SMOKING CESSATION SUPPORT CENTERS: OPPORTUNITY TO ADDRESS THE LEADING PUBLIC HEALTH CHALLENGE IN MACEDONIA

Abstract

Macedonia is one of the leading countries in Europe with the highest use of tobacco, or 2540 cigarettes per person over 15 years of age, which is twice the world average. The aims of this study were to analyze and assess the organization and efficiency of the smoking cessation support centres, established as part of the Public Health Centres within the country. A descriptive study was conducted using a questionnaire designed for the purposes of this study and sent to each counselling center. A review of the reports of smoking cessation services from the official publication of the Institute of Public Health was performed. The SWOT analysis method was used for the synthesis and analysis of the data. The smoking cessation centers in Macedonia are organized and operate according to the protocol of the Institute of Public Health of the Republic of North Macedonia as the main coordinator. Since 2014, 828 smokers have used the services of the centre, which are consisted of an assessment of dependence and readiness to quit smoking, very brief advice, counseling individual or group support therapy, and pharmacotherapy provided by educated medical specialists in social medicine and public health. Additionally, the centers organize health promotion campaigns and health education programs for the general public, schools, and health professionals. There is a need to strengthen the work performance and effectiveness of the smoking cessation centers. Smoking cessation interventions should be recognized as essential health interventions covered by health insurance, and promotion of these services and referral from primary care will increase the utilization rate, which will lead to a tobacco use decline in the country.