A systematic review of tobacco smoking cessation services in Africa: Practices and challenges faced by healthcare workers
Background: Tobacco smoking is a global public health challenge, resulting in an estimated loss of 1.4 trillion United States Dollars (USD), a preventable risk that can be achieved through tobacco cessation services. The study, therefore, aimed to review the most frequently used methods employed by...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Journal of Ideas in Health
2021-05-01
|
| Series: | Journal of Ideas in Health |
| Subjects: | |
| Online Access: | https://jidhealth.com/index.php/jidhealth/article/view/119 |
| _version_ | 1828031975468826624 |
|---|---|
| author | Olayinka Stephen Ilesanmi Victoria Ifeoma Agwai Aanuoluwapo Adeyimika Afolabi |
| author_facet | Olayinka Stephen Ilesanmi Victoria Ifeoma Agwai Aanuoluwapo Adeyimika Afolabi |
| author_sort | Olayinka Stephen Ilesanmi |
| collection | DOAJ |
| description | Background: Tobacco smoking is a global public health challenge, resulting in an estimated loss of 1.4 trillion United States Dollars (USD), a preventable risk that can be achieved through tobacco cessation services. The study, therefore, aimed to review the most frequently used methods employed by healthcare workers (HCWs) in providing tobacco cessation services and reported challenges in Africa.
Methods: A systematic review was conducted using five electronic databases (PubMed, Base, PsychInfo, Google Scholar, and African Journal Online) for published studies on HCW’s practices and challenges on tobacco cessation in Africa. We adopted a three-stage methodology to conduct the study, which identified articles using pre-defined key terms, screened articles to remove duplicates, and excluded irrelevant articles after reading the manuscripts’ titles and abstracts.
Results: We reviewed articles and found that 35.0% to 83.0% of HCWs frequently asked their patients to quit smoking. Also, 14.9% of HCWs assisted smoking cessation among their patients, among whom 3.9% prescribed oral depressants and 2.8% prescribed Nicotine Replacement Therapy (NRT). Further, 17.0% of HCWs had guidelines to help patients to cease smoking. Challenges were lack of efficacy and training, lack of system support, low sense of responsibility by some physicians to incorporate the smoking cessation therapy to their patients, lack of attractive educational resources on smoking cessation, limited knowledge on effective intervention strategies, lack of guidelines, lack of specialists for smoking cessation, and unavailability of NRT.
Conclusion: Follow-up should be commenced and intensified by HCWs for smoking cessation among tobacco smokers. |
| first_indexed | 2024-04-10T14:57:54Z |
| format | Article |
| id | doaj.art-a889528956bb4372af5357493f1a7355 |
| institution | Directory Open Access Journal |
| issn | 2645-9248 |
| language | English |
| last_indexed | 2024-04-10T14:57:54Z |
| publishDate | 2021-05-01 |
| publisher | Journal of Ideas in Health |
| record_format | Article |
| series | Journal of Ideas in Health |
| spelling | doaj.art-a889528956bb4372af5357493f1a73552023-02-15T16:07:17ZengJournal of Ideas in HealthJournal of Ideas in Health2645-92482021-05-014210.47108/jidhealth.Vol4.Iss2.119A systematic review of tobacco smoking cessation services in Africa: Practices and challenges faced by healthcare workersOlayinka Stephen Ilesanmi0Victoria Ifeoma Agwai1Aanuoluwapo Adeyimika Afolabi2Department of Community Medicine, College of Medicine, University of Ibadan, Oyo State, Nigeria; Department of Community Medicine, College of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria.Department of Community Medicine, College of Medicine, University of Ibadan, Oyo State, NigeriaDepartment of Community Medicine, College of Medicine, University of Ibadan, Oyo State, NigeriaBackground: Tobacco smoking is a global public health challenge, resulting in an estimated loss of 1.4 trillion United States Dollars (USD), a preventable risk that can be achieved through tobacco cessation services. The study, therefore, aimed to review the most frequently used methods employed by healthcare workers (HCWs) in providing tobacco cessation services and reported challenges in Africa. Methods: A systematic review was conducted using five electronic databases (PubMed, Base, PsychInfo, Google Scholar, and African Journal Online) for published studies on HCW’s practices and challenges on tobacco cessation in Africa. We adopted a three-stage methodology to conduct the study, which identified articles using pre-defined key terms, screened articles to remove duplicates, and excluded irrelevant articles after reading the manuscripts’ titles and abstracts. Results: We reviewed articles and found that 35.0% to 83.0% of HCWs frequently asked their patients to quit smoking. Also, 14.9% of HCWs assisted smoking cessation among their patients, among whom 3.9% prescribed oral depressants and 2.8% prescribed Nicotine Replacement Therapy (NRT). Further, 17.0% of HCWs had guidelines to help patients to cease smoking. Challenges were lack of efficacy and training, lack of system support, low sense of responsibility by some physicians to incorporate the smoking cessation therapy to their patients, lack of attractive educational resources on smoking cessation, limited knowledge on effective intervention strategies, lack of guidelines, lack of specialists for smoking cessation, and unavailability of NRT. Conclusion: Follow-up should be commenced and intensified by HCWs for smoking cessation among tobacco smokers.https://jidhealth.com/index.php/jidhealth/article/view/119Africa, Healthcare Workers, Tobacco, Tobacco Cessation, Tobacco Smokers, Systematic Review |
| spellingShingle | Olayinka Stephen Ilesanmi Victoria Ifeoma Agwai Aanuoluwapo Adeyimika Afolabi A systematic review of tobacco smoking cessation services in Africa: Practices and challenges faced by healthcare workers Journal of Ideas in Health Africa, Healthcare Workers, Tobacco, Tobacco Cessation, Tobacco Smokers, Systematic Review |
| title | A systematic review of tobacco smoking cessation services in Africa: Practices and challenges faced by healthcare workers |
| title_full | A systematic review of tobacco smoking cessation services in Africa: Practices and challenges faced by healthcare workers |
| title_fullStr | A systematic review of tobacco smoking cessation services in Africa: Practices and challenges faced by healthcare workers |
| title_full_unstemmed | A systematic review of tobacco smoking cessation services in Africa: Practices and challenges faced by healthcare workers |
| title_short | A systematic review of tobacco smoking cessation services in Africa: Practices and challenges faced by healthcare workers |
| title_sort | systematic review of tobacco smoking cessation services in africa practices and challenges faced by healthcare workers |
| topic | Africa, Healthcare Workers, Tobacco, Tobacco Cessation, Tobacco Smokers, Systematic Review |
| url | https://jidhealth.com/index.php/jidhealth/article/view/119 |
| work_keys_str_mv | AT olayinkastephenilesanmi asystematicreviewoftobaccosmokingcessationservicesinafricapracticesandchallengesfacedbyhealthcareworkers AT victoriaifeomaagwai asystematicreviewoftobaccosmokingcessationservicesinafricapracticesandchallengesfacedbyhealthcareworkers AT aanuoluwapoadeyimikaafolabi asystematicreviewoftobaccosmokingcessationservicesinafricapracticesandchallengesfacedbyhealthcareworkers AT olayinkastephenilesanmi systematicreviewoftobaccosmokingcessationservicesinafricapracticesandchallengesfacedbyhealthcareworkers AT victoriaifeomaagwai systematicreviewoftobaccosmokingcessationservicesinafricapracticesandchallengesfacedbyhealthcareworkers AT aanuoluwapoadeyimikaafolabi systematicreviewoftobaccosmokingcessationservicesinafricapracticesandchallengesfacedbyhealthcareworkers |