Tobacco smoking is related with the socio-economic disadvantage of indigenous population and they also suffer from psychological distress and depression. This is another most important reason for the higher rate of smoking in Indigenous people. The higher rate of smoking in indigenous people has not received much attention despite the link with mortality and morbidity. The tobacco control in indigenous people has been characterized by minimal formal evaluation of the interventions and very limited program delivery. Most of the investigations have focused on the brief intervention or the community based approaches. There has been very limited or no evaluation of culturally appropriate quit smoking program in Australia. The Center for Excellence in Indigenous Tobacco Control (CEITC) has shown some interest in smoking cessation programs for the indigenous Australians. Some group programs were also arranged that showed some positive results in mainstream population but they were not focused on the indigenous smoking at all. A recent study in UK found that group treatment is more useful than of individual treatment. The result of group treatment is 30% whereas the result of individual treatment is only 19%. To develop a proper cessation program for indigenous smoking it is quite important to understand the cultural, political and historical aspects of indigenous smoking. Most of the organizations arranged quit smoking campaign failed to understand it and that is the reason the campaigns did not seem to be effective.
Give up the Smokes (GUTS) is a culturally suitable intensive ‘stop smoking’ program which is especially designed for the indigenous smokers and it was developed by Galambila Aboriginal Medical Service and MNCDGP. The concept of the program was adopted for QUIT for CATS which was developed by the working party which consists of the first author of it who was a general practitioner and director of QUIT for CATS program. The Aboriginal Community Controlled Medical Service or ACCMS and AHWs were directly or indirectly involved in every stage of the development of the program as per the recommendations of CEITC. There were numerous researches involved in the program and ACCMS and AHWs helped a lot to make the researches easier. The development of the ‘Give up the Smokes’ program was funded by the Alliance of NSW Divisions and Cancer Institute NSW.