Capacity Building Program for Tobacco Control Among Youth in School

1. Capacity Building Program for Tobacco Control Among Youth in School M. Nazri MT 1, Izhan I 2, Sulastri S 1, Razak L 1, Shazlin I 2, Mursyidah J 2, Hani H 2, Faten I 2 , N.Syahidah A 1, N. Azimah Z 1. 1. National Poison Centre (NPC), Universiti Sains Malaysia. 2. SekolahMenengahKebangsaan Abdullah Munshi (SMKAM), Penang

2. B a c k g r o u n d • Global Youth Tobacco Survey (GYTS) 2009: Reported 20% of youths in Malaysia are smokers. • Some Malaysian children reportedly begin smoking as early as 8-years-old. • Malaysians are still living in pro-tobacco environment where smoking is prevalent. It is no easy task to change the culture. • NPC in collaboration with SMKAM have embarked on a capacity building program to empower students to be tobacco control leaders. • One of the program’s missions is to develop the Train-the-Trainers module on tobacco control for secondary students. Nazri 2011

3. Why Youth ? • Young • Energetic • Determined • Creative • Innovative • Youth understands more youth’s need. • Domino effect… • Youth as the future generation to push for bigger SOCIAL IMPACT! Nazri 2011

4. Capacity Building Workshop “SembangWarung Kopi” - SMK Abdullah Munshi Nazri 2010

5. Workshop Info Date • 21 April 2010 (Half day program) Venue • SMK Abdullah Munshi (SMKAM) Moderator • Assoc. Prof. Razak Hj Lajis (Director, National Poison Centre) Facilitator • National Poison Centre USM, National Anti-Drug Agency (AADK), State Health Department, Form Six Student Society SMKAM and Think Quest Team from SMKAM Participants • 40 high-risk students from form 4 – 5 SMKAM • No prior knowledge or exposure to tobacco control related info. Methodology • World Café a.k.aWarung Kopi Nazri 2011

6. Workshop Objectives • Sharing knowledge on tobacco control topics. • Build confidence and soft skills among student leaders. • Guide peers in tobacco control (TC). • Build linkages in various levels to sustain implemented tobacco control activities. Nazri 2011

7. Methodology Nazri 2011

8. Ancient proverb: "Tell me ... I will forget, Show me ... I will remember,  Involve me ... I will understand. " Theory of Participatory Education is specified, empowerment and full participation of the targeted individuals in a problem is the key to changing attitudes. Nazri 2011

9. “SembangWarung Kopi” a.k.a World Café Method • SEMBANG WARUNG KOPI is adapted from World Café method to suit local practices. • In this adapted version of World Café, two main elements were highlighted which included VISUALISATION and PARTICIPATION. Nazri 2011

10. “SembangWarung Kopi” – The Process Warung 2: AADK Warung 1: NPC Reflection Warung 4: SMKAM Warung 3: DOH Nazri 2011

11. Progress after the workshop Nazri 2011

12. Student Attachment in NPC Objectives: • To meet selected students (Think Quest) to voluntarily and actively participate in tobacco control activities after the workshop. • To discuss on action plans. • To share knowledge and provide opportunities on how to obtain reference sources. • Getting to know important peoples in tobacco control (TC). Nazri 2011

13. Exposure and Follow Up Workshop on TC at SMK Sacred Heart Penang : (28 April 2011) WNTD 2011 : Penang State Level (28 - 29 Mei 2011) WNTD 2011 : Melaka State Level (31 Mei 2011) Green Lung Flash Mob Dance : (23 September 2011) • Follow up to monitor • progress • Exposure (GL and NPC • Programs) – to polish their • soft skill and increase • knowledge. Penang Heritage Day : (9 July 2011) Green Lung Say What: Parallel Workshop during Youth Conference (2 June 2011) Nazri 2011

14. O u t c o m e • The birth of DON’T BREAK MY HEART (DBMH) • 6 ACTION PLANS to be implemented over a 2- year period: 1. Awareness campaign: Conducting programs to disseminate knowledge on the dangers of smoking and to bring awareness that schools are non-smoking areas designated by government. 2. Peer-to-peer support: Giving advice on harmful effects of smoking and the benefits of quitting and providing info on supports to quit smoking. 3. Research: Obtaining profile of smoking statistic in SMKAM and opinion about smoking habits. 4. Social Network Activities: Reaching peers in SMKAM and other schools by providing a suitable platform to share insight about tobacco control issues among youths. 5. Capacity Building: To train their juniors to become advocates in tobacco control. 6. Linkages: To be recognized and to have a good relationship with agencies such as NPC, Department of Education, AADK, Department of Health and others. Nazri 2010

15. Fulfilling the 6 Action Plans : Nazri 2011

16. 1. DBMH: Awareness Campaign

17. 1. DBMH: Signature Campaign 31,263 signatures were collected from 210 schools all over Penang

18. 2. DBMH: Peer-to-Peer Support • Smokers baseline data (15 smokers) • Advice • Follow-up session (every 2 months)

19. 3. DBMH: Survey • Conducted F-2-F interview with 9 smokers (14 – 16 y.o) from SMKAM on 25 April 2011. • Questionnaire and FTND test. • Examples of questions asked: (1) Years of smoking? Since 9 y.o. - Since 14 y.o. (2) Reason for smoking? Look nice when smoke. Frustrated (love), Just for fun (3) Cigarette brand? Marlboro (Black Menthol), Dunhill Light, Pallmall Light (4) Where do you smoke? Behind school, toilet, outside school compound. (5) Do your parents know you are a smoker? Yes (6) How do you feel when you started smoking? Coughed, headache, feel macho and smart when smoke, feel nothing. (7) Do you want to quit? Have tried but failed, Enjoy first • The FTND results:

20. 4. DBMH: Social Network Activities 495 Friends (update 6 Oct 2011) 192 View (22 Mar - 6 Oct 2011)

21. 5. DBMH: Capacity Building Recruiting New Members Next Year (2012) DBMH Seniors 2011 DBMH Juniors 2011

22. 6. DBMH: Linkages

23. Discussion • Application “Warung Kopi” method in this workshop has changed the traditional way of organizing workshops based on teacher-pupil relationship towards more interactive and interesting way which emphasizes on visualisation and participation. • The design of the workshop which follows a sequence of action-reflection-action allows participants towards a collective process of experiential learning. • Sharing of knowledge between facilitators and participants. Each participant is free to share his/her knowledge and experiences. Nazri 2011

24. Conclusion • Building capacity among youth in TC is vital to ensure that TC effort is • sustainable . • Interactive ways of learning attract students to learn more about TC and helps • students to understand the subject matter, to think creatively and participate in • decision making. • Based on observations after capacity- building workshop and follow-up programs, DBMH students : • Able to explain topics on TC. • More CONFIDENT (Leadership, • communication etc.). • Believe in their own capability. • More INDEPENDANT (designing own • programs and making decision) • Feel responsible to implement • SF school. Nazri 2011

25. Recommendation • Proper pre and post evaluation need to be conducted to evaluate the effectiveness of this program. • Potential for expansion to other schools in Penang and other states. It is hoped this group of students is able to bring DBMH to higher levels and be recognized as an elite TC organization in Malaysia. • DBMH’s aspiration : “We will get support, our vision is clear, we may sustain our effort and our voice will be heard not only in our school but throughout Penang and Malaysia”. Nazri 2011

26. Acknowledgement • Grateful thanks to all NPC staff and lecturers, DBMH students and other agencies who were involved in this capacity-building workshop. • Special thanks to Hjh. Zaimah Bt. A. Latiff(Principal of SMKAM), Mr. IzhanIshak(Advisor of DBMH) and Mrs. Hong ChyeHar (Form Six Student Society) for supporting this project from its inception until now. Nazri 2011

27. Thank You For Your Attention !!! want to know more? Any suggestion ? Nazri 2011