Institute of Advanced Studies, Charles Darwin University, Northern Territory.
Aust N Z J Public Health. 2010 Feb;34(1):45-9. doi: 10.1111/j.1753-6405.2010.00472.x.
To evaluate a Northern Territory (NT) government-led pilot 'Tobacco Project' in six remote communities.
Monthly surveys of staff, semi-structured interviews with staff and community members, observation of the delivery of tobacco control interventions, review of Project documents, and monitoring of tobacco consumption using sales (or wholesale orders) of tobacco.
There was a substantive amount of tobacco control activity delivered in three of the Project communities. In two of these locations, the majority of work was primarily driven and undertaken by resident staff. Overall, most of the Project's efforts related to community education and awareness-raising. There was variable impact of the Project on tobacco consumption across the six communities. More tobacco control activity was consistently associated with a greater reduction in tobacco consumption. An important predictor of local activity was the presence of strong community drivers. A significant obstacle to the Project was the lack of new resources.
Despite the minimal impact of this Project on tobacco consumption overall, there was a consistent association between on-the-ground tobacco control activity and reductions in tobacco consumption.
New initiatives will not only need to provide new funding, but identify and then support local staff, who are central to improving local tobacco control activity and so reducing smoking and smoking-related illnesses and deaths.
评估北领地（NT）政府主导的一个在六个偏远社区进行的试点“烟草项目”。
每月对工作人员进行调查，对工作人员和社区成员进行半结构化访谈，观察烟草控制干预措施的实施情况，审查项目文件，并通过销售（或批发订单）烟草来监测烟草消费情况。
在三个项目社区中开展了大量的烟草控制活动。在其中两个地点，大部分工作主要由驻地工作人员推动和开展。总的来说，项目的大部分工作都与社区教育和提高认识有关。该项目对六个社区的烟草消费的影响各不相同。项目的烟草控制活动越多，烟草消费的减少就越大。该项目的一个重要预测指标是社区驱动因素的存在。项目的一个重要障碍是缺乏新的资源。
尽管该项目对烟草消费的总体影响很小，但在实地烟草控制活动与烟草消费减少之间存在一致的关联。
新的举措不仅需要提供新的资金，还需要确定并支持当地工作人员，他们是改善当地烟草控制活动、减少吸烟和与吸烟有关的疾病和死亡的核心力量。
