Introduction:
Bangladesh is a country with high tobacco-related disease burden however clinic-based tobacco cessation services has not evolved accordingly. Tobacco cessation clinic was established at National Heart Foundation Hospital and Research Institute (NHFH&RI) in 2013 and since then the clinic is providing cessation service to its patients.

Objectives:
This study was done to evaluate the impact of clinic-based cessation service on quitting among the patients.

Methods:
A referral system was established among the doctors of in-patient and out-patient departments to know the history of tobacco use. Doctors would ask the detected tobacco users to refrain from it and query whether s/he needs any further counselling. On the patient’s agreement, they were referred to the cessation clinic by filling a form. In tobacco cessation, clinic patients were evaluated for their level of nicotine dependence. Then a trained counsellor explained the health hazard of tobacco use and benefits of quitting. Then patients were followed up over telephone after one and six months to know their status.

Results:
661 registered patients were counselled (mostly behavioral counselling). The mean age of the respondents was 40.5 years, all are male and have had a history of smoking tobacco. Among them, 628 had at least one follow-up and 133 patients quitted within this period with a quit rate of 21.3%. 108 of them quitted within six month and other 25 took more than six months. 4 of the patients (0.6%) did agree to take drug varenicline (0.5mg) for 12 weeks but they didn’t quiet.

Conclusion(s):
For sustainable cessation service, repeated advocacy with physician’s tobacco cessation? needs to be done. As people are more accepting of the advice by health professionals, a systematic cessation intervention may strengthen patients’ motivation for quitting tobacco.