The abstract is read at the publisher; the summary is JClub's.
Female community health volunteers in rural mid-Western Nepal showed improved tobacco counseling readiness after training, with motivation concerns rising from 25% to 57.1% across two phases.
- Why it matters: Tobacco cessation counseling is largely missing in Nepal’s health facilities, especially in rural areas, and it was unclear whether FCHVs could realistically deliver such support.
- What they did: In a two-phase mixed-methods study with 28 FCHVs, eight focus group discussions (11 months apart) assessed knowledge, confidence, and barriers, while surveys were administered before and after each training; training used lectures and role play plus a refresher.
- The result: Qualitative themes and survey trends converged: knowledge and confidence improved and community receptivity increased, but misconceptions, hesitation, and barriers persisted, and COVID-19 disrupted efforts.
The findingWhy it mattersWhat they didThe result
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