The effective of tobacco control implementation model, and main attributes / skills of the Provincial Health Office in Provincial Tobacco Control

Abstract

World Health Organization Determined, Tobacco is one of nine major risk factors for non-communicable diseases and setting goal to reduce tobacco consumption 30% in 2025. The trend of tobacco consumption situation in 2011 - 2014 in Thailand was found stable. 50,710 died from diseases caused by smoking (Economic Burden of Smoking-Related Diseases in Thailand 2009). Cost of economic lost from smoking related diseases was 52.1 billion baht accounting for 0.54% of GDP. In the currently, tobacco control activities at the provincial level were lacking in the form and structure of operations, depending on the context of the area. Studies areas were province where tobacco consumption both decreased and increased. Randomly selected were 4 the Office of Disease Prevention and Control: 11 (Nakhon Si Thammarat), 6 (Khon Kaen), 10 (Chiang Mai), and 1 (Bangkok). There are 10 to 20 percent difference in the rate of tobacco consumption in the selected provinces according to 2 provinces with the highest rate of increase and decrease. It found that the important of difference operation model to tobacco control operations needs various measures to cooperation were required.

The effective tobacco control model required the following key components and operations: an important element in tobacco control operations was the need for policy, management must prioritize as a strategy of the province, and need to work together among the networks of public, private and civil society. The participants were the core of the operation. The Tobacco Control Board, or the Integral Committee, and its clear roles and responsibilities, were comprised of government, private, and civil society organizations. The district working group should be find partners in the network work together. The plan is to operate as a land-based policy, such as operating a non-smoking community. Mechanisms for action were several measures, tobacco awareness, the implementation of non-smoking public places, planning and action plans, tobacco control surveillance systems, and law enforcement. Smoking cessation counseling services were provided by monitoring and evaluation. Operational models were working under provincial committees, network partners, and serve as mentors or leaders, then support the network on thinking and acting as the work of all the agencies work together. There was a clearly defined role for each agency, focusing on the implementation of awareness on harmful, protect public space and the tobacco control system respectively.

The skills needed of carry out tobacco control are the experience in the tobacco operation, the ability to coordinate, responsibility to problems solved, and have positive thinking. The required operational characteristics of personnel are awareness raising, harm reduction, preventive surveillance, smoking cessation, job planning and action plans, and law enforcement alerts. Skills needed to perform include communication skills, problem solving, promoting participation, thinking, positive thinking, coordinating work with networks, facilitating learning processes, and leadership skills.