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|Title:||Implementing and enforcing a smoke-free policy and by-law on hospital grounds at Central Coast Local Health District||Authors:||Giles, Luke ;Bauer, Lyndon||Affliation:||Central Coast Local Health District||Issue Date:||Apr-2019||Source:||31(1):128-132||Journal title:||Health Promotion Journal of Australia||Department:||Health Promotion||Abstract:||ISSUE ADDRESSED: Smoking by patients, staff and visitors on the grounds of Central Coast Local Health District (CCLHD). METHODS: NSW Health introduced a smoke-free buildings and vehicles policy in 1988. A smoke-free grounds policy was implemented in 1999, and a smoke-free by-law adopted by CCLHD in 2013, making smoking on CCLHD grounds an offence. Smoking in high-profile areas near hospital entrances was counted regularly since 2000. Several methods for communicating, monitoring and enforcing these smoke-free interventions have been adopted, including signage, Public Address announcements and enforcement patrols to ensure by-law compliance and to issue fines where required. Compliance with the smoke-free interventions has been supported with the availability of Nicotine Replacement Therapy for patients and visitors. RESULTS: When monitoring counts first commenced in 2000, smoking rates in high-profile areas were 8.1% at Gosford Hospital and 11.1% at Wyong Hospital. Counts conducted in 2018 indicated a substantial improvement, with the smoking rate in high-profile areas reducing to 0.25% at Gosford Hospital and 0.5% at Wyong Hospital. Smoking rates in high-profile areas have held steady at approximately 0.3% since 2014, after the by-law was implemented. CONCLUSIONS: The introduction of the smoke-free by-law added extra impetus to efforts to reduce smoking on CCLHD hospital grounds by providing the option to fine people who breach the by-law. Smoking in high-profile areas has declined substantially since 2011, and is minimal since the establishment of the smoke-free by-law. SO WHAT?: The experiences of CCLHD in implementing the smoke-free by-law may provide insights for other health services looking to use a similar intervention at their facilities. There are also methodological lessons for other organisations looking to communicate, monitor and enforce smoke-free policies, without enforcing fines.||URI:||https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1482||DOI:||10.1002/hpja.255||Pubmed:||https://www.ncbi.nlm.nih.gov/pubmed/31004373||ISSN:||1036-1073||Publicaton type:||Journal Article||Keywords:||Public Health|
|Appears in Collections:||Public Health / Health Promotion|
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