Multilevel intervention in reducing in-home secondhand smoke exposure among pregnant woman in North Lombok district, Indonesia
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Universitas Gadjah Mada, Health Behavior, Environmental and Social Medicine, Indonesia
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A709
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ABSTRACT
Background and challenges to implementation:
SHS exposure among pregnant women is highly correlated with low
birth weight (LBW). SHS exposure in homes can be reduced by a package of "smoke-free
home" interventions, particularly in the high prevalence of LBW area as North
Lombok, Indonesia. Evidence from
previous research showed that smoke free home could change smoking behavior
among men in Yogyakarta, Indonesia. However, different condition, site and
culture may bring different approach to implement smoke free home for
protecting the health of pregnant mother.
Intervention or response:
Smoke free home
interventions consisted of three activities; 1) media campaign (above and below
the line), 2) individual contract (each husband signed contract for not smoking
at home while his wife pregnant) and 3) community commitment to make all
pregnant mother house become smoke free home. We collaborated with district health office in
distributing media campaign, including working with midwifes association to
reach pregnant woman. We advocated the
head of districts and sub district in West Nusa Tenggara for developing
community commitment to make smoke free home village. Primary health care
officer were actively involved in facilitating smoke free home village
commitment.
Results and lessons learnt:
Majority of pregnant
women husband signed the individual contract for not smoking at home and media
were distributed widely. The activity was worked well by involving health care
providers. It was challenging to have people gathering since they have not had
existing group meeting. Therefore, we carried out formal meeting with head of
village and community leaders.
Conclusions and key recommendations:
Message
through media campaign increasing awareness of husbands to protect their wife
from passive smoking by signing individual contract. Community commitment of smoke free home
supported individual contract. In a country that have limited tobacco control policy,
community and individual based intervention are needed.