Evaluation of London-Wide Ramadan Campaign
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Evaluation of London-wide Ramadan Campaign Ann Taket Mehul Kotecha Ruth Belling Faculty of Health South Bank University June 2003 Evaluation of London-wide Ramadan Campaign Ann Taket Mehul Kotecha Ruth Belling Faculty of Health South Bank University June 2003 Faculty of Health, Erlang House South Bank University 103, Borough Road London SE1 0AA UK Tel : +44(0)20 7815 8097 Email: [email protected] © South Bank University Ramadan Campaign Evaluation DRAFT June 2003 Acknowledgements Funding from the Department of Health to support the evaluation is gratefully acknowledged. This evaluation would not have been possible without the efforts of: S Salman Khaled, Abdi Barud, Mohammed N Barbuiyan and Siman Yilmaz who carried out the interviews in the mosque surveys and the telephone follow-up survey; S Sharmin Shajahan who recruited the interviewers and co-ordinated their training and allocation to the different mosques. Our grateful thanks go out to all of them. Finally we would like to thank the respondents to the two surveys for their time. Without their participation, this report would certainly not have been possible i Ramadan Campaign Evaluation DRAFT June 2003 Abbreviations DoH Department of Health HAZ Health Action Zones NRT Nicotine replacement therapy PCT Primary Care Trust SAfH Social Action For Health ii Ramadan Campaign Evaluation DRAFT June 2003 CONTENTS Page ACKNOWLEDGEMENTS.................................................................................................I ABBREVIATIONS .........................................................................................................II INDEX TO TABLES AND FIGURES .................................................................................V EXECUTIVE SUMMARY .....................................................................................VII THE EVALUATION STUDY ......................................................................................... VII MAIN FINDINGS........................................................................................................ VII CONCLUSIONS AND IMPLICATIONS .......................................................................... VIII 1. INTRODUCTION...................................................................................................1 2. THE LONDON-WIDE RAMADAN CAMPAIGN, SEPTEMBER 2002 TO DECEMBER 2002 .......................................................................................................2 2.1 BACKGROUND.......................................................................................................2 2.2 THE RAMADAN CAMPAIGN, SEPTEMBER 2002 TO DECEMBER 2002.....................2 Aims for the Ramadan Campaign..........................................................................3 Objectives for the Ramadan Campaign .................................................................3 3. THE EVALUATION DESIGN...............................................................................4 3.1 BASELINE DATA COLLECTED BY CAMPAIGN WORKERS..........................................4 3.2 THE MOSQUE SAMPLE SURVEY ..............................................................................5 The questionnaire...................................................................................................5 The sample of mosques ..........................................................................................6 Data management and analysis.............................................................................6 Characteristics of the sample.................................................................................7 3.3 SMOKERS FOLLOW-UP SURVEY .............................................................................8 The sample obtained ..............................................................................................8 Data management and analysis.............................................................................8 Characteristics of the sample.................................................................................8 4. THE IMPACT OF THE CAMPAIGN ...............................................................10 4.1 ATTITUDES TO SMOKING CESSATION DURING RAMADAN....................................10 4.2 KNOWLEDGE ABOUT TOBACCO CESSATION AND AWARENESS OF CAMPAIGN AND ITS SPECIFIC COMPONENTS ........................................................................................12 4.2.1 Knowledge about sources of help for tobacco cessation............................12 4.2.2 General awareness of tobacco cessation messages during Ramadan and the campaign........................................................................................................15 4.2.3 Awareness of calendars ..............................................................................18 4.2.4 Views about calendars ................................................................................20 4.2.5 Awareness of radio advice..........................................................................21 4.2.6 Knowledge about smoking cessation phone help-lines...............................23 4.3 CHANGES IN SMOKING BEHAVIOUR.....................................................................24 4.3.1 Smoking history of the mosque sample .......................................................24 4.3.2 Outcomes of smokers’ attempts to give up..................................................25 iii Ramadan Campaign Evaluation DRAFT June 2003 4.3.3 Sources of help for giving up smoking........................................................26 5. IMPACT OF THE COMMUNITY OUTREACH WORKERS.......................27 5.1 VIEWS ABOUT GIVING UP SMOKING.....................................................................27 5.2 CHANGES IN SMOKING BEHAVIOUR.....................................................................27 5.3 EXTENT OF FOLLOW-UP BY LOCAL STOP SMOKING SERVICE................................28 5.4 SERVICE USE AND SMOKING STATUS AT FOLLOW-UP...........................................28 6. CONCLUSIONS AND IMPLICATIONS ...........................................................30 REFERENCES...........................................................................................................32 APPENDIX 1 – QUESTIONNAIRE USED IN THE MOSQUE SURVEY.........33 APPENDIX 2 – QUESTIONNAIRE USED FOR THE FOLLOW UP SURVEY TO SMOKERS...........................................................................................................35 iv Ramadan Campaign Evaluation DRAFT June 2003 Index to Tables and Figures TABLE 2.1: KEY PARTNERS FOR THE RAMADAN CAMPAIGN ...........................................3 TABLE 2.2: PROGRAMME FOR COMMUNITY BASED ACTIVITIES IN THE RAMADAN CAMPAIGN ..............................................................................................................3 TABLE 3.1: CHARACTERISTICS OF THE BASELINE SAMPLES.............................................4 TABLE 3.2: PRE-RAMADAN BASELINE SAMPLE: DISTRIBUTION OF RESPONDENTS BY AREA.......................................................................................................................5 TABLE 3.3: THE MOSQUES INCLUDED IN THE SURVEY.....................................................6 TABLE 3.3: NUMBER OF RESPONDENTS BY AREA AND LANGUAGE GROUP.......................7 TABLE 3.4: DISTRIBUTION OF RESPONDENTS BY AGE (NUMBERS AND PERCENTAGE) OF MOSQUER SURVEY IN COMPARISON TO PERCENTAGE DISTRIBUTION OF LONDON POPULATION BY AGE ...............................................................................................8 TABLE 3.5: DISTRIBUTION OF RESPONDENTS BY AGE (NUMBERS AND PERCENTAGE) FOR SMOKERS FOLLOW-UP SURVEY................................................................................9 TABLE 4.1: ATTITUDES TO SMOKING CESSATION DURING RAMADAN, COMPARISON OF PRE-RAMADAN BASELINE WITH THREE MONTHS AFTER RAMADAN.......................10 TABLE 4.2: ATTITUDES TO SMOKING CESSATION DURING RAMADAN, MEASURED AT THREE MONTHS AFTER RAMADAN, BY LANGUAGE GROUP ....................................11 TABLE 4.3: ATTITUDES TO SMOKING CESSATION DURING RAMADAN, MEASURED AT THREE MONTHS AFTER RAMADAN, BY AREA.........................................................11 TABLE 4.4: KNOWLEDGE ABOUT SOURCES OF HELP FOR TOBACCO CESSATION, COMPARISON OF PRE-RAMADAN BASELINE WITH THREE MONTHS AFTER RAMADAN ..............................................................................................................................12 TABLE 4.5: KNOWLEDGE ABOUT SOURCES OF HELP FOR TOBACCO CESSATION THREE MONTHS AFTER RAMADAN, BY LANGUAGE GROUP ...............................................12 TABLE 4.6: KNOWLEDGE ABOUT SOURCES OF HELP FOR TOBACCO CESSATION THREE MONTHS AFTER RAMADAN, BY AREA....................................................................13 TABLE 4.7: KNOWLEDGE ABOUT SOURCES OF HELP FOR TOBACCO CESSATION, COMPARISON OF PRE-RAMADAN BASELINE WITH THREE MONTHS AFTER RAMADAN, BY AREA................................................................................................................14 FIGURE 4.1: KNOWLEDGE ABOUT SOURCES OF HELP FOR TOBACCO CESSATION, COMPARISON OF PRE-RAMADAN BASELINE WITH THREE MONTHS AFTER RAMADAN, BY AREA................................................................................................................15 TABLE 4.8: RECOLLECTION OF MESSAGES ABOUT TOBACCO CESSATION DURING RAMADAN, MEASURED AT THREE MONTHS AFTER RAMADAN, OVERALL AND BY AREA.....................................................................................................................16