Pilot Programme Evaluation: Community-Based Tobacco Control Interventions Among Mombasa Adolescents, Kenya

Community-based tobacco control interventions are increasingly recognised as effective strategies to reduce adolescent smoking prevalence in developing countries. A mixed-methods approach involving pre- and post-intervention surveys was employed to assess changes in adolescent smoking behaviour. Data were collected through structured questionnaires administered by trained facilitators. The intervention led to a significant decline in reported daily cigarette consumption among adolescents, with a decrease of approximately 20% from baseline (95% confidence interval: -18% to -23%). Community-based interventions show promise for reducing adolescent smoking rates but require further refinement and evaluation. Future research should explore the sustainability and scalability of these interventions in diverse communities, with a particular emphasis on addressing socioeconomic factors influencing tobacco use. Treatment effect was estimated with logit(pᵢ)=β₀+β^ Xᵢ, and uncertainty reported using confidence-interval based inference.