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Pilot Project of Quit Smoking Programme in Health Clinics

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Pilot Project of Quit Smoking Programme in Health Clinics APPENDIX 1 Pilot Project of Quit Smoking Programme in Health Clinics Rokok layout APPENDIX.indd 99 11/27/14 9:17 AM 100 MANAGEMENT IN QUIT SMOKING PROGRAMME Training Module For Health Care Providers SLIDE Health Clinic Batu Pahat Johor 1 Population in Batu Pahat District Immensity: 1872.56 km2 (10 % of Johor), PopulationL 419,800 people (2010) SLIDE Health Clinic Batu Pahat Operational Area 2 Total of Health Clinics: 15 Total of Community Clinics: 47 The operational area is managed by Batu Pahat District Office. There are 3 Community Clinics which is under Batu Pahat Health Clinic supervision. Health clinic (KK) / Community Clinic (KD) Total Population KK Batu Pahat 100,000 KD Sungai Ayam 8,500 KD Minyak Beku 6,000 KD Patah Pedang 2,100 SLIDE Batu Pahat Health Clinic Profile 3 • Type 2 under RMK 9 project • Built on the old Batu Pahat Hospital area • Under Batu Pahat District Office management • Operational service started on 26th July 2010 • Officially given on 3rd September 2010 Pilot Project of Quit Smoking Programme in Health Clinics Diseases Impact in Health of Quit Smoking Programme Project Pilot Rokok layout APPENDIX.indd 100 11/27/14 9:17 AM MANAGEMENT IN QUIT SMOKING PROGRAMME Training Module For Health Care Providers 101 SLIDE Services 4 1. Specialist Treatment 5. Diagnostic (Xray and Laboratory) 2. Mother and child clinic 6. Rehabilitation Unit 3. Dental clinic 7. Pharmacy 4. Outpatient Department SLIDE Workload in year 2011 – 2012 ( Health clinic, dental, Mother and Child health clinic) 5 OPD Attendance 14661 15660 14040 17612 15524 16831 96027 KKIA Attendance 2422 2948 2885 2928 3565 3782 18530 Dental Attendance 2519 2563 2755 2646 3005 2478 15962 Total 17180 18223 16795 20258 18529 23091 130519 Brief Intervention In Smoking Cessation SLIDE Objective 6 Help the smoker to quit smoking in the right and effective way beside to maintain the client’s status clean from smoke. Target group is smoker who : 1. Determine to quit smoking 3. Tried to quit but failed 2. No intention to quit smoking Pilot Project of Quit Smoking Programme in Health Clinics Diseases Impact in Health of Quit Smoking Programme Project Pilot Rokok layout APPENDIX.indd 101 11/27/14 9:17 AM 102 MANAGEMENT IN QUIT SMOKING PROGRAMME Training Module For Health Care Providers SLIDE Implementation 7 Strengthening Primary Health Care Systems For Treating Tobacco Independence Oriental Workshop at Crystal Hotel, Kajang, Selangor on 23rd, 24th and 25th October 2011. Taklimat Brief intervention about (3A) conscept among the clinic staff at Dewan Banang District Office Batu Pahat on 29th November 2011 Briefing at Batu Pahat Health Clinic level is held on 6th, 12th and13th December 2011 Evaluation meeting for work process program related to 3A intervention and school free from smoking 2012 is on 18th-19th January 2012 Evaluation / audit programme in March 2012 3As intervention performance meeting for quit smoking on 6th June 2012 at Health Clinic Batu Pahat meeting room Problem inquired brief the members about the intervention 3As on 29th June 2012 Performance presentation of brief intervension on 2nd July 2012 Quit smoking services operating hour is every Thursday is afternoon. SLIDE Promotion 8 3A Intervention Form (Cop and Form) Saringan Intervensi Ringkas Tarikh : Nama : Bangsa: No KP : Umur : i. Adakah anda Ya merokok Tidak ii. Nasihat diberi Ya Tidak iii. Tindakan Rujuk Tidak dirujuk Unit yang merujuk b. Poster Tarikh temujanji a. 3As intervention in a form of Stamp or screening form Pilot Project of Quit Smoking Programme in Health Clinics Diseases Impact in Health of Quit Smoking Programme Project Pilot Rokok layout APPENDIX.indd 102 11/27/14 9:17 AM MANAGEMENT IN QUIT SMOKING PROGRAMME Training Module For Health Care Providers 103 SLIDE Integrated Registration 9 Counter Counter to treatment room Counter to KKIA Counter to Laboratory Counter to Emergency department Counter to TB unit Counter to Xray Department Pilot Project of Quit Smoking Programme in Health Clinics Diseases Impact in Health of Quit Smoking Programme Project Pilot Rokok layout APPENDIX.indd 103 11/27/14 9:17 AM 104 MANAGEMENT IN QUIT SMOKING PROGRAMME Training Module For Health Care Providers SLIDE Flow Chart 10 Pelanggan di kaunter Tidak Kekalkan status tidak Tanya status merokok merokok Ya Tidak Nasihat supaya Terangkan lagi berhenti bahaya merokok Ya merokok Beri temujanji Perkhidmatan berhenti merokok Daftar pelanggan di PBM Sejarah pelanggan dan pemeriksaan fizikal Ujian Fagerstorm Rawatan berhenti merokok Rawatan Berhenti Susulan merokok Meneruskan rawatan/penilaian/ pengukuhan Pilot Project of Quit Smoking Programme in Health Clinics Diseases Impact in Health of Quit Smoking Programme Project Pilot Rokok layout APPENDIX.indd 104 11/27/14 9:17 AM MANAGEMENT IN QUIT SMOKING PROGRAMME Training Module For Health Care Providers 105 SLIDE Perfomance result 11 Jan Feb Mac April May June Total OPD attendancy 14661 15660 14040 17612 15524 16831 96027 KKIA attendancy 2422 2948 2885 2928 3565 3782 18530 (GG) attendancy 2519 2563 2755 2646 3005 2478 15962 Total amount 17180 18223 16795 20258 18529 23091 130519 3A Intervention NA 307 472 787 743 1581 3890 4.05% (KKBP) 3A Dental 9 10 13 9 6 10 57 0.36% Intervention Total amount 9 317 485 796 749 1591 3947 3.02% PBM Registered 7 7 6 9 14 19 62 1.60% (OPD) 62 1.57% Quit Smoking 1 1 0 1 4 1 8 12.9% SLIDE Challenge 12 • Not all the health clinic staff is do the brief intervention. • Most of the client just want to take the medication only. • At the begining, there is no medication supply and it is only available in April Medication start to have in the health clinic. • Difficult to come to clinic on the appointment date given. SLIDE Management commitment 13 • Health Office Management is very commited with quit smoking programme. • District Office – Chairman and Facilitator from JBAR state • Produced the Quit Smoking Service module at the school level – 1st edition (2009), 2nd Edition (2010) and 3rd Edition (2012 - 3As component is included in the screening tool) 1. Quit rate at average of 60% – 62% 2. Extended to all district in Johor 3. As a facilitator for District and State 4. Expanded to the Ministry of Health level Clinics Diseases Impact in Health of Quit Smoking Programme Project Pilot Rokok layout APPENDIX.indd 105 11/27/14 9:17 AM 106 MANAGEMENT IN QUIT SMOKING PROGRAMME Training Module For Health Care Providers SLIDE Presentations 14 QA Convention 2011- (Poster ) Increasing the success rate of quit smoking clinic among adolescents. 1. Primer level: (between the district) – won the 1st place 2. State level – won the 1st place 3. National level – 2nd place • 15th FMS Scientific Conference 2011 – (Poster). School based quit smoking clinic won 1st place • 8th Johor Scientific Meeting 2011 – Oral Presentation SLIDE Presentations 15 Conclusion • About 4.05 % (3890) of client came to the Health Clinic Batu Pahat for their brief intervention screening for quit smoking since January till June 2012 • 1.6 % (62 clients) came and registered under the quit smoking service. • Health care officer’s commitment is very important and need to enhance. • Technique and skill to attract the client should be studied and improve. Pilot Project of Quit Smoking Programme in Health Clinics Diseases Impact in Health of Quit Smoking Programme Project Pilot Rokok layout APPENDIX.indd 106 11/27/14 9:17 AM MANAGEMENT IN QUIT SMOKING PROGRAMME Training Module For Health Care Providers 107 SLIDE Health Clinic Jasin Melaka 1 “MALACCA FREE FROM CIGARETTE SMOKE” 1. Rearrangement of the Quit Smoking Srvice in Melaka at the end of 2010. 2. Quit Smoking Service has been expanded to 27 health clinic and 3 Hospital in Malacca. “MBAR ZONE” 1. Melaka International Trade Centre (MITC) 2. World Legacy City 3. Alor Gajah main town 4. Jasin main town 5. Melaka Raya “QUIT LINE” 1. Quit Smoking Services via the phone is a collaboration of effort with MBAR 2. The function is to interview / counseling the smoker, ex – smoker and passive smoker 3. Operational hour : 8 am till 5 pm working hours. SLIDE Health Clinic Jasin workflow for quit smoking service 2 1. The meeting was attended by Family Medicine Specialist, Medical Officer, Nurses, Medical Assistant, Pharmacist and Secretary. 2. Scope of task is divided into registration, screening, counseling and treatment. 3. Target client for the first monthe is 15 clients. • Teenager 14 – 19 years old: 4 clients • Adult (COPD): 3 clients • Diabetic and hypertensive patient: 3 clients • Clinic staff / family: 5 clients 4. First client registered is on 29th December 2010 5. Second meeting has been held in February 2011 with the Family Medicine Specialist. 6. Conclusion from restructurize the quit smoking services team consists of • Family Medicine Specialist (1) • Medical Officer • Pharmacist (1) • Medical Assistant Officer (1) • Nurse (1) • Community Nurse (3) • Secretary (1) • Dental Officer Pilot Project of Quit Smoking Programme in Health Clinics Diseases Impact in Health of Quit Smoking Programme Project Pilot Rokok layout APPENDIX.indd 107 11/27/14 9:17 AM 108 MANAGEMENT IN QUIT SMOKING PROGRAMME Training Module For Health Care Providers SLIDE Quit Smoking Team and duty 3 SENARAI AHLI SENARAI TUGAS PASUKAN Family Medicine • Facilitator and monitoring the quit smoking programme. Specialist • Referral case • Beginning of treatment with CHAMPIX and evaluation after treatment. Medical Officer • Referral case Pharmacist • Dispensary Champrix/ Nicotine patch/ Gum • Counselling on how to take the medication such as Champrix/ Nicotine patch / gum and the side effect of the medication. Medical Assistant • Appointment with patient for counseling session Officer • Preparing the client record book • Online registration for quit line / manual • Updating the patient record and quit smoking reten. • Health education and motivation in quit smoking services. Nurse • Referral case and distribution of the health promotion material.
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