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This study will be carried out in Peshawar, which is the capital city of Khyber Pakhtunkhwa (KP), the north-western province of Pakistan, where the use of Naswar is most common. The study will be conducted at two specialised tertiary level, dental teaching hospitals in Peshawar: a public sector facility, the Khyber College of Dentistry (KCD); and a private sector facility, the Sardar Begum Dental College (SBDC). Being the only public sector specialized dental hospital in Peshawar, KCD caters to most of the urban and rural population of Peshawar as well as nearby areas.ST use has been linked to low socioeconomic status and since services are offered at nominal rate at KCD, it is believed that most of the patients visiting this hospital belong to low socioeconomic class. It is hoped, that the choice of this site will make patient recruitment easier. In order to explore how intervention delivery varies across public and private hospitals, SBDC has been selected as the 2nd study site. Both the study sites have expressed their support for the study in writing by issuing ‘letter of support’ signed by the deans of the hospitals.

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