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medRxiv PreprintsInternational12 November 2026

Readiness Among Female Community Health Volunteers to Deliver Community Based Tobacco Cessation Counseling in Rural Nepal: A Two-phase Mixed-methods Study

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Tobacco cessation support is largely absent from health facilities in Nepal, particularly in rural areas. Female community health volunteers(FCHVs) serve communities across the country and could help extend cessation services, but it was unknown whether they can deliver tobacco cessation counseling. We evaluated their readiness to do so. Guided by the Health Belief Model, we conducted a two-phase mixed-methods evaluation with 28 volunteers in rural mid-Western Nepal. We held eight focus group discussions exploring the volunteers knowledge, confidence, and barriers to providing counseling, in t
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