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. Sekolah Menengah Kebangsaan Abdullah Munshi (SMKAM), Penang

Capacity Building Program for Tobacco Control Among Youth in School

B a c k g r o u n d

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• 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.

• Young• Energetic• Determined• Creative• Innovative

• Youth understands more youth’s need.• Domino effect…

• Youth as the future generation to push for bigger SOCIAL IMPACT!

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Why Youth ?

Capacity Building Workshop

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“Sembang Warung Kopi” - SMK Abdullah Munshi

Workshop InfoDate• 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.a Warung Kopi

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Workshop Objectives

1. Sharing knowledge on tobacco control topics. 2. Build confidence and soft skills among

student leaders. 3. Guide peers in tobacco control (TC). 4. Build linkages in various levels to sustain

implemented tobacco control activities.

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Methodology

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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.

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“Sembang Warung 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.

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“Sembang Warung Kopi” – The Process

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Warung 1: NPC Warung 2: AADK

Warung 3: DOHWarung 4: SMKAM

Reflection

Progress after the workshopNazri 2011

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).

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Exposure and Follow Up

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WNTD 2011 : Melaka State Level

(31 Mei 2011)

WNTD 2011 : Penang State Level (28 - 29 Mei 2011)

Green Lung Say What: Parallel Workshop during Youth Conference

(2 June 2011)

Penang Heritage Day : (9 July 2011)

Workshop on TC at SMK Sacred Heart Penang :

(28 April 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.

• 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.

O U T C O M E

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Fulfilling the 6 Action Plans :

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1. DBMH: Awareness Campaign

1. DBMH: Signature Campaign

31,263 signatures were

collected from

210 schools all over Penang

2. DBMH: Peer-to-Peer Support

• Smokers baseline data (15 smokers)• Advice • Follow-up session (every 2 months)

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:

Score Description Number of case

1 - 3 Indicating less nicotine dependence 7

4 - 5 Indicating nicotine dependence 0

6 - 10 Indicating severe nicotine dependence 2

4. DBMH: Social Network Activities

495 Friends (update 6 Oct 2011)

192 View (22 Mar - 6 Oct 2011)

5. DBMH: Capacity Building

DBMH Seniors 2011

Recr

uitin

g N

ew M

embe

rs N

ext

Year

(201

2)

DBMH Juniors 2011

6. DBMH: Linkages

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.

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Conclusion

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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.

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.

• 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”.

RECOMMENDATION

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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. Izhan Ishak (Advisor of DBMH) and Mrs. Hong Chye Har (Form Six Student Society) for supporting this project from its inception until now.

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WANT TO KNOW MORE? ANY SUGGESTION ?

Thank You For

Your Attention !!!

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