Abstract
AimsTo report progress among Parties to the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) in developing tobacco dependence treatment systems in accordance with FCTC Article 14 and the Article 14 guidelines recommendations.DesignCross-sectional study.SettingElectronic survey from December 2011 to August 2012.ParticipantsOne hundred and sixty-three of the 174 Parties to the FCTC at the time of our survey.MeasurementsThe 51-item questionnaire contained 21 items specifically on treatment systems. Questions covered the availability of basic treatment infrastructure and national cessation support systems.FindingsWe received responses from 121 (73%) of the 166 countries surveyed. Fewer than half of the countries had national treatment guidelines (n = 53, 44%), a government official responsible for tobacco dependence treatment (n = 49, 41%), an official national treatment strategy (n = 53, 44%) or provided tobacco cessation support for health workers (n = 55, 46%). More than half encouraged brief advice in existing health care services (n = 68, 56%), while only 44 (36%) had quitlines and only 20 (17%) had a network of treatment support covering the whole country. Low- and middle-income countries had less tobacco dependence treatment provision than high-income countries.ConclusionMost countries, especially low- and middle-income countries, have not yet implemented the recommendations of FCTC Article 14 or the FCTC Article 14 guidelines.
Highlights
Article 14 of the 2005 World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) [1] requires Parties to take effective measures to promote cessation of tobacco use and adequate treatment for tobacco dependence
In this paper we report the results of a survey whose objective was to review the state of tobacco dependence treatment systems and national treatment guidelines in Parties to the FCTC, in order to gauge progress in implementing Article 14 and its guidelines
The only consistent finding in treatment provision by WHO region was that provision in Africa was generally lower than in other regions, probably as a result of the predominance of low- and lower-middle-income countries in the region. This is the most extensive survey of tobacco dependence treatment conducted to date, with responses from more than two-thirds of FCTC Parties
Summary
Article 14 of the 2005 World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) [1] requires Parties to take effective measures to promote cessation of tobacco use and adequate treatment for tobacco dependence. The guidelines state that treatment should be widely available, accessible and affordable and that cessation and treatment strategies should be monitored
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