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Some key characteristics of state tobacco control programs

Some key characteristics of state tobacco control programs. Center for Tobacco Policy Research Saint Louis University School of Public Health --Presented to the STEP UP to Tobacco Control Meeting; April 15, 2004. Project Team. Saint Louis University

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Some key characteristics of state tobacco control programs

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  1. Some key characteristics of state tobacco control programs Center for Tobacco Policy Research Saint Louis University School of Public Health --Presented to the STEP UP to Tobacco Control Meeting; April 15, 2004

  2. Project Team Saint Louis University Lisa Hepp, BS Douglas Luke, PhD Stephanie Herbers,BS Nancy Mueller, MPH Melissa Krauss, MPH Angela Recktenwald, BA Patricia Lindsey, MS Ross Brownson, PhD MO Department of Health & Senior Services Janet Wilson, PhD Funded by Legacy and the CDC Foundation

  3. Presentation Overview Goal: Present a few early results from a three year multi-state tobacco program evaluation Illustrate successful academic-practice evaluation research Highlighted Results: • Financial & political climate • Inter-agency relationships

  4. Project Background:Best Practices Process Evaluation • Project Aims • Develop a comprehensive picture of a state’s tobacco control program for tobacco control partners and policymakers • Examine the effects of financial, political, and organizational factors on tobacco control programs • Understand how states are utilizing the Centers for Disease Control and Prevention’s (CDC) Best Practices for Comprehensive Tobacco Control Programs (BP)

  5. Project Background:Conceptual Model Planning Facilitating Conditions Activities Financial Climate TC Program Goals The Best Practices Political Climate Disparate Populations Organizational Capacity & Network Resources

  6. Project Background:Participating States • 10 states evaluated (2002-2003) • Washington • Oklahoma • Indiana • Wyoming • New York • Michigan • Pennsylvania • Mississippi • Hawaii • Missouri

  7. Financial and Political Climate • What is the interrelationship of states’ financial and political climates?

  8. Tobacco Settlement Funds as a % of CDC Lower Recommendations 0% 50% 100% 150% 200% Mississippi Hawaii Indiana Pennsylvania Washington New York Wyoming Oklahoma Source: Campaign for Tobacco Free Kids Michigan

  9. Financial Climate: Strengths and Challenges • Dedication of MSA dollars to tobacco control • Trust fund • Cigarette excise tax increase • Securitization • State budget shortfalls

  10. Political Champions Legislators Attorney General Governor Health Department Director Voluntary Agencies Other Organizations Political Barriers Tobacco Industry presence Preemption Lack of political support Pro-tobacco norm Political Climate: Champions and Barriers

  11. Financial & Political Climate: Rating Variables

  12. Financial & Political Climate: State Comparison Summary

  13. Inter-agency Relationships • Do inter-agency relationships reflect states’ financial and political climates?

  14. Contact Network: Strong FP Climate Indiana (Centrality Index 22.7%) Mississippi (Centrality Index 20.5%)

  15. Contact Network: Challenging FP Climate Michigan (Centrality Index 10.4%) Oklahoma (Centrality Index 6.6%)

  16. Financial, Political & Inter-agency: Summary • Political and financial climates are closely related • Climates may affect how agencies are working with each other • Importance of political champions • Qualitative advocacy approach

  17. Inter-agency Relationships Key Points • Competent, knowledgeable, and supportive lead agencies are critical due to their strong influence on the network • Geographic dispersion of a network influences communication among agencies • Improving organizational structures and relationships could improve program efficiency • Investigating networks can help shed light on the highly complex process of coordinating tobacco control programs

  18. Conclusions • State tobacco control programs are large, complex inter-organizational entities • Evaluation is just starting to move beyond counting activities • Important to look at state strategies and polices • Important to examine inter-organizational characteristics • Evaluation needs to be continued to examine the effects of state budget crises on tobacco control programs • Nice example of academic research directly applicable to PH practice E-mail: dluke@slu.edu http://repositories.cdlib.org/tc/surveys

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