Table 2 Advantages and disadvantages identified by stakeholders for each QFNL implementation model
Model | Advantages | Disadvantages |
|---|---|---|
Referral | • Less burden on clinic staff • More time available to address smoking • Skilled, confident smoking care advisor addresses smoking | • Relies on funding for smoking care advisor position • Affected by staff turnover • Limited support for women who decline referral to smoking care advisor |
Capacity Building | • Sustainable beyond funding period • Large number of staff can deliver support • Smoking addressed often by someone with existing relationship with client | • Staff have limited time to address smoking • Staff may lack confidence or not see it as their role to address smoking • Constant need to train and update all staff |
Direct Service Provision | • Utilises local resources • Less burden on clinic staff • Skilled, confident staff address smoking | • Time burden on staff providing care • Affected by staffing and skill gaps • Limited support for women who decline referral to smoking care advisor |