To what extend the national tuberculosis control center in Armenia follows the smoke-free standards and policies.

Abstract

Introduction Tobacco use was associated with twofold increase in the risk of tuberculosis (TB) infection. Implementation of tobacco control activities is essential in TB management processes. The Armenian tobacco control law prohibits smoking in healthcare facilities, however, enforcement of the ban is insufficient. We assessed the level of compliance of the National TB Control Center, the largest inpatient TB facility in Armenia, with tobacco control standards and evidence based recommendations. Material and Methods Interviewers conducted observations in the hospital using a checklist developed based on the international tobacco control and Joint Commission International standards (JCI). The assessed items were grouped into three standards and scored from zero to ten. Results The “No Smoking” signs were displayed only in the lobby, while the statements on financial and other penalties were absent (3.5/10). No direct tobacco advertisement, tobacco products sales and functional items with tobacco logotypes were found in the hospital, however functional items (ashtrays and lighters) were present in the hospital (7.0/10). Proofs indicative of smoking practices (tobacco smoke, tobacco litter and smoking staff) were observed throughout the building (0/10). The mean score of standards was 3.5. Conclusions The tobacco control standards were met partially (35%). We recommend to take a leadership and enforce the JCI standards and tobacco control law to protect and increase cessation among TB patients/staff and further promote projection of the inpatient TB services’ healthy image, demonstrating commitment to health in Armenia, a country in transition with high smoking and TB burden. Funding The study was funded by the Armenian Medical Fund.

Keywords

• Tuberculosis
• tobacco cessation
• enforcement of tobacco control policies
• compliance with smoke-free standards