Filipino Nurses For Healthy and Tobacco Free Living Initiative Launch

Filipino Nurses for Healthy
and Tobacco Free Living

Initiative Launch
• Elizabeth Fildes, EdD, RN, CNE, CARN-AP,

APHN-BC, FIAAN, FANAI
©2015 Chamberlain College of Nursing, LLC. All rights reserved. 0114ccn

Objectives
• Describe the current status of tobacco use in the

Philippines
• Describe the Filipino Nurses for Healthy and Tobacco Free
Living (FN4HTFL) Health Advocacy Initiative as an
empowerment resource for nursing education to improve
community health
• FN4HTFL as ADPCN’s health advocacy vehicle
• Collaboratively, identify dissemination opportunities and
sustainability strategies
2
Disclosure:
• I have no actual or potential conflict of interest in relation

to this program/presentation.
3
Our Continuing Health Challenge
Tobacco use remains the single most preventable cause of

death and disability in the world. In the Philippines, 28.3 %
of the people are current tobacco smokers. This figure
represents 17.3 million of 61.3 million adult Filipinos. The
Philippines has one of the highest smoking rates in
Asia. The World Health Organization (WHO) estimates that
ten Filipinos die every day of cancer, stroke, lung and
heart disease caused by cigarette smoke.
4
The ADPCN Opportunity
• The percentage of smokers who are interested in quitting and who made quit attempts in the last 12
months both increased significantly.
• The proportion of current smokers who were advised to quit by health care providers and the
proportion of smokers who successfully quit in the past 12 months remained level from 2009 to 2015.
• The percentage of current smokers who thought of quitting smoking because of health warnings on
cigarette packages increased significantly (37.4% in 2009 compared to 44.6% in 2015).
• Point of sale decreased significantly at from 53.7% in 2009 to 40.5% in 2015.
• Among daily smokers, the average cigarette expenditure per month increased from Php336.3
(inflation adjusted) in 2009 to Php678.4 in 2015.
• Likewise, the average cost of a pack of 20 manufactured cigarettes almost doubled during the same
period (Ph24.9 in 2009 to Php48.0 in 2015).
• Exposure to secondhand smoke in homes and public places significantly declined. The largest drop
in exposure to secondhand smoke occurred in government buildings from 25.5% in 2009 to 13.6% in
2015. In homes, the exposure declined from 54.4% in 2009 to 34.7% in 2015
• Source: GATS,2015.
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Our Collective Power…
• Numbers
• Resources
• Research
6
Filipino Nurses for Healthy and Tobacco-
Free Living Initiative (FN4HTFL)
Goal:
The FN4HTFL Initiative is a partnership between ADPCN

and myself. Our goal is to ensure that the nursing
profession in the Philippines is prepared to actively promote
health by reducing nurses’ barriers to involvement in
tobacco control and health promoting activitities. Nurses
need to be empowered to prevent initiation of tobacco use,
assist with tobacco cessation, support strategies that
decrease exposure to second-hand smoke and participate
in legislative activities to reduce the tobacco use prevalence
in the Philippines.
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FN4HTFL Activities:
Assist faculty, nursing students and registered nurses in tobacco use prevention,
cessation and decreasing exposure to second-hand smoke efforts;
Create a Nurse Quit Smoking Line in collaboration with the Department of Health Quitline.
Provide tobacco use cessation resources for nurses, schools, health systems, and
communities;
Train nurses as leaders and advocates of healthy and tobacco-free living through brief
intervention and smoke-free policy promotion
Create and maintain a Filipino Nurses for Healthy and Tobacco-free Living (FN4HTFL)
web presence. This website will contain tools for nurses in tobacco use prevention,
cessation and decreasing exposure to second-hand smoke efforts.
Continue international collaboration to provide continuing education on healthy and

tobacco free living for faculty, nursing students and registered nurses.
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FN4HTFL Project Resources
ADPCN’s structure and processes
“As partners and with the desire to continuously update and enhance the information
provided, ADPCN will aggressively disseminate the link/program and we will propose to
our nursing deans, faculty and undergraduate/graduate students to contribute new facts,
best practices and evidence-based nursing practices”. Dr. Lacanaria
There will be an additional ADPCN website administrator or technical staff to assist in the
updating/upgrading of the information in the site.
You can we already start accessing the website during the convention!
Funding from the US to compensate FN4HTFL champions
Web presence
Collaboration with DOH, WHO and private partners (Business Mirror, is the first!)
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http://filipinonursesforhealthyandtobaccofreeliving.com
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Brief Intervention for Tobacco Use
• Ask about tobacco use

• Advise tobacco users to quit
• Arrange a referral/create a quit plan (available at the
FN4HTFL website)
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FN4HTFL Project Evaluation
The FN4HTFL Initiative’s impact will be measured by:
1. Number of nurses/nursing students exposed to the initiative via conference, newsletters and other
avenues;
2. Number of nurses/nursing students calling the Nurse Quit Smoking Line for self and referrals
3. Number of nurse/nursing students trained in brief intervention for tobacco use
4. Number of schools integrating brief intervention for tobacco use in their curriculum
5. Utilization of FN4HTFL website
6. Reports of community collaborations in tobacco use prevention, cessation and decreasing

exposure to second-hand smoke efforts by nurses, nursing students, and schools.
7. Number of nurse/nursing students pledging to be healthy/ tobacco-free and protecting children from
second-hand smoke.
8. Number of partnerships/endorsement secured.
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The Pledge
• Please pledge by signing pledge cards

• Complete a brief survey
• To inject a little bit of fun… your pledge and survey will be
entered into a drawing for cash prices!
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Partners
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What is next?
• Face to Face meetings by partners

• Identify champions to promote and coordinate all
FN4HTFL activities
• Initiate/ maintain social media presence
• Seek other partnerships
• Quarterly contests based on the FN4HTFL activities.
15
Conclusion
FN4HTFL goal, activities, resources, partners and

future plans
FN4HTFL website contents
An example of simple, no cost, evidence-based

intervention, for immediate use, BIT
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References:
• Fildes EE, Wilson MA, Crawford BJ, Kapella-Mshigeni S, Wilson LA, Henkelman W (2012). Tobacco quitlines in the United States. Nursing Clinics of North America. 47 (1): 97-
107. doi: 10.1016/j.cnur.2011.10.009.
Leffers, J and Mitchell, E. (2010). Conceptual Model for Partnership and Sustainability in Global Health. Public Health Nursing. 28(1): 91-102. doi:10.1111/j.1525-
1446.2010.00892.x.
• World Health Organization (2011). Report on the Global Tobacco Epidemic, 2011: Warning about the dangers of tobacco. Accessed at:
http://apps.who.int/iris/bitstream/10665/44616/1/9789240687813_eng.pdf.
• World Health Organization (2015). Global Adult Tobacco Survey: Philippines Country Report 2015. Accessed at:
http://www.who.int/tobacco/surveillance/survey/gats/phl_country_report.pdf
• North American Quitline Consortium (2016). Quitline Services: Current Practice and Evidence Base 2016. NAQC Quality Improvement Initiative. Accessed at:
https://c.ymcdn.com/sites/www.naquitline.org/resource/resmgr/issue_papers/Quitline_Services_issue_pape.pdf
• Dayao, DLC (2018). Back to the drawing board for the DOH quitline. Accessed at: http://www.verafiles.org/articles/back-drawing-board-doh-quit-line
• Fildes, EE, Kapella-Mshigeni S and Campbell-Heider, N (2015). Outcomes of a One-Time Telephone Intervention for Smoking Cessation in Adults. Journal of Addictions
Nursing. 26(4):184-90; quiz E1. doi:10.1097/JAN.0000000000000093.
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Filipino Nurses For Healthy and Tobacco Free Living Initiative Launch

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Filipino Nurses For Healthy and Tobacco Free Living Initiative Launch

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Filipino Nurses for Healthy

and Tobacco Free Living

• Elizabeth Fildes, EdD, RN, CNE, CARN-AP,

©2015 Chamberlain College of Nursing, LLC. All rights reserved. 0114ccn

• Describe the current status of tobacco use in the

• I have no actual or potential conflict of interest in relation

Tobacco use remains the single most preventable cause of

• Point of sale decreased significantly at from 53.7% in 2009 to 40.5% in 2015.

The FN4HTFL Initiative is a partnership between ADPCN

Continue international collaboration to provide continuing education on healthy and

Funding from the US to compensate FN4HTFL champions

• Ask about tobacco use

3. Number of nurse/nursing students trained in brief intervention for tobacco use

5. Utilization of FN4HTFL website

6. Reports of community collaborations in tobacco use prevention, cessation and decreasing

8. Number of partnerships/endorsement secured.

• Please pledge by signing pledge cards

• Face to Face meetings by partners

FN4HTFL goal, activities, resources, partners and

FN4HTFL website contents

An example of simple, no cost, evidence-based

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