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Children Learning About Second-Hand Smoking – A Feasibility Cluster Randomized Controlled Trial

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Exposure to second-hand smoke is a threat to children’s health. We developed a school-based smoke-free intervention (SFI) to support families in implementing smoke-free homes in Bangladesh, and gathered preliminary evidence of its effectiveness. To read the article, please download the PDF. PDF Version 
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  • Published in Journal Article, Resources
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Smokeless tobacco supply chain in South Asia – A comparative analysis using the WHO Framework Convention on Tobacco Control

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Most South Asian countries are signatories to the WHO Framework Convention for Tobacco Control (FCTC). However, there is little information on the extent to which FCTC standards are effectively implemented for controlling smokeless tobacco (SLT)—used by over 250 million people in the region. We assessed the feasibility of a novel approach based on interviewing the
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Children Learning About Secondhand Smoke (CLASS II) – protocol of a pilot cluster randomised controlled trial

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Exposure to secondhand smoke (SHS) increases children’s risk of acquiring chest and ear infections, tuberculosis, meningitis and asthma. Smoking bans in public places (where implemented) have significantly reduced adults’ exposure to SHS. However, for children, homes remain the most likely place for them to be exposed to SHS. Additional measures are therefore required to protect
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Improving the quality of care of children in community clinics – an intervention and evaluation in Bangladesh

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Community health care providers (CHCPs) in 40 rural community clinics of Comilla district, Bangladesh, were trained using a newly developed case-management job aid based on the World Health Organization Integrated Management of Childhood Illness and a communication guide. To read the whole article, please download the PDF. PDF Version 
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Improving the quality of care at community clinics in rural Bangladesh through new approaches

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Our research shows that there can be substantial benefits to healthcare provision if countries develop tailored materials and training packages for lower-level health workers. Regular refresher training for community health care providers, specially-adapted job aids and help to improve communication skills are among the key recommendations from our study. PDF Version  | HTML Version 
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Secondhand Smoke Exposure in Primary School Children: A Survey in Dhaka, Bangladesh

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We report on second-hand smoke (SHS) exposure based on saliva cotinine levels among children in Bangladesh—a country with laws against smoking in public places. To read the article, please download the PDF. PDF Version 
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Protocol for the mixed-methods process and context evaluation of the TB & Tobacco randomised controlled trial in Bangladesh and Pakistan: a hybrid effectiveness–implementation study

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Tuberculosis (TB) remains a significant public health problem in South Asia. Tobacco use increases the risks of TB infection and TB progression. The TB& Tobacco placebo-controlled randomised trial aims to (1) assess the effectiveness of the tobacco cessation medication cytisine versus placebo when combined with behavioural support and (2) implement tobacco cessation medication and behavioural
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  • Published in Journal Article, Resources
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Children Learning About Second-hand Smoke (CLASS II): a pilot cluster randomised controlled trial

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Children exposed to secondhand smoke (SHS) are at increased risk of respiratory illnesses. We piloted a Smoke Free Intervention (SFI) and trial methods before investigating its effectiveness and cost-effectiveness in primary school children. To read the article, choose one of the following buttons below. PDF Version  | HTML Version 
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  • Published in Journal Article, Resources
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Embedded health service development and research: why and how to do it (a ten-stage guide)

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In a world of changing disease burdens, poor quality care and constrained health budgets, finding effective approaches to developing and implementing evidence-based health services is crucial. Much has been published on developing service tools and protocols, operational research and getting policy into practice but these are often undertaken in isolation from one another. This paper,
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Muslim Communities Learning About Second-hand Smoke in Bangladesh (MCLASS II) study protocol for a cluster randomised controlled trial of a community based smoke-free homes intervention, with or without Indoor Air Quality feedback

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Second-hand smoke (SHS) is a serious health hazard costing 890,000 lives a year globally. Women and children in many economically developing countries are worst affected as smoke-free laws are only partially implemented and homes remain a major source of SHS exposure. There is limited evidence on interventions designed to reduce SHS exposure in homes, especially
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