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