Evaluation of an Integrated Intervention to Stop Tobacco Use among Suspected Tuberculosis Patients (Pakistan)

In many low- and middle-income countries where tobacco use is common, tuberculosis (TB) is also a major problem. Studies have shown that smokers have a much greater chance of contracting TB and that tobacco use aggravates TB. Pakistan is typical of many developing countries in that its poorly resourced health system faces the double burden of infectious and non-communicable diseases. A large portion of the latter are the result of tobacco use. An integrated approach to tobacco dependence and TB control could be cost effective. For example, health professionals could use TB screening as an opportunity for offering treatment for tobacco dependence.

This grant will allow the Association for Social Development (ASD), a local nongovernmental organization, and the Nuffield Centre for International Health and Development (Leeds University), together with Pakistan's TB and Tobacco Control programs, to design an intervention based on the "five steps to quit" model developed by the World Health Organization (WHO) and pilot it within the national TB program. Researchers will evaluate the cost effectiveness of the intervention, explore barriers and constraints to its application, and promote its long-term implementation.

Project ID


Project status


Start Date

Monday, October 20, 2008

End Date

Tuesday, April 17, 2012


36 months

IDRC Officer

Leppan, Wardie

Total funding

CA$ 426,700


Pakistan, Central Asia, Far East Asia, South Asia


Food, Environment, and Health

Project Leader

Dr. Kamran Siddiqi


University of Leeds

Institution Country

United Kingdom

Institution Website


Project Leader

Dr. Muhammad Amir Khan


Association for Social Development

Institution Country


Institution Website