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Barriers and facilitators to expanding the role of community health workers to include smoking cessation services in Vietnam: a qualitative analysis
BACKGROUND: Despite high smoking rates, cessation services are largely unavailable in Vietnam. This study explored attitudes and beliefs of community health workers (CHWs) towards expanding their role to include delivering tobacco use treatment (TUT), and potential barriers and facilitators associat...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247125/ https://www.ncbi.nlm.nih.gov/pubmed/25424494 http://dx.doi.org/10.1186/s12913-014-0606-1 |
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author | Shelley, Donna Nguyen, Linh Pham, Hieu VanDevanter, Nancy Nguyen, Nam |
author_facet | Shelley, Donna Nguyen, Linh Pham, Hieu VanDevanter, Nancy Nguyen, Nam |
author_sort | Shelley, Donna |
collection | PubMed |
description | BACKGROUND: Despite high smoking rates, cessation services are largely unavailable in Vietnam. This study explored attitudes and beliefs of community health workers (CHWs) towards expanding their role to include delivering tobacco use treatment (TUT), and potential barriers and facilitators associated with implementing a strategy in which health centers would refer patients to CHWs for cessation services. METHODS: We conducted four focus groups with 29 CHWs recruited from four district community health centers (CHCs) in Hanoi, Vietnam. RESULTS: Participants supported expanding their role saying that it fit well with their current responsibilities. They further endorsed the feasibility of serving as a referral resource for providers in local CHCs expressing the belief that CHWs were “more suitable than their clinical colleagues” to offer cessation assistance. The most frequently cited barrier to routinely offering cessation services was that despite enacting a National Tobacco Control Action plan, cessation is not one of the national prevention priorities. As a result, CHWs have not been “assigned” to help smokers quit by the Ministry of Health. Additional barriers included lack of training and time constraints. CONCLUSION: Focus groups suggest that implementing a systems-level intervention that allows providers to refer smokers to CHWs is a promising model for extending the treatment of tobacco use beyond primary care settings and increasing access to smoking cessation services in Vietnam. There is a need to test the cost-effectiveness of this and other strategies for implementing TUT guidelines to support and inform national tobacco control policies in Vietnam and other low-and middle-income countries. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12913-014-0606-1) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4247125 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-42471252014-11-29 Barriers and facilitators to expanding the role of community health workers to include smoking cessation services in Vietnam: a qualitative analysis Shelley, Donna Nguyen, Linh Pham, Hieu VanDevanter, Nancy Nguyen, Nam BMC Health Serv Res Research Article BACKGROUND: Despite high smoking rates, cessation services are largely unavailable in Vietnam. This study explored attitudes and beliefs of community health workers (CHWs) towards expanding their role to include delivering tobacco use treatment (TUT), and potential barriers and facilitators associated with implementing a strategy in which health centers would refer patients to CHWs for cessation services. METHODS: We conducted four focus groups with 29 CHWs recruited from four district community health centers (CHCs) in Hanoi, Vietnam. RESULTS: Participants supported expanding their role saying that it fit well with their current responsibilities. They further endorsed the feasibility of serving as a referral resource for providers in local CHCs expressing the belief that CHWs were “more suitable than their clinical colleagues” to offer cessation assistance. The most frequently cited barrier to routinely offering cessation services was that despite enacting a National Tobacco Control Action plan, cessation is not one of the national prevention priorities. As a result, CHWs have not been “assigned” to help smokers quit by the Ministry of Health. Additional barriers included lack of training and time constraints. CONCLUSION: Focus groups suggest that implementing a systems-level intervention that allows providers to refer smokers to CHWs is a promising model for extending the treatment of tobacco use beyond primary care settings and increasing access to smoking cessation services in Vietnam. There is a need to test the cost-effectiveness of this and other strategies for implementing TUT guidelines to support and inform national tobacco control policies in Vietnam and other low-and middle-income countries. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12913-014-0606-1) contains supplementary material, which is available to authorized users. BioMed Central 2014-11-26 /pmc/articles/PMC4247125/ /pubmed/25424494 http://dx.doi.org/10.1186/s12913-014-0606-1 Text en © Shelley et al.; licensee BioMed Central Ltd. 2014 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Shelley, Donna Nguyen, Linh Pham, Hieu VanDevanter, Nancy Nguyen, Nam Barriers and facilitators to expanding the role of community health workers to include smoking cessation services in Vietnam: a qualitative analysis |
title | Barriers and facilitators to expanding the role of community health workers to include smoking cessation services in Vietnam: a qualitative analysis |
title_full | Barriers and facilitators to expanding the role of community health workers to include smoking cessation services in Vietnam: a qualitative analysis |
title_fullStr | Barriers and facilitators to expanding the role of community health workers to include smoking cessation services in Vietnam: a qualitative analysis |
title_full_unstemmed | Barriers and facilitators to expanding the role of community health workers to include smoking cessation services in Vietnam: a qualitative analysis |
title_short | Barriers and facilitators to expanding the role of community health workers to include smoking cessation services in Vietnam: a qualitative analysis |
title_sort | barriers and facilitators to expanding the role of community health workers to include smoking cessation services in vietnam: a qualitative analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247125/ https://www.ncbi.nlm.nih.gov/pubmed/25424494 http://dx.doi.org/10.1186/s12913-014-0606-1 |
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