“STOP the PUFF! Tayo’y mag bagong BAGA, SIGARILYO ay ITIGIL”: A Pilot Community-based Tobacco Intervention Project in an Urban Settlement


The success rate for smoking cessation in the country remain low despite the intensified efforts of the government to curb smoking. There is a need to support tobacco control policies with clinical interventions for smoking cessation. However, cessation experts in the country are few and healthcare workers with training on tobacco interventions are limited.  The project aimed to address the clinical aspect of tobacco control by establishing tobacco cessation services in the community. This was done by providing brief tobacco intervention training among health workers and community leaders, thus allowing this intervention to be integrated in the existing programs of the community health center. This also led to the creation of possible referral mechanisms to cessation support providers. This was complemented with health education activities that promote smoke-free behavior.

Keywords: tobacco; cigarette smoking; tobacco dependence; smoking cessation; brief advice; brief tobacco intervention​​​​​

  1. World Health Organization. WHO Tobacco Fact Sheet 2019. [Internet]. 2019 [cited 04 April 2019]. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco

  2. World Health Organization. WHO global report on trends in prevalence of tobacco smoking. [Internet]. 2015 [cited 04 April 2019]. Available from: https://apps.who.int/iris/bitstream/handle/10665/156262/9789241564922_eng.pdf;jsessionid=8FA5678C2197750E092EFFACF9FD0F0E?sequence=

  3. Philippine Statistics Authority. Registered Deaths in the Philippines, 2017. [Internet]. 2019 [cited 08 January 2020]. Available from: https://psa.gov.ph/vital-statistics/id/138794

  4. Department of Health Philippines. Global Adult Tobacco Survey: Philippine Country Report, 2015. [Internet]. 2015 [cited 08 April 2019]. Available from: https://www.who.int/tobacco/surveillance/survey/gats/phl_country_report.pdf

  5. World Health Organization Tobacco Free Initiative. Strengthening health systems for treating tobacco dependence in primary care. Building capacity for tobacco control: training package. [Internet]. 2013 [cited 05 January 2020]. Available from: https://www.who.int/tobacco/publications/building_capacity/training_package/treatingtobaccodependence/en/

  6. Ayo-Yusuf O, Szymanski B. Factors associated with smoking cessation in South Africa. South African Medical Journal [Internet]. 2010;100(3):175–9. Available from: http://www.samj.org.za/index.php/samj/article/view/3842

  7. Lee C, Kahende J. Factors Associated With Successful Smoking Cessation in the United States, 2000. Am J Public Health [Internet]. 2007 Aug;97(8):1503–9. Available from: http://dx.doi.org/10.2105/AJPH.2005.083527

  8. Yeom H, Lim H-S, Min J, Lee S, Park Y-H. Factors Affecting Smoking Cessation Success of Heavy Smokers Registered in the Intensive Care Smoking Cessation Camp (Data from the National Tobacco Control Center). Osong Public Health Res Perspect [Internet]. 2018 Oct 31;9(5):240–7. Available from: http://dx.doi.org/10.24171/j.phrp.2018.9.5.05

  9. Azevedo RCS de, Fernandes RF. Factors relating to failure to quit smoking: a prospective cohort study. Sao Paulo Med J [Internet]. 2011 Dec;129(6):380–6. Available from: http://dx.doi.org/10.1590/s1516-31802011000600003

  10. Kim Y, Cho W-K. Factors associated with successful smoking cessation in Korean adult males: Findings from a national survey. Iran J Public Health. 2014;43(11):1486–96.

  11. Khati I, Menvielle G, Chollet A, Younès N, Metadieu B, Melchior M. What distinguishes successful from unsuccessful tobacco smoking cessation? Data from a study of young adults (TEMPO). Preventive Medicine Reports [Internet]. 2015;2:679–85. Available from: http://dx.doi.org/10.1016/j.pmedr.2015.08.006

  12. Bacha ZA, Layoun N, Khayat G, Hallit S. Factors associated with smoking cessation success in Lebanon. Pharm Pract (Granada) [Internet]. 2018 Mar 31;16(1):1111. Available from: http://dx.doi.org/10.18549/PharmPract.2018.01.1111

  13. Holm M, Schiöler L, Andersson E, Forsberg B, Gislason T, Janson C, et al. Predictors of smoking cessation: A longitudinal study in a large cohort of smokers. Respiratory Medicine [Internet]. 2017 Nov;132:164–9. Available from: http://dx.doi.org/10.1016/j.rmed.2017.10.013

  14. DiGiacomo M, Davidson P, Abbott P, Davison J, Moore L, Thompson S. Smoking Cessation in Indigenous Populations of Australia, New Zealand, Canada, and the United States: Elements of Effective Interventions. IJERPH [Internet]. 2011 Jan 31;8(2):388–410. Available from: http://dx.doi.org/10.3390/ijerph8020388

  15. Estreet A, Apata J, Kamangar F, Schutzman C, Buccheri J, O’Keefe A-M, et al. Improving participants’ retention in a smoking cessation intervention using a community-based participatory research approach. Int J Prev Med. 2017;8:106.

  16. Asvat Y, Cao D, Africk JJ, Matthews A, King A. Feasibility and Effectiveness of a Community-Based Smoking Cessation Intervention in a Racially Diverse, Urban Smoker Cohort. Am J Public Health [Internet]. 2014 Sep;104(S4):S620–7. Available from: http://dx.doi.org/10.2105/AJPH.2014.302097

  17. Levinson AH, Valverde P, Garrett K, Kimminau M, Burns EK, Albright K, et al. Community-based navigators for tobacco cessation treatment: a proof-of-concept pilot study among low-income smokers. BMC Public Health [Internet]. 2015 Jul 9;15(1). Available from: http://dx.doi.org/10.1186/s12889-015-1962-4

  18. Li WHC, Chan SSC, Wan ZSF, Wang MP, Ho KY, LAM TH. Development of a community-based network to promote smoking cessation among female smokers in Hong Kong. BMC Public Health [Internet]. 2017 Apr 11;17(1). Available from: http://dx.doi.org/10.1186/s12889-017-4213-z

  19. Matthews AK, Li C-C, Kuhns LM, Tasker TB, Cesario JA. Results from a Community-Based Smoking Cessation Treatment Program for LGBT Smokers. Journal of Environmental and Public Health [Internet]. 2013;2013:1–9. Available from: http://dx.doi.org/10.1155/2013/984508

  20. Whitehouse E, Lai J, Golub JE, Farley JE. A systematic review of the effectiveness of smoking cessation interventions among patients with tuberculosis. Public Health Action. 2018;8(2):37–49.

  21. Department of Health. Brief Tobacco Intervention Training Module: October 2019; unpublished.

  22. Municipality of Rizal. Situational Analysis Report: 2013;unpublished.

  23. Department of Health, Philippines. Philippine National Tobacco Control Strategy. [Internet]. 2011 [cited 22 May 2019]. Available from: https://www.doh.gov.ph/sites/default/files/publications/NationalTobaccoControlStrategy%28NTCS%29.pdf

  24. Fu D, Gratziou C, Jiménez-Ruiz C, Faure M, Ward B, Ravara S, et al. The WHO–ERS Smoking Cessation Training Project: the first year of experience. ERJ Open Res [Internet]. 2018 Jul;4(3):00070–2018. Available from: http://dx.doi.org/10.1183/23120541.00070-2018

Articles related to the one you are viewing

There are currently no results to show, please try again later

CC BY: Open Access Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/