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Article 14 of the WHO Framework Convention on Tobacco Control 5. Develop training capacity
(WHO FCTC) states that: 6. Use existing systems and resources to ensure the greatest
possible access to services
“Each Party shall develop and disseminate appropriate, 7. Make the recording of tobacco use in medical notes mandatory
comprehensive and integrated guidelines based on scientific 8. Encourage collaborative working
evidence and best practices, taking into account national 9. Establish a sustainable source of funding for cessation help
circumstances and priorities, and shall take effective measures
to promote cessation of Tobacco use and adequate treatment for Within the current ENSP Guidelines for Treating Tobacco
tobacco dependence”. Dependence we aim to address mainly Step 3, taking however
into account the national situation analysis of Step 1 and
The guidelines for implementation of Article 14 : ii integrating to the extent possible Steps 5 (Training Capacity) and 7
i. Encourage Parties to strengthen or create a sustainable (make the recording of tobacco use in medical notes mandatory).
infrastructure which motivates attempts to quit, ensures wide
access to support for tobacco users who wish to quit, and According to the implementation guidelines “Parties should
provides sustainable resources to ensure that such support is develop and disseminate comprehensive tobacco dependence
available; treatment guidelines based on the best available scientific evidence
ii. Identify the key, effective measures needed to promote tobacco and best practices, taking into account national circumstances
cessation and incorporate tobacco dependence treatment and priorities. These guidelines should include two major
into national tobacco control programmes and health-care components: (1) a national cessation strategy, to promote tobacco
systems; cessation and provide tobacco dependence treatment, aimed
iii. Urge Parties to share experiences and collaborate in order principally at those responsible for funding and implementing
to facilitate the development or strengthening of support for policies and programmes; and (2) national treatment guidelines
tobacco cessation and tobacco dependence treatment. aimed principally at those who will develop, manage and provide
cessation support to tobacco users.”
According to these aforementioned guidelines, effort should
be focused on developing the infrastructure to support tobacco A national cessation strategy and national tobacco dependence
cessation and treatment of tobacco dependence among FCTC treatment guidelines should have the following key characteristics:
party members, with the FCTC recommending that “Parties • they should be evidence based;
should implement the actions listed below in order to strengthen • their development should be protected from all actual and
or create the infrastructure needed to promote cessation of potential conflicts of interest;
tobacco use effectively and provide adequate treatment for tobacco • they should be developed in collaboration with key stakeholders,
dependence, taking into account national circumstances and including but not limited to health scientists, health professional
priorities.” organizations, health-care workers, educators, youth workers
and non-governmental organizations with relevant expertise in
These action steps can be summarised as follows this area;
1. Conduct a national situation analysis • they should be commissioned or led by government, but in
2. Create or strengthen national coordination active partnership and consultation with other stakeholders;
3. Develop and disseminate comprehensive guidelines however, if other organizations initiate the treatment guidelines
4. Address tobacco use by health-care workers and others development process, they should do so in active collaboration
involved in tobacco cessation with government;

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