TABLE 4.
Barriers to provision of counselling and needs of HCPs to improve the delivery of counselling service (Assiut, Egypt. 2022).
| Barriers for HCPs to advise pregnant women/mothers with children to avoid SHS exposure | N = 367 a | % |
|---|---|---|
| Lack of time | 228 | 62.1 |
| Lack of training | 195 | 53.1 |
| There is no reimbursement for advising women to avoid SHS exposure | 167 | 45.5 |
| Unavailability of materials (e.g., brochures about health hazards of SHS) | 147 | 40.1 |
| Low chances of success | 122 | 33.2 |
| Pregnant women/mothers with children do not want/expect to receive that advice | 92 | 25.1 |
| SHS exposure counselling is not a part of my job | 69 | 18.8 |
| Feeling uncomfortable discussing as I think it is a sensitive topic | 57 | 15.5 |
| HCPs’ opinion regarding barriers for pregnant women/mothers with children to avoid SHS exposure | ||
| Husband smoking at home | 317 | 86.4 |
| Ignorance of the risks of SHS exposure | 274 | 74.7 |
| Another household smoker | 221 | 60.2 |
| Lack of self-confidence to ask smoker in her household to stop smoking | 187 | 50.9 |
| Smoking being accepted in the society | 186 | 50.7 |
| Regulations on smoking in public places are not enforced | 181 | 49.3 |
| Societal attitudes towards women asking her husband/smoker in her household to stop smoking | 116 | 31.6 |
| Other | 1 | 0.3 |
| Whose job is it to discuss SHS exposure with pregnant women/mothers with children | ||
| Nurse | 276 | 75.2 |
| Midwife | 200 | 54.5 |
| General practitioner (GP) | 184 | 50.1 |
| Others | 53 | 14.4 |
| What do HCPs’ need to deliver/improve the delivery of SHS counselling service among pregnant women/mothers of children? | ||
| Training for HCPs | 307 | 83.7 |
| Availability of standard guidelines in the health centre | 237 | 64.6 |
| Availability of materials about SHS health hazards | 211 | 57.5 |
| Nothing | 7 | 1.9 |
| Other | 4 | 1.3 |
| What is the best way to help pregnant women/mothers with children to avoid SHS exposure? | ||
| Health education sessions for pregnant women/mothers of children | 254 | 69.2 |
| Health information materials for pregnant women/mothers of children | 256 | 69.8 |
| Health education sessions for pregnant women and their household smokers | 210 | 57.2 |
| Offering counselling sessions and nicotine replacement therapy to household smokers | 181 | 49.3 |
| Other | 7 | 1.9 |
a
Respondents were allowed to choose many options.