From: Exploring the adequacy of smoking cessation support for pregnant and postpartum women
Theme | Barriers | Suggestions to address barriers |
---|---|---|
Policy | Absence of provincial cessation strategy | Comprehensive cessation strategy that involves cross-sector and cross-ministerial collaboration |
Sustainable funding and organizational capacity issues | Funding for capacity building, program development and sustainability | |
Organizational cessation polices, practices and procedures | ||
Hesitancy prescribing NRT to pregnant women | Medical directive for off-label use of NRT and education for providers | |
Program and service provision | Lack of comprehensive programming approach | Social determinants of health and harm reduction approaches |
Programs accessible through multiple sectors | ||
Address partner and family smoking | ||
Engagement and accessibility issues | Engage women in program development/implementation | |
Incentives, transportation, childcare and snacks | ||
Program promotion through local venues | ||
Home visits | ||
Address stigma and misconceptions through: | ||
 • Training health care providers to understand issues faced by women and role of smoking in lives | ||
 • Cessation training for providers who work with disadvantaged women | ||
 • Positive messaging | ||
 • Provincial media campaigns | ||
Affordable NRT options | ||
Inconsistent provider practice | Annual training in MCI and cessation best practices for pregnant/postpartum women | |
Perinatal cessation modules in educational curriculums/continuing education credits | ||
 |  | Knowledge exchange channels to facilitate patient referral and promote inter-professional learning |