aim of this four-year project is to investigate integration of a tobacco cessation strategy into the national tuberculosis (TB) programmes in three South Asian countries: Bangladesh, Nepal, and Pakistan.

During the first year of research, the University of Leeds has developed and tested for feasibility a behaviour support package in the three countries where the research is taking place.

The behaviour support package, aimed at all TB patients, will be used as part of the tobacco cessation strategies undertaken in each country. A mixed-method research design was used to adapt a behavioural support tool for tobacco cessation, originally developed in Pakistan, for the contexts of Nepal and Bangladesh. This involved identifying resources, competencies, and training needs of health professionals to deliver the package, and ascertaining wider contextual issues affecting delivery of tobacco cessation strategies in national TB programmes.

The support package developed includes (i) flipbooks for TB patients on adherence to medication and quitting tobacco; (ii) leaflets on TB and tobacco interaction, strategies to quit tobacco, and coping with withdrawal symptoms; and (iii) posters informing TB patients and others on the benefits of quitting tobacco and on the availability of support to do so. Over the next two years of the project, research will draw on the findings of this first year to understand the implementation process and influence of context on using this behavioural support method.

This project has received funding from the European Union's Horizon 2020 research and innovation programme, under grant agreement number 680995.  

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 TB, Tuberculosis, Tobacco


EU, European, Commission, Union, Horizon