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PROJECT PROPOSAL FOR PRIORITY PROBLEM

“YOSI: HITHIT-BUGA, ATING LASAPIN ANG USOK PATUNGO SA


ALAPAAP!!!:
EMPOWERING THE COMMUNITY THROUGH THE CONCEPT
SMOKING IS DANGEROUS TO NOT JUST YOUR HEALTH, BUT
ALSO THE HEALTH OF THE PEOPLE AROUND YOU”
Rationale/Background:
The use of tobacco continues to be a major cause of health problems worldwide. There
is currently an estimated 1.3 billion smokers in the world, with 4.9 million people
dying because of tobacco use in a year. If this trend continues, the number of deaths
will increase to 10 million by the year 2020, 70% of which will be coming from
countries like the Philippines. (The Role of Health Professionals in Tobacco Control,
WHO, 2005)
This program, in accordance with DOH Administrative Order No. 122 s. 2003 titled
The Smoking Cessation Program supports smoking cessation or “treatment of tobacco
dependence” wherein it refers to a range of techniques including motivation, advice
and guidance, counseling, telephone and internet support, and appropriate
pharmaceutical aids all of which aim to encourage and help tobacco users to stop
using tobacco and to avoid subsequent relapse. Evidence has shown that cessation is
the only intervention with the potential to reduce tobacco-related mortality in the short
and medium term and therefore should be part of an overall comprehensive tobacco-
control policy of any country.

Beneficiaries:
A ban on smoking throughout the community would demoralize smoking. Amongst
young people, the most frequently cited reason for starting to smoke is the influence
of friends, and amongst the adults, the most frequently cited reason for smoking is that
they have been doing it since they were younger. A ban would create a supportive
environment for those who don’t smoke and for those who want to quit. Supportive
environments have been shown to be an effective means of discouraging smoking in
workplaces and schools. A tobacco free community would provide a healthier,
cleaner and safer environment for smokers and non-smokers and help to uphold the
rights of non-smokers to an environment free of tobacco smoke.
Project Description:
Tobacco smoking in the Philippines affects a sizable minority of the population. The
Philippine Global Adult Tobacco Survey conducted in 2009 (DOH, Philippines GATS
Country Report, March 16, 2010) revealed that 28.3% (17.3 million) of the population
aged 15 years old and over currently smoke tobacco, 47.7% (14.6 million) of whom
are men, while 9.0% (2.8 million) are women. Eighty percent of these current smokers
are daily smokers with men and women smoking an average of 11.3 and 7 sticks of
cigarettes per day respectively.
Proposed timeline is 6-12 months starting from January-December. Enforcement will
be primarily educational with an emphasis on cessation resources.
This project focuses on 3 aspects: (1) REDUCING EXPOSURE TO SECONDHAND
SMOKE (2) EDUCATION AND PREVENTION and most importantly (3)
CESSATION

General Obj: CESSATION OF SMOKING


Specific Obj.:

 Decrease Exposure to Secondhand Smoke


 Smoke-Free Policies Change Tobacco Use Behavior
 Protect Workers Not Protected by State Law
 Eliminate Tobacco Litter on Campus
 Decrease Exposure to New and Emerging Tobacco and Nicotine Products

Schedule of activities:
The following elements must all be included to maximize the success of any program
to reduce tobacco use. Conducted in isolation, each of these elements can reduce
tobacco use, but done together they have a much more powerful impact:
ACTIVITIES TIME FRAME RESPONSIBLE PERSON
Public Education Efforts January - March COMMUNTITY HEALTH
- Research has NURSE/BARANGAY
demonstrated that tobacco HEALTH NURSE AND
industry marketing TEACHERS IN SCHOOLS
increases the number of AS WELL AS PUBLIC
teens who try smoking and OFFICERS
become regular smokers.
Not surprisingly, one of the
best ways to reduce the
power of tobacco
marketing is an intense
campaign to counter these
pro-smoking messages.
- These efforts must include
multiple paid media (TV,
radio, print, etc.), public
relations, special events
and promotions, and other
efforts.
- Counter-marketing efforts
should target both youth
and adults with prevention
and cessation messages.
Community-Based Programs April - June For direct counseling –
- Because community barangay health nurses
involvement is essential to and counselors
reducing tobacco use, a Youth tobacco education
portion of the tobacco for schools – teachers
control funding should be Youth tobacco education
provided to local for worksites – industrial
government entities, nurse
community organizations,
local businesses, and other
community partners.
- These groups can
effectively engage in a
number of tobacco
prevention activities right
where people live, work,
play, and worship,
including:
 direct counseling for
prevention and to help
people quit,
 youth tobacco education
programs,
 Interventions for special
populations, worksite
programs, and training for
health professionals.
Helping Smokers Quit July - September Public health nurses,
(Cessation) counselors, therapists
- A comprehensive tobacco
control program should not
only encourage smokers to
quit but also help them do
it. In fact, most smokers
want to quit but have a very
difficult time because
nicotine is so powerfully
addictive.
- To help these smokers,
cessation products and
services should be made
more readily available and
more affordable.
- Moreover, treatment
programs are most
effective when they utilize
multiple interventions,
including pharmacological
treatments, clinician
provided social support,
and skills training.
- Cessation services can be
provided through primary
health care providers,
schools, government
agencies, community
organizations, and
telephone "quit lines.“
- Staff training and technical
assistance should be a part
of all programs to treat
tobacco addiction; and
following the cessation
guidelines from the Agency
for Health Care Policy and
Research will increase the
effectiveness of any
cessation efforts in clinical
settings.
School-Based Programs October Teachers in accordance
Enforcement with barangay health
- School-based programs nurses
offer a useful way to
prevent and reduce
tobacco use among kids,
especially when based on
the CDC’s Guidelines for
School Health Programs to
Prevent Tobacco Use and
Addiction.
- To operate most
effectively, school-based
programs must include
curricula that have been
shown to be effective, as
well as tobacco-free
policies, training for
teachers, programs for
parents, and cessation
services.
- Students must learn not
only the dangers of tobacco
use but life skills, refusal
skills, and media literacy in
order to resist the influence
of peers and tobacco
marketers.
- It is critical that the school
programs be integrated
with other community-
based programs and with
counter-marketing efforts.
Enforcement November Law makers, barangay
- Rigorously enforcing laws officials, police officers,
prohibiting tobacco sales tanods, barangay safety
to youth and limiting officer
exposure to secondhand
smoke is an essential
element of creating an
environment conducive to
reducing tobacco use.
- These enforcement efforts
should include penalties for
violators, and compliance
enhancing education.
- To increase tobacco control
enforcement, funds must
be provided to
enforcement agencies to
make sure other
enforcement efforts are not
compromised.
Other agencies and organizations
should also be supported to
provide related educational
efforts to raise awareness of the
laws and their enforcement and to
promote compliance.
Related Policy Efforts December Law makers, barangay
- Additional policy initiatives officials, police officers,
have been proven effective tanods, barangay safety
in reducing tobacco use -- officer
especially as part of a
comprehensive strategy.
- These policies include:
- increases in cigarette
excise taxes,
- restrictions on tobacco
marketing to kids,
- increased penalties for
selling tobacco to kids,
- new restrictions on
environmental tobacco
smoke in public places.

Budgetary Requirements:

Promotional activities…………………………………………………………...……. P15,000


Signages……………………………………………………………………………..…..P8,000
Presentations and public meetings……………………………………………...…..P6,000
Promotional material (RADIO, TV CAMPAIGNS)………………..…………………P15,000
Ticketing…………………………………………………………………….…….....….P5,000
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TOTAL OF P49,000
Criteria of Evaluation:
Monitoring and Evaluation

1. Every element of a comprehensive tobacco control program should be


rigorously evaluated throughout its existence.
2. Careful monitoring and evaluation methods should be built-into the programs
to provide the data necessary for continual improvement.
3. Process measures should be developed to monitor the activities conducted
under the program from the outside, as well, in order to block the misuse of
funds and promote their most efficient and effective use.
4. Regular measurements of key outcomes should also be conducted to assess
progress and further improve their performance.

OBJECTIVE CRITERIA FOR EVALUATION TOOL


EVALUATION

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