1 ‘ towards a smoke-free china’ in shaanxi province health education and health promotion...

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‘‘Towards a Smoke-Free Towards a Smoke-Free China’ in Shaanxi ProvinceChina’ in Shaanxi Province

Health Education and Health Promotion Association of Shaanxi

Mar 15, 2008

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Basic information of the Basic information of the two project sitestwo project sites

In Weinan city, there are totally 500 personnel in 12 county (city or district) CDC, 13 In Weinan city, there are totally 500 personnel in 12 county (city or district) CDC, 13

out of which are full- or path-time health education professionals. A total of 210 staff are out of which are full- or path-time health education professionals. A total of 210 staff are

in the Maternal and Child Hospital, including 3 full- or part-time health education in the Maternal and Child Hospital, including 3 full- or part-time health education

professionals, 1 out of which has intermediate title, and the other 2 have junior titles. professionals, 1 out of which has intermediate title, and the other 2 have junior titles.

There are totally 183 township hospitals, 6093 rural doctors, 11962 health technicians. There are totally 183 township hospitals, 6093 rural doctors, 11962 health technicians.

Weinan DailyWeinan Daily, , Weinan TV Weinan TV and radio broadcasting are the key tools and means for external and radio broadcasting are the key tools and means for external

propaganda.propaganda.

Hua County is consisted of 14 towns, 242 villages and 17 neighborhood committees, Hua County is consisted of 14 towns, 242 villages and 17 neighborhood committees,

with a population of 359,722, which includes a non-agricultural population of 77,100, with a population of 359,722, which includes a non-agricultural population of 77,100,

accounting for 21.4%.accounting for 21.4%. Huaxian TV Huaxian TV and radio broadcasting are the key tools and means for and radio broadcasting are the key tools and means for

external propaganda. There are totally 242 village clinics, 311 township doctors, and 854 external propaganda. There are totally 242 village clinics, 311 township doctors, and 854

health technicians in Hua County.health technicians in Hua County.

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I. The development of policyI. The development of policy

In 2005, Weinan city government released In 2005, Weinan city government released

‘Provisions of no smoking in public places ‘Provisions of no smoking in public places

in Weinan City’, which covers the whole in Weinan City’, which covers the whole

Weinan City. As Hua County is part of Weinan City. As Hua County is part of

Weinan City, tobacco control provisions Weinan City, tobacco control provisions

were not needed to be established in the were not needed to be established in the

tow surveillance sites.tow surveillance sites.

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1.Policy research1.Policy research

The project site office in Weinan city did a hard work in studying The project site office in Weinan city did a hard work in studying

the Provisions, and worked together with the office in Hua the Provisions, and worked together with the office in Hua

County to investigate the implementation of Provisions and County to investigate the implementation of Provisions and

reported the result to the government leaders. They requested reported the result to the government leaders. They requested

the government to release the supplementary provisions to the government to release the supplementary provisions to

expand the tobacco control establishments and define the expand the tobacco control establishments and define the

implementation authorities.implementation authorities.

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Both project sites set up the specific implementation Both project sites set up the specific implementation

institutions, which include the personnel in charge in institutions, which include the personnel in charge in

governmental and health departments. Hua County CDC governmental and health departments. Hua County CDC

set up the health education department for this project, set up the health education department for this project,

which were equipped with computers, printers, cameras which were equipped with computers, printers, cameras

and other health educational facilities.and other health educational facilities.

2.Support from governments

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3. Policy Propaganda3. Policy Propaganda

（（ 11 ）） Based on the investigation result, the project Based on the investigation result, the project

office in Weinan held the meeting of ‘Conference of stage office in Weinan held the meeting of ‘Conference of stage

work of Towards a Smoke-Free China’. Leaders of at the work of Towards a Smoke-Free China’. Leaders of at the

level of province, city and county attended the level of province, city and county attended the

conference. The implementation of tobacco control policy conference. The implementation of tobacco control policy

in Weinan city and Hua County were reported, and it in Weinan city and Hua County were reported, and it

was agreed that we must strengthen efforts to publicize.was agreed that we must strengthen efforts to publicize.

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（（ 22 ）） While talking to those government While talking to those government

leaders, handing out the brochure of ‘to create a leaders, handing out the brochure of ‘to create a

smoke-free environment, to build a harmonious smoke-free environment, to build a harmonious

society’ in order to get support from them.society’ in order to get support from them.

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(3) Composing (3) Composing

and printing and printing

the briefing of the briefing of

tobacco tobacco

control and control and

sending it to sending it to

the leaders in the leaders in

the County the County

government government

and other and other

relevant relevant

institutions.institutions.

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（（ 44 ）） Making the nameplate Making the nameplate

of tobacco control and giving of tobacco control and giving

them to the leaders of relevant them to the leaders of relevant


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（（ 55 ）） Printing Printing

‘Provisions of No Smoking ‘Provisions of No Smoking

in Public Places in Weinan in Public Places in Weinan

City’ and handing out to City’ and handing out to

institutions and each institutions and each

public place.public place.

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II. Propaganda campaign of II. Propaganda campaign of passive smoking hazardspassive smoking hazards

1. To tie in with the two project sites at work, the provincial 1. To tie in with the two project sites at work, the provincial

project office held a seminar with project media. News reports from project office held a seminar with project media. News reports from

Shaanxi TV, Xi’an TV, Three Qin Urban, China Business NewsShaanxi TV, Xi’an TV, Three Qin Urban, China Business News;; health health

education experts and medical experts; and leaders of project cities or education experts and medical experts; and leaders of project cities or

counties and the staffs, totally 26 people, attended the seminar. On the counties and the staffs, totally 26 people, attended the seminar. On the

seminar, news reporters and experts had a hot discussion on the seminar, news reporters and experts had a hot discussion on the

difficulties and key points of tobacco control propaganda.difficulties and key points of tobacco control propaganda.

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2. After the seminar, all provincial media did extensive publicity: Xi’an TV 52. After the seminar, all provincial media did extensive publicity: Xi’an TV 5 thth

channel premiere this seminar and interviewed the masses on street to get their channel premiere this seminar and interviewed the masses on street to get their

viewpoints on passive smoking hazards and legislation of tobacco control in public viewpoints on passive smoking hazards and legislation of tobacco control in public

places, and to call for no-smoking awareness towards 08 smoke-free Olympics. It was places, and to call for no-smoking awareness towards 08 smoke-free Olympics. It was

replayed on 08:08 on Dec 06 in 5replayed on 08:08 on Dec 06 in 5thth channel, and 08::26 on Dec 07 in 1 channel, and 08::26 on Dec 07 in 1stst channel for 20 channel for 20

minutes.minutes.

On Dec 08, On Dec 08, China Business NewsChina Business News published ‘quitting smoking in the name of ‘baby’’, published ‘quitting smoking in the name of ‘baby’’,

‘digitized tobacco’, ‘smoking models of parents to children’, ‘records of quitting smoking of ‘digitized tobacco’, ‘smoking models of parents to children’, ‘records of quitting smoking of

prospective father’, occupying half space of ‘home of health’ page. On Dec 24, ‘most men do not prospective father’, occupying half space of ‘home of health’ page. On Dec 24, ‘most men do not

like women smoking’, experts’ view of ‘no smoking places should be expanded’ were published like women smoking’, experts’ view of ‘no smoking places should be expanded’ were published

in in China Business News China Business News to present the giant hazards of smoking.to present the giant hazards of smoking.

On Dec 17, On Dec 17, Three Qin UrbanThree Qin Urban published ’80% little smokers are affected by parents’ to published ’80% little smokers are affected by parents’ to

advocate the society, schools and families to work together to act as a good model for children.advocate the society, schools and families to work together to act as a good model for children.

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西安电视台宣传片西安电视台宣传片

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3. The provincial project office produced 1000 3. The provincial project office produced 1000

pieces of posters of ‘passive smoking is harmful to pieces of posters of ‘passive smoking is harmful to

health’, and printed 20000 handbooks of ‘smoking health’, and printed 20000 handbooks of ‘smoking

and health’, and 2000 no-smoking signs.and health’, and 2000 no-smoking signs.

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4.Wide publicity in many methods in Weinan 4.Wide publicity in many methods in Weinan City City

Sep-Oct/07, more than 4000 'health education plates' were Sep-Oct/07, more than 4000 'health education plates' were

made.made.

Dec/07, no-smoking signs were made and handed out.Dec/07, no-smoking signs were made and handed out.

11/Jan/08, 'Advocation on tobacco control' were published in 11/Jan/08, 'Advocation on tobacco control' were published in

Weinan DailyWeinan Daily..

Feb/08, the hazards of smoking, passive smoking were Feb/08, the hazards of smoking, passive smoking were

publicized in Weinan TV.publicized in Weinan TV.

Feb/08, the list of smoke-free hospitals, schools, public Feb/08, the list of smoke-free hospitals, schools, public

places, governmental institutuions, communities were places, governmental institutuions, communities were

announced in Weinan TV.announced in Weinan TV.

Feb/08, it was publicized in Feb/08, it was publicized in Weinan DailyWeinan Daily that smoking is that smoking is

harmful to health.harmful to health.

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5.Hua County launched a large-scale 5.Hua County launched a large-scale publicitypublicity

starting the advocacy in the form of anti-smoking starting the advocacy in the form of anti-smoking

exhibition.exhibition.

Dec/07, 'smoking is harmful to health' was displayed on Dec/07, 'smoking is harmful to health' was displayed on

the walls and bulletin board in each town.the walls and bulletin board in each town.

Dec/07, a briefing of 'tobacco control' and 'health Dec/07, a briefing of 'tobacco control' and 'health

education' of 'Towards a smoke-free China' was published, education' of 'Towards a smoke-free China' was published,

and 7 volumes has been published until now.and 7 volumes has been published until now.

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Jan/08 hazards of passive smoking was printed on walls in each Jan/08 hazards of passive smoking was printed on walls in each

town. town.

Jan/08 tobacco control was publicized in county governmental Jan/08 tobacco control was publicized in county governmental


Feb/08 'towards a smoke-free China—tobacco control in Hua Feb/08 'towards a smoke-free China—tobacco control in Hua

County' was launched in the light tower in Hua County.County' was launched in the light tower in Hua County.

Feb/08 hazards of passive smoking was publicized in the light Feb/08 hazards of passive smoking was publicized in the light

tower in Hua County.tower in Hua County.

Feb/08 tobacco control statements were printed on the walls of Feb/08 tobacco control statements were printed on the walls of

each township hospitals.each township hospitals.

Feb/08, hazards of passive smoking was publicized in 'health Feb/08, hazards of passive smoking was publicized in 'health

education' program in the County TV.education' program in the County TV.

Feb/08, 'towards a smoke-free China' was publicized in the Feb/08, 'towards a smoke-free China' was publicized in the

children's radio channel. children's radio channel.

The list of smoke-free hospitals, schools, public places, The list of smoke-free hospitals, schools, public places,

governmental institutions and communities were announced in governmental institutions and communities were announced in

the County TV.the County TV.

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华县电视宣传华县电视宣传

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III. Smoke-free hospitals, schools, III. Smoke-free hospitals, schools, institutions and public placesinstitutions and public places

1. city 1. city

In 11/2007, the standard In 11/2007, the standard

of smoke-free hospitals, of smoke-free hospitals,

schools, governmental schools, governmental

institutions and public institutions and public

places was approved.places was approved.

In 11/2007, the advocacy In 11/2007, the advocacy

committees of smoke-free committees of smoke-free

hospitals, schools, hospitals, schools,

institutions and stores institutions and stores

were set up.were set up.

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2. County2. County

In 12/2007, the standard of smoke-free hospitals, In 12/2007, the standard of smoke-free hospitals,

schools, governmental institutions and public places in schools, governmental institutions and public places in

Hua County was constituted.Hua County was constituted.

On 12/30/07, the security staffs in all medical and health On 12/30/07, the security staffs in all medical and health

institutions were trained in the 'towards a smoke-free institutions were trained in the 'towards a smoke-free

China' class.China' class.

In Dec/07, CDC in Hua County launched the campaign of In Dec/07, CDC in Hua County launched the campaign of

smoke-free institution, and made the plates of 'to create smoke-free institution, and made the plates of 'to create

smoke-free environment, to enjoy healthy life', which were smoke-free environment, to enjoy healthy life', which were

distributed to the government leaders' offices.distributed to the government leaders' offices.

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Jan/08 training of founding smoke-free Jan/08 training of founding smoke-free

hospitals, schools, public places, hospitals, schools, public places,

government institutions, communities.government institutions, communities.

Feb/08 sub-training in all smoke-free Feb/08 sub-training in all smoke-free

institutions; handing out the posters, institutions; handing out the posters,

handbooks, no-smoking signs, no-smoking handbooks, no-smoking signs, no-smoking

plates.plates.

Implementation program of no smoking Implementation program of no smoking

was made in all smoke-free institutions.was made in all smoke-free institutions.

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IV. Smoke-free communities and familiesIV. Smoke-free communities and families

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Through this project, a network of Through this project, a network of

provincial/city/county health system, provincial/city/county health system,

education system, business system, education system, business system,

governmental departments, news media governmental departments, news media

was set up. was set up.

V. NetworkV. Network

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VI. Comments by provincial VI. Comments by provincial governmentgovernment

（（ 11 ）） ResultsResults

Both project sites are able to provide 95% project-Both project sites are able to provide 95% project-

related materials, to give leaders constructive related materials, to give leaders constructive

suggestions, to effectively publicize passive smoking suggestions, to effectively publicize passive smoking

hazards in the means of papers, wall printings, and hazards in the means of papers, wall printings, and

handout sheets.handout sheets.

The health departments in Weinan and Hua constituted the The health departments in Weinan and Hua constituted the

standards for 'smoke-free hospitals, schools, institutions standards for 'smoke-free hospitals, schools, institutions

and public places', and defined the implementation and public places', and defined the implementation

authorities for smoke-free places.authorities for smoke-free places.

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They were both able to found the smoke-They were both able to found the smoke-

free institutions, communities and families. free institutions, communities and families.

The personnel in charge were very familiar The personnel in charge were very familiar

with the project implementation, and gave with the project implementation, and gave

many constructive suggestions.many constructive suggestions.

By the wall printings in Hua County, more By the wall printings in Hua County, more

than half of the citizens in Hua have seen and than half of the citizens in Hua have seen and

learned the knowledge of smoking.learned the knowledge of smoking.

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（（ 22 ）） The effectiveness of projectsThe effectiveness of projects

Having defined the tasks of projectsHaving defined the tasks of projects

Having built the network for tobacco control, and Having built the network for tobacco control, and

trained the staffs. trained the staffs.

Having built the base for health education to widely Having built the base for health education to widely

publicize the project-related knowledge.publicize the project-related knowledge.

Having developed the materials for health education to Having developed the materials for health education to

publicize in various kinds of masses.publicize in various kinds of masses.

Having cooperated with main stream media to advocate Having cooperated with main stream media to advocate

the whole society to pay attention on it.the whole society to pay attention on it.

Having widely publicized in the important health days.Having widely publicized in the important health days.

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（（ 33 ）） The local impact of the projectsThe local impact of the projects

In the first stage of project implementation, the In the first stage of project implementation, the

main task was to obtain support from department main task was to obtain support from department

leaders, and it has been greatly supported by the leaders, and it has been greatly supported by the

leaders of health administrative departments. With leaders of health administrative departments. With

the help of media in project sites, some citizens the help of media in project sites, some citizens

have already known our program. And all smoke-have already known our program. And all smoke-

free institutions have increased their impact on the free institutions have increased their impact on the

masses.masses.

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（（ 44 ）） The sustainability of the project The sustainability of the project

developmentdevelopment

The governments in the two project sites have both The governments in the two project sites have both

constituted official documentations to support the project, constituted official documentations to support the project,

and made the tobacco control work as one of the indicators of and made the tobacco control work as one of the indicators of

evaluation. Professional staffs have been trained in two evaluation. Professional staffs have been trained in two

project sites, and they can conduct the long-time tobacco project sites, and they can conduct the long-time tobacco

control work. Relatively complete database have been built in control work. Relatively complete database have been built in

two project sites. The masses are paying more and more two project sites. The masses are paying more and more

attention on smoking and avoiding passive smoking.attention on smoking and avoiding passive smoking.

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VII Steering views form states VII Steering views form states and the request on the next-step and the request on the next-step workwork

（（ 11 ）） Steering views from statesSteering views from states

The implementation of the overall project is somewhat out of The implementation of the overall project is somewhat out of

touch with the proposal, and the change beyond the proposal is too touch with the proposal, and the change beyond the proposal is too

large that it is not closely consistent with the project. large that it is not closely consistent with the project.

The propaganda of existing 2005 government order on tobacco The propaganda of existing 2005 government order on tobacco

control is not enough so that it was not well implemented.control is not enough so that it was not well implemented.

There is too much information publicized, but not specified. There is too much information publicized, but not specified.

In founding the smoke-free places, it is difficult to do so in the In founding the smoke-free places, it is difficult to do so in the

communities. And smoking areas are not set up in hospitals.communities. And smoking areas are not set up in hospitals.

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（（ 22 ）） request for the next-step workrequest for the next-step work

It is requested to conduct the work by ‘Guide of It is requested to conduct the work by ‘Guide of

intervention plan’, and not to offer cigarette, not to intervention plan’, and not to offer cigarette, not to

give cigarette as gift, or not to smoke with the give cigarette as gift, or not to smoke with the

presence of others.presence of others.

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VIII. Experiences, problems, VIII. Experiences, problems, solutions and next-step solutions and next-step proposal of projectproposal of project（（ 11 ）） experiencesexperiences

To be regarded by leaders is the key of To be regarded by leaders is the key of

the implementation of project;the implementation of project;

The training of staffs is the basis;The training of staffs is the basis;

Funding is the prerequisite;Funding is the prerequisite;

Clear objective is the direction;Clear objective is the direction;

Founding smoke-free places is the most Founding smoke-free places is the most

effective measure to lower the rates of the effective measure to lower the rates of the

masses to smoke.masses to smoke.

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（（ 22 ）） Solutions to the problems of projectsSolutions to the problems of projects

1. The next work should be done according to the 1. The next work should be done according to the

proposal, i.e., to ensure the proposed work to be done firstly in proposal, i.e., to ensure the proposed work to be done firstly in

time; the work beyond the proposal, if changed a lot, should time; the work beyond the proposal, if changed a lot, should

not be conducted.not be conducted.

2. to publicize the 2005 mayor order of Weinan City; to train 2. to publicize the 2005 mayor order of Weinan City; to train

the staffs and collect information.the staffs and collect information.

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3. The publicize should be specified. Clearly tell the 3. The publicize should be specified. Clearly tell the

masses what to do, and the hazards of smoking and passive masses what to do, and the hazards of smoking and passive

smoking, not to offer cigarette, not to give cigarette as gift and smoking, not to offer cigarette, not to give cigarette as gift and

not to smoke with the presence of others. To make the not to smoke with the presence of others. To make the

campaign be focused by the masses.campaign be focused by the masses.

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4. The smoking areas and no-smoking areas must be separated in 4. The smoking areas and no-smoking areas must be separated in

hospitals, department stores and other public places. It is impossible to hospitals, department stores and other public places. It is impossible to

completely ban smoking, and smoking area is need. Some no-smoking plates completely ban smoking, and smoking area is need. Some no-smoking plates

may be made to stop the offering cigarette to doctors by patients and their may be made to stop the offering cigarette to doctors by patients and their

families. Since it is difficult for founding smoke-free places in communities, it families. Since it is difficult for founding smoke-free places in communities, it

is suggested to have the personnel in charge of the communities to meet is suggested to have the personnel in charge of the communities to meet

together to make rules and let them known to the masses. The founding of together to make rules and let them known to the masses. The founding of

smoke-free families can also use the method of communities.smoke-free families can also use the method of communities.

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（（ 33 ）） next-step proposals next-step proposals

1. different types of education should be done in different places and to 1. different types of education should be done in different places and to

different peopledifferent people

2. to combine the regular education with other forms of education 2. to combine the regular education with other forms of education

3. to improve the communication skills of tobacco control staffs3. to improve the communication skills of tobacco control staffs

4.to strengthen cooperation with relevant projects4.to strengthen cooperation with relevant projects

5.to strengthen the long-term mechanism to enable the sustainable 5.to strengthen the long-term mechanism to enable the sustainable

development of projectdevelopment of project

6.to strengthen the intercommunion between project sites, and to improve the 6.to strengthen the intercommunion between project sites, and to improve the

methods of workmethods of work

7. to set up smoke-free places7. to set up smoke-free places

8. smoke-free communities and families8. smoke-free communities and families

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Health Education and Health Promotion Association of Shaanxi

ProvinceAddress: 61 Wenjing Rd, Xi’an City

TEL: 029-8624086713709119096

Email: [email protected]

1 ‘ towards a smoke-free china’ in shaanxi province health education and health promotion...

Documents

county city

weinan city government

county government

weinan tv

hua county cdc

project sites

tobacco control provisions

health technicians