Are tobacco and cancer control strategies in Poland consistent, harmonized and comprehensive? Results of two-round Delphi study
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Maria Sklodowska-Curie Cancer Center and Institute, Warsaw, Poland
Publish date: 2018-06-13
Tob. Prev. Cessation 2018;4(Supplement):A165
Aim: To evaluate whether tobacco and cancer control strategies are consistent, harmonized and comprehensive in Poland.

A Delphi two-round survey was conducted between February and July 2017 to seek opinions of Polish experts on consistency and comprehensiveness of the National Tobacco Control Program for years 2018-2024 and the Cancer Control Strategy for Poland in years 2015-2024. Experts were asked to rate and make consensus whether both documents are consistent and comprehensive in terms of their objectives and activities and assumed results, accordance with MPOWER strategy and consideration of tobacco control needs and new challenges in Poland. 28 of 128 (22%) invited high and middle-level experts completed the first round 8-question survey questionnaire and 24 of them (86%) agreed to also fill out the second round 5-question study questionnaire.

Main tobacco control objectives defined in both documents were deemed to be compatible by the study experts. However, 75% of experts underlined the need of comprehensive and measurable tobacco control indicators in the Cancer Control Strategy and 71% indicated that the strategy needs to be more focused on protection from secondhand smoke, tobacco control education and policy regulations such as tobacco ad ban or progressive tobacco taxes. Experts gave low ratings to both documents when asked to evaluate challenges in tobacco control (i.e. ENDS and HNB products). They also underlined the need to strengthen public-NGO-business collaboration in tobacco control and to increase the innovativeness of tobacco control activities. In their opinion, children, youth, women and low educated persons should be the priority target groups for all future tobacco control activities.

Although both analyzed strategies are comprehensive and consistent in terms of tobacco control approach, objectives and main activities, there are still specific activities that need to be harmonized and adapted to new challenges in tobacco control.