Delivery Of Assistance Research Articles

Efektivitas Program Peningkatan Diversifikasi dan Ketahanan Pangan Masyarakat Melalui Kegiatan Pekarangan Pangan Lestari (P2L) pada Kelompok Wanita Tani di Kota Tangerang Selatan

Sustainable Food Yard (P2L) is one of the priority programs in maintaining community food security. However, in the implementation of the program there are still problems, including the late delivery of assistance which has an impact on the delay in the implementation of activities so that the P2L program does not run in accordance with the technical instructions that have been issued each year, and assistance that is less than optimal. The purpose of this study was to determine and analyze the effectiveness of the program to increase diversification and community food security through sustainable food yard activities (P2L) in farm women's groups in South Tangerang City. The method in this research is a qualitative approach with descriptive method. Data collection techniques used three ways, observation, interviews, and documentation studies. Then the collected data were analyzed using data reduction, data presentation, and conclusion drawing techniques. The results showed that the achievement of the program has not yet shown the expected effectiveness due to the delay in disbursement of funds which has an impact on the delay in the implementation of activities and has not yet achieved the program objectives in fulfilling food and nutrition sources, especially for stunting so that it has not been able to contribute to helping Posyandu in providing animal protein in the stunting locus determined by the Mayor of South Tangerang. The integration indicator is not yet fully effective because there are still farm women groups that have not received intensive assistance from the program assistants. In addition, the implementation of P2L procedures applied in South Tangerang City has not been maximized because the concept of seedling houses is not suitable for the hot conditions in South Tangerang City. The adaptation indicator has not run optimally because the use of facilities and infrastructure for P2L activities is still limited to conventional agricultural tools.

Tackling the stakeholders’ requirements for the delivery of cash and voucher assistance in a conflict setting

Tackling the stakeholders’ requirements for the delivery of cash and voucher assistance in a conflict setting

Humanitarianism’s Thin Red Line: Armed Escorts in Theory and Practice

In armed conflicts around the world, armed escorts are increasingly used by civilian actors in the delivery of humanitarian assistance. These escorts, at times, include peacekeepers, counter-insurgents, armed forces, armed groups or even private security companies. The use of armed actors, however, remains a critically underexplored issue. This paper will assess the theory and practice of the use of armed escorts by humanitarian actors, uncovering the legitimising discourse and the impact that armed escorts have on humanitarian principles and acceptance by local communities. It accomplishes this through a critical analysis of humanitarian guidelines and policy documents and draws from the limited research on armed escorts. The article draws from fieldwork in Sudan in 2022 to empirically show these trends in Darfur, demonstrating that the use of armed escorts by one non-governmental organisation can cause a knock-on effect to others, and that once in place, there is a lock-in effect.

Supporting Local Public Health and Planning Professionals to Implement Built Environment Changes: A Technical Assistance Program to Promote Physical Activity in Texas.

Built environment approaches that improve active transportation infrastructure and environmental design can increase physical activity. Funded by the Centers for Disease Control and Prevention, the Texas Department of State Health Services rejuvenated the Texas Plan4Health program from 2018 to 2023 to expand such approaches in Texas by providing technical assistance to teams of local public health professionals and planners to identify and implement projects connecting people to everyday destinations via active transport in their communities. However, the COVID-19 pandemic prompted Texas Plan4Health to modify the delivery of technical assistance to accommodate restrictions on travel and in-person gatherings. We used qualitative methods to conduct a postintervention process evaluation to describe the modified technical assistance process, understand the experiences of the 4 participating communities, and identify short-term outcomes and lessons learned. Texas Plan4Health helped communities overcome common barriers to built environment change, facilitated collaboration across community public health and planning professionals, and educated professionals about active transportation infrastructure and the relationship between their disciplines, thereby increasing community capacity to implement built environment improvements. This outcome, however, was mediated by the pre-existing resources and previous experiences with active transportation planning among the participating communities. Public health practitioners seeking to improve active transportation infrastructure and environmental design for physical activity should consider community-engaged approaches that advance partnership-building and collaborative experiential education among public health, planning, and other local government representatives, directing particular attention and additional training toward communities with fewer resources.

Improving delivery of smoking cessation assistance for patients with cancer: Results of the Beyond ASK quality improvement.

11011 Background: Smoking by cancer patients and survivors causes adverse health outcomes, and quitting smoking after a cancer diagnosis can improve survival. However, assistance with smoking cessation is not regularly provided to cancer patients. Reported are results of the national 2023 Beyond ASK quality improvement initiative to increase and sustain delivery of smoking cessation assistance across participating sites. Methods: In 2023, American College of Surgeons Commission on Cancer (CoC) accredited sites were invited to participate in the Beyond ASK quality improvement initiative to increase evidence-based smoking cessation assistance delivery to cancer patients who report current smoking. Participating sites were required to monitor and periodically report on provider performance (e.g., assist rate = number of patients assisted with smoking cessation / number of patients who smoke), resource utilization, barriers, and facilitators. Educational resources, webinars, toolkits, and online data collection were facilitated by CoC. Results: Among 306 participating programs who completed the Beyond ASK initiative (94% of baseline programs), high rates of asking patients about and documenting smoking status were maintained at 88-92% from the baseline to final survey. During the 12-month project period, overall rates of assisting with smoking cessation increased from 53% to 67%. Referral to state quitlines increased from 31% to 49%, and referral to ‘in house’ smoking cessation programs increased from 15% to 28%. Rates of providing brief in office counseling more than tripled from 20% at baseline to 66% at final. The most frequently reported components that contributed to programs’ success were educational webinars (30.6%), structured data collection (28.2%), and smoking cessation toolkit (21.2%). The leading logistical barriers were extracting clinical data from the EHR and making changes to the clinical workflow, reported by 36.5% and 28.2% of respondents, respectively. Overall, 95.3% of respondents “agreed” or “strongly agreed” that identifying patients who smoke and assisting patients with cessation was sustainable. Conclusions: Increasing smoking cessation assistance through a national accreditation organization is feasible with substantial improvements in assisting patients. Results support delivery of smoking cessation as an achievable national quality component of cancer care.

The Role of Cooperative Extension in Delivering Training and Technical Assistance to Support Evidence-Based Behavioral Health Practices in Rural Communities.

The opioid epidemic in the United States continues to disproportionately affect those in rural, compared to urban, areas due to a variety of treatment and recovery barriers. One mechanism to increase capacity of rural-serving providers is through delivery of training and technical assistance (TTA) for evidence-based programs by leveraging the Cooperative Extension System. Guided by the Interactive Systems Framework, the current study evaluates TTA delivered by the Northwest Rural Opioid Technical Assistance Collabroative to opioid prevention, treatment, and recovery providers on short- (satisfaction, anticipated benefit), medium-, (behavioral intention to change current practice), and long-term goals (changes toward adoption of evidence-based practices). We also evaluated differences in short- and medium-term goals by intensity of TTA event and rurality of provider. Surveys of 351 providers who received TTA indicated high levels of satisfaction with TTA events attended, expressed strong agreement that they would benefit from the event, intended to make a professional practice change, and preparation toward implementing changes. Compared to urban-based providers, rural providers reported higher intention to use TTA information to change current practice. We conclude with a review of remaining gaps in the research to practice pipeline and recommendations for moving forward.

Peningkatan Kapasitas Produksi Olahan Gropak di Desa Karangdadap, Kecamatan Kalibagor, Kabupaten Banyumas

The LPPM Research-Based Community Service Program at Jenderal Soedirman University was implemented by increasing the Gropak Processed Production Capacity in Karangdadap Village, Kalibagor District, Banyumas Regency. Along with the development of the Gropak SME industry, there are currently several obstacles that industry players must face, especially during the Covid 19 pandemic. Community service activities are carried out to help improve community welfare by covering several activities including production assistance, delivery of production tools and assistance as well as certification assistance halal

A matter of trust: Public support for country ownership over aid

AbstractInternational donors emphasize greater recipient-country ownership in the delivery of foreign assistance because it ostensibly promotes the efficient use of resources and strengthens recipient-country administrative capacity. The preferences of citizens in developing countries, however, are not well understood on this matter. Do they prefer that their own governments control foreign aid resources, or are there conditions under which they instead prefer that donors maintain control over how aid is implemented? We explore these questions through parallel survey experiments in Myanmar, Nepal, and Indonesia. Our experimental vignettes include two informational treatments: one about who implements aid (i.e., the donor or the recipient government) and the other about the trustworthiness of the foreign donor. The trust-in-donor treatment, on average, increases levels of support for aid in all three countries. In contrast, we observe heterogenous average treatment effects regarding aid control: control of aid by the donor rather than the government reduces levels of support in Indonesia and Myanmar, whereas it increases support levels in Nepal. We show how the cross-country variation in ATEs originates in consistent individual-level variation in reactions to aid control that is more shaped by respondents’ trust in their own government than their trust in the donor.

Retrospective Analysis of Demographic and Clinical Characteristics of Emergency Department Psychiatric Patients

Objective: The objective of this investigation is to conduct a comprehensive analysis of the demographic attributes, psychiatric diagnoses, and grounds for seeking psychiatric consultation among patients who are admitted to the emergency department of our medical facility. The objective of this study is to offer significant insights into the requirements of patients with psychiatric emergencies in the emergency department by scrutinizing the data obtained from psychiatric consultations. Materials and Methods: The study encompassed individuals aged 18 years and above who sought psychiatric consultation in the emergency department between April 2022-2023. The patients were classified based on the following conditions: anxiety disorder, bipolar disorder, depression, psychosis, alcohol and substance abuse, conversion disorder, suicidal ideation or attempt, or other disorders. Results: The study sample comprised of 393 individuals, out of which 181 (46.1%) were identified as female and 212 (53.9%) as male. The study revealed that anxiety was observed in 28.5% of the sample. Additionally, bipolar disorder was identified in 27 participants, while depression was present in 49 individuals, representing 12.5% of the sample. Lastly, conversion disorder was detected in 5 participants. The prevalence of suicidal ideation among patients who have either attempted or expressed thoughts of suicide was found to be 47% for women and 36.3% for men. Conclusion: The present investigation enhances our comprehension of the demographic characteristics and mental health condition of those who seek emergency psychiatric assistance. This data has the potential to enhance clinical practice by facilitating the delivery of suitable evaluation, intervention, and assistance.

DIAGNOSIS OF THE HEALTH SYSTEM IN ROMANIA AND PERSPECTIVES ON THE SUSTAINABILITY AND FINANCING OF THE SYSTEM

Health system strengthening is a critical component of public health and national economic development. The development and investment in the complex infrastructure of the health system, starting from human resources, represented by the medical and sanitary personnel to the health infrastructure on which the delivery of specific medical assistance and public health interventions depends, is a necessity in a modern health system. A sustainable development of the health system helps to create a strong system necessary to face some of the biggest global challenges we face, but also to ensure universal health coverage and access to high-quality health care services. Health systems must be accessible, effective and able to adapt to future changes and challenges, facing pressures that force them to evolve, modernize and adapt to a constantly changing environment. This paper proposes to make a diagnosis of the health system in Romania, the analyzes being carried out on a database with specific indicators for the medical infrastructure for the period 2014-2021. The research analyzes the resources allocated to the sanitary system in Romania for the mentioned period, in terms of efficiency, effectiveness and economy. The results of the research revealed a direct link between the allocation of resources in the health system and the sustainability of the system. Showing that although shocks destabilize a health system, they also open an opportunity for transformation, for adaptation. This must lead to the development of policies with the potential for long-term transformation of the health system.

Penguatan UMKM di Desa Sumberjo Melalui Program 3P: Pembuatan Brand, NIB, dan Pendampingan Sertifikasi Halal

Purpose: This research aims to discuss strengthening Micro, Small and Medium Enterprises (MSMEs) of Women Farmer Groups in Sumberjo Village through various programs, namely: Brand Creation, NIB Registration (Business Identification Number), and Halal Certification registration. Methodology/approach: This activity was conducted in Sumberjo village, Polewali Mandar district, focusing on the Women's Farmer Group. The form of implementing activities is carried out by carrying out various steps, namely socialization and direct assistance to the community. Results/findings: The results of the activity are solving partner problems by transferring science and technology in the form of socialization, workshops, and assistance in the form of 3P such as Brand Creation, Business Identification Number Registration, Assistance with halal product certification, Product Innovation Development, and, Digitalization training for managing MSME websites, financial report bookkeeping applications and market place and delivery of production equipment assistance to partners. Limitation: referring to UP2KKK's needs, service activities are limited and focus on branding issues, business registration numbers, and halal certification. Contributions: This activity has an impact on KWT Gemah Ripah related to the development of products of higher quality and in terms of product quantity.

Penyuluhan Penggunaan Lampu Navigasi Pada Kapal Nelayan Desa Wawontulap Untuk Menghindari Bahaya Tubrukan di Laut

Risks of transportation safety are still a common issue in Indonesia. Communities living in coastal and marine areas, the majority of whom work as fishermen, still rely on traditional knowledge and skills. Wawontulap Village is located in the Tatapaan District with a total of 80 active fishermen, most of whom use small-scale traditional fishing boats with 50 cc to 80 cc motor engines and without adequate navigation tools, thus impacting visibility for ship maneuvers. fisherman. The position and potential for catching larger fish at night is a challenge for the fishing community in Wawontulap Village. This is because at night many fishing or fishing boats with larger sizes also descend into the sea which can cause a collision hazard between ships. The problem of navigation tools in the form of navigation lights is deemed necessary to find a solution immediately. Navigation lights on board apart from functioning as navigation guides can also be used as lighting and communication tools in the form of light signals if fishermen need help at any time. the method of socialization and delivery of assistance in the form of 3 (three) navigation lights which were handed over symbolically to village officials (the old law). From this community service activity it shows that fishermen's knowledge of the importance of navigation lights becomes clear and the danger of ship collisions when fishermen go outside to catch fish can be avoided.

Pelatihan Tata Kelola Keuangan Bagi Pelaku UMKM pada Objek Wisata Situ Tandon Ciater, Kota Tangerang Selatan

This Community Service (PkM) is entitled Training in Making Simple Cash Flow Reports for MSMEs in Tandon Ciater, Kel. Buaran, District. Serpong, South Tangerang City. The method used is a survey method and direct delivery of material, guidance and assistance in the practice of making a simple cash flow report specifically for MSMEs who conduct their business in Tandon Ciater. The conclusion of this PkM program is that it has not yet achieved maximum results, but efforts to continue this service will be sustainable until the MSMEs in Tandon Ciater are at least able and understand how to make their own simple cash flow reports. If the MSME players are able and skilled at making simple cash flow reports, the PkM plan for the next semester will be implemented at this place as well and will provide training on how to calculate cost of goods production, cost of goods sold and calculate profit and loss reports.

The Significance of Agricultural Extension Activities for Wetland Rice Farmers in Serang, Indonesia

In the context of Serang, Indonesia, agricultural extension activities have recently faced challenges related to reduced participation, as observed by the majority of agricultural extension officers. This reduced participation manifests through the limited attendance of farmers in meetings, the passive engagement of farmers and their respective groups in facilitating extension activities, and the generally muted response to agricultural technology content presented during these sessions. Conversely, fostering greater participation in agricultural extension activities can be achieved through coordinated efforts with supportive assistance or the provision of incentives. This study aims to assess the significance of agricultural extension activities for wetland rice farmers in Serang, Indonesia. It adopts a qualitative research approach, focusing on the phenomenology of extension activities within the realm of rice farming in Serang. Data analysis for this study employs Husserl's transcendental phenomenology data analysis method, which is incorporated within the interactive model data analysis framework. The information pertaining to the experiences of agricultural extension activities, as recounted by the informants (farmers), was extracted by identifying specific statements made by the farmer informants during interviews. A total of 133 individual verbatim statements provided by informants were systematically categorized. Three overarching themes, or units of meaning, emerged from this categorization, revealing the essence of agricultural extension activities and the informants' perceptions. These themes are as follows: Extension as a Source of Information, Extension as a Source of Technology, and Extension as a Source of Assistance. They encapsulate the texture and structure of the farmers' experiences with rice farming extension activities. The textural description highlights aspects closely linked to the transmission of information, technology, government initiatives, and assistance delivery. The structural aspect examines the meaning of extension activities within the economic, learning, and participation contexts of the participants. Subsequently, the combined meaning and essence of the rice farming extension experiences for each farmer informant are synthesized, collectively painting a comprehensive picture of their experiences. These experiences extend beyond the acquisition of agricultural knowledge and technology; they also encompass the provision of much-needed assistance for farmers to effectively adopt and implement these innovations.

Inovasi Pemanfaatan Budidaya Nanas, Edu-Agrowisata, Tenun ATBM, dan Kearifan Lokal Pasar Bahulak Desa Karungan, Plupuh, Sragen

This activity aims to help solve the problems faced by business actors in the development of the Pasar Bahulak tourism village in Karungan Village, Plupuh District, Sragen Regency. This activity was realized through the collaboration of UNS, UNY, and UNIPI Tangerang, in collaboration with BUMDes Sinar Karungan Mandiri, and PT KAI. The method implemented in this community service activity is the delivery of materials and assistance in empowering products from pineapple plants. The result of this activity is an increase in the knowledge and understanding of business actors in the Bahulak Market regarding the importance of the edu-agrotourism concept in empowering businesses, the concept of cost accounting, empowering pineapple plants, and creating new business networks for BUMDes Sinar Karungan Mandiri. Thus, it can further increase the level of the economy in Karungan Village, Pupuh District, Sragen Regency.

Mentoring approaches in a safe surgery program in Tanzania: Lessons learned during COVID-19 and recommendations for the future

BackgroundCOVID-19 has dramatically affected the delivery of health care and technical assistance. This is true in Tanzania, where maternal mortality and surgical infection rates are significantly higher than in high-income countries. This paper describes lessons learned about the optimal application of in-person and virtual mentorship in the Safe Surgery 2020 program to improve the quality of surgical services in Tanzania before and after the COVID-19 pandemic. MethodsFrom January 2018 through December 2020, Safe Surgery 2020 supported 40 health facilities in Tanzania's Lake Zone to improve the quality of surgical care. A blended surgical mentorship model, employing both onsite and virtual mentorship, was central to the program's capacity development approach. With COVID-19, the program pivoted to full virtual mentorship. Through continuous learning and adaptation processes, including a human-centered design workshop, surveys assessing mentors' confidence with different competencies, and focus group discussions with mentors, mentees and safe surgery program staff, the program distilled the optimal use of mentorship models. ResultsDeveloping complex surgical skills, addressing contextual considerations, problem-solving, and building trusting relationships were best suited to in-person mentorship, whereas virtual mentorship was most effective in supporting mentees' quality improvement projects, data use, case discussions, and reinforcing clinical practices. Leading successful virtual learning required enhanced facilitation skills and active engagement of health facility leadership. ConclusionsIn-person and virtual mentorship offer distinct benefits and complement each other when combined. Investing more in-person mentorship at the beginning of programs allows for the establishment of trust that is foundational to effective mentorship.

Misunderstanding Myanmar

executive summary: This article examines how, in retrospect, the military coup in Myanmar in February 2021 was a foreseeable consequence of domestic political dynamics in the country and the misperceptions of the international community about the hybrid civilian-military government. main argumentOn February 1, 2021, the military in Myanmar deposed the civilian side of the hybrid civilian-military government to reassert direct military rule. The coup ignited a nationwide resistance against the new military junta, the State Administrative Council, involving many of the nation's decades-old ethnic armed organizations (EAOs), newly created People's Defense Forces (PDFs), and an opposition National Unity Government. Looking back, Myanmar's military saw the 2008 constitution and its hybrid government as the end point for political reform, not as the beginning of a transition. The military's actions during this decade reflect this. Attempts by Aung San Suu Kyi, the National League for Democracy, and the international community to foster further political changes may have been contributing factors to the military's decision to stage a coup. Myanmar is now embroiled in a multifront civil war involving most of the country's largest ethnic communities, including the Bamar majority, with no end in sight. policy implications • Peaceful resolution of the conflict in Myanmar is not likely at this time. The U.S. and other nations should consider providing limited and targeted military assistance to the EAOs and PDFs. • The Biden administration should expedite implementation of the authorities provided in the BURMA Act, including the provision of nonlethal assistance to the EAOs and PDFs. The U.S. State Department should rekindle its ties to the EAOs to facilitate nonlethal assistance and efforts to form local governments in areas "liberated" by the EAOs and PDFs. • The U.S. Agency for International Development should shift the delivery of humanitarian assistance to local organizations operating in India and Thailand to more effectively provide aid to refugees and internally displaced persons from the civil war. • The U.S. and other nations should provide financial assistance for efforts to document possible war crimes and crimes against humanity allegedly committed by the junta's military forces and coordinate this effort with the Independent Investigative Mechanism for Myanmar, the International Criminal Court, and the International Court of Justice.

Just ASK: A quality improvement project to enhance smoking assessment and treatment.

6571 Background: Persistent smoking after cancer diagnosis causes adverse clinical outcomes. ASCO and other organizations view smoking assessment and treatment as indicators of high-quality cancer care. Yet, adoption of clinical practice guidelines like the 3As (Ask, Advise and Assist) for smoking assessment and treatment has been slow and inconsistent in cancer care settings. Methods: Led by the American College of Surgeons Cancer Programs’ Commission on Cancer (CoC) and National Accreditation Program for Breast Centers (NAPBC), the “Just ASK” national quality improvement project focuses on enhancing smoking assessment and treatment in cancer care settings. All CoC/NAPBC programs (n~2000) were invited to participate, which consisted of educational webinars, online resources, and 3 online surveys (baseline, 6- and 12-month) collecting information on smoking assessment and treatment practices, plus other variables (e.g., organizational priority, implementation barriers). Program participation was incentivized by fulfillment of accreditation standards. Results: In total, 776 programs (731 CoC, 45 NAPBC), participated. At baseline, most programs strongly endorsed the importance of addressing smoking within cancer care and the majority of programs reported routinely assessing smoking (90%) and advising all patients reporting current smoking to quit (71%). However, routine delivery of evidence-based smoking cessation assistance (e.g., quitline referral, cessation medications, counseling services) was low (all < 30%). Program retention was excellent (91%). As shown in the table, the 12-month follow-up revealed marked improvements in evidence-based Ask, Advise and Assist, practices. Conclusions: At enrollment, the importance of addressing smoking was evident and high rates of smoking assessment were reported. At 12-month follow-up, marked improvement was reported in all quality indicators of the 3As. These findings guided the sharing of strategies for improving patient assessment, clinical workflow and documentation. Suboptimal delivery of smoking cessation assistance persisted despite overall improvements, which highlight persistent challenges and opportunities for implementing smoking assessment and treatment in cancer care settings. [Table: see text]

Evaluasi Pelaksanaan Program Bantuan Pangan Non- Tunai (Bpnt) dengan Metode E-Warung di Kabupaten Bojonegoro Tahun 2021 (Studi Kasus di Dinas Sosial Kabupaten Bojonegoro)

The poverty rate in Bojonegoro Regency in 2021 has increased by 166.52 thousand people. Therefore, it is necessary to make efforts to reduce the lives of the poor towards prosperity by means of the government taking sustainable actions to facilitate access to food. Non-Cash Food Assistance is one of the programs issued by the government, but in its implementation there are still many problems that make the program not effective enough.This study aims to find out and describe how to evaluate the implementation of the non-cash food assistance program (BPNT) using the e-shop method in Bojonegoro Regency in 2021.The research methodology uses a qualitative descriptive research method with several informants as research subjects. Data obtained by interview, observation and documentation techniques. Furthermore, the data analysis technique used is data reduction, data presentation, and drawing conclusions.The results of the study show that the Evaluation of the Implementation of the Non-Cash Food Assistance Program (BPNT) using the E-warung Method in Bojonegoro Regency in 2021 has not run optimally and has not been fully effective even though several indicators have been fulfilled quite well, such as the benefits obtained by several informants. However, there are still a number of indicators that have not been fulfilled sufficiently to hinder the success of the Evaluation of the Implementation of the Non-Cash Food Assistance Program (BPNT) using the E-warung Method in Bojonegoro Regency in 2021, namely inaccuracy in targeting aid recipients, inaccuracy in the quality of food ingredients, inaccuracy in the delivery of assistance, shortage of E-warong agents in areas that are quite far from other sub-district agents. Based on the results of the research, the researcher gave advice to the Bojonegoro Regency Social Service in the form of the need to monitor and evaluate the process of implementing assistance, and to increase the number of E-warung in various sub-districts in Bojonegoro.

Can improvement in delivery of smoking cessation care be sustained in psychiatry inpatient settings through a system change intervention? An analysis of statewide administrative health data.

This study evaluated maintenance of improved delivery of smoking cessation assistance in adult acute psychiatry inpatient units 3 years post statewide implementation of a system change intervention through analysis of a statewide administrative health dataset. Rates of documenting smoking status and providing a brief smoking cessation intervention (the Smoking Cessation Clinical Pathway) in all eligible Queensland public adult acute psychiatry inpatient units (N = 57) during the implementation phase (October 2015-September 2017) of a system change intervention were compared to the maintenance phase (October 2017-October 2020) using interrupted time series analysis. Across implementation and maintenance phases, the percentage of discharges from psychiatry inpatient units that had a smoking status recorded remained high with the statewide average exceeding 90% (implementation phase 93.2%, 95% confidence interval = [92.4, 93.9]; and maintenance phase 94.6%, 95% confidence interval = [94.0, 95.2]). The percentage of discharges statewide with a completed Pathway stabilised during the maintenance phase (change in slope -3.7%, 95% confidence interval = [-5.2, -2.3]; change in level 0.4%, 95% confidence interval = [-7.0, 7.9]). An evidence-based smoking cessation intervention implemented with a system change intervention resulted in sustained improvement in addressing smoking in adult inpatient psychiatry units up to 3 years post implementation.