Feasibility of the novel ‘Tobacco-Free Hospital’ model and its compliance assessment at a tertiary care hospital of New Delhi, India

BACKGROUND: Tobacco is one of the biggest threats to the public health. Tobacco harms not only human health but also the environment. The Cigarette and Other Tobacco Products Act (COTPA) was implemented in India in 2003. Compliance of these laws in public places is mandatory. This study presents an...

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Main Authors: Surbhi Kapoor, Vikrant R Mohanty, Aswini Y Balappanavar, Shivam Kapoor, Kavita Rijhwani, Puneet Chahar, Sneha Malhotra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Education and Health Promotion
Subjects:
Online Access:http://www.jehp.net/article.asp?issn=2277-9531;year=2022;volume=11;issue=1;spage=382;epage=382;aulast=Kapoor
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author Surbhi Kapoor
Vikrant R Mohanty
Aswini Y Balappanavar
Shivam Kapoor
Kavita Rijhwani
Puneet Chahar
Sneha Malhotra
author_facet Surbhi Kapoor
Vikrant R Mohanty
Aswini Y Balappanavar
Shivam Kapoor
Kavita Rijhwani
Puneet Chahar
Sneha Malhotra
author_sort Surbhi Kapoor
collection DOAJ
description BACKGROUND: Tobacco is one of the biggest threats to the public health. Tobacco harms not only human health but also the environment. The Cigarette and Other Tobacco Products Act (COTPA) was implemented in India in 2003. Compliance of these laws in public places is mandatory. This study presents an innovative model to make hospitals tobacco-free. The aim is to assess the effectiveness of implementation of tobacco-free hospitals among security guards, tobacco users, and key observers visiting a tertiary care dental hospital through a comprehensive strategy. MATERIALS AND METHODS: An exploratory study was conducted in three phases. Structured training was organized for all security guards (n = 25) along with pre- and post-assessment using a validated questionnaire. All the patients and attendants entering the hospital were screened for tobacco products by security guards. Those patients who were carrying tobacco products to the hospital (n = 107) were interviewed using a validated questionnaire. Opinions of key observers (n = 223) who witnessed the event were also recorded. Descriptive statistics (means, frequency distribution) and inferential statistics (Chi-square test) were calculated. RESULTS: At the baseline, only 20% security guards were aware about tobacco legislations, whereas after 1 month, more than 80% security guards were aware about the laws. Around two-third of study participants of both the groups were aware of COTPA Section 4. Approximately 33.6% of tobacco users and 58.4% of key observers were aware of COTPA Section 6b. Forty tobacco users in the study availed tobacco cessation services of the hospital. CONCLUSION: Every staff should be a torch bearer of tobacco control. The study highlights a comprehensive approach of integrating hospital staff and linking vital cessation services by implementing Sections of COTPA.
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spelling doaj.art-a952cc6b59a647d8bdef98e65dc06f202022-12-22T04:41:33ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312022-01-0111138238210.4103/jehp.jehp_144_22Feasibility of the novel ‘Tobacco-Free Hospital’ model and its compliance assessment at a tertiary care hospital of New Delhi, IndiaSurbhi KapoorVikrant R MohantyAswini Y BalappanavarShivam KapoorKavita RijhwaniPuneet ChaharSneha MalhotraBACKGROUND: Tobacco is one of the biggest threats to the public health. Tobacco harms not only human health but also the environment. The Cigarette and Other Tobacco Products Act (COTPA) was implemented in India in 2003. Compliance of these laws in public places is mandatory. This study presents an innovative model to make hospitals tobacco-free. The aim is to assess the effectiveness of implementation of tobacco-free hospitals among security guards, tobacco users, and key observers visiting a tertiary care dental hospital through a comprehensive strategy. MATERIALS AND METHODS: An exploratory study was conducted in three phases. Structured training was organized for all security guards (n = 25) along with pre- and post-assessment using a validated questionnaire. All the patients and attendants entering the hospital were screened for tobacco products by security guards. Those patients who were carrying tobacco products to the hospital (n = 107) were interviewed using a validated questionnaire. Opinions of key observers (n = 223) who witnessed the event were also recorded. Descriptive statistics (means, frequency distribution) and inferential statistics (Chi-square test) were calculated. RESULTS: At the baseline, only 20% security guards were aware about tobacco legislations, whereas after 1 month, more than 80% security guards were aware about the laws. Around two-third of study participants of both the groups were aware of COTPA Section 4. Approximately 33.6% of tobacco users and 58.4% of key observers were aware of COTPA Section 6b. Forty tobacco users in the study availed tobacco cessation services of the hospital. CONCLUSION: Every staff should be a torch bearer of tobacco control. The study highlights a comprehensive approach of integrating hospital staff and linking vital cessation services by implementing Sections of COTPA.http://www.jehp.net/article.asp?issn=2277-9531;year=2022;volume=11;issue=1;spage=382;epage=382;aulast=Kapoorhospital and ethicshospital auxiliariestobacco productstobacco use and cessation
spellingShingle Surbhi Kapoor
Vikrant R Mohanty
Aswini Y Balappanavar
Shivam Kapoor
Kavita Rijhwani
Puneet Chahar
Sneha Malhotra
Feasibility of the novel ‘Tobacco-Free Hospital’ model and its compliance assessment at a tertiary care hospital of New Delhi, India
Journal of Education and Health Promotion
hospital and ethics
hospital auxiliaries
tobacco products
tobacco use and cessation
title Feasibility of the novel ‘Tobacco-Free Hospital’ model and its compliance assessment at a tertiary care hospital of New Delhi, India
title_full Feasibility of the novel ‘Tobacco-Free Hospital’ model and its compliance assessment at a tertiary care hospital of New Delhi, India
title_fullStr Feasibility of the novel ‘Tobacco-Free Hospital’ model and its compliance assessment at a tertiary care hospital of New Delhi, India
title_full_unstemmed Feasibility of the novel ‘Tobacco-Free Hospital’ model and its compliance assessment at a tertiary care hospital of New Delhi, India
title_short Feasibility of the novel ‘Tobacco-Free Hospital’ model and its compliance assessment at a tertiary care hospital of New Delhi, India
title_sort feasibility of the novel tobacco free hospital model and its compliance assessment at a tertiary care hospital of new delhi india
topic hospital and ethics
hospital auxiliaries
tobacco products
tobacco use and cessation
url http://www.jehp.net/article.asp?issn=2277-9531;year=2022;volume=11;issue=1;spage=382;epage=382;aulast=Kapoor
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