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The phase 1 interviews highlighted how patients saw the health workers as an authoritative figure, whose advice they were willing to take: I think if the health workers advise it (not smoking), it will be more effective because family members say that every day and no-one listens to them (phase 1: male smoker 58, rural district) A challenge identified across the PHCCs was the high levels of absenteeism among health workers

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Moreover, at a cellular level cigarette smoke has been shown to affect the dendritic cell phenotypes by way of alteration in molecular and receptor function, with differential impacts in UC compared with CD samples when exposed to cigarette smoke [50]