Background - Since the passage of a voter approved state referendum in 1992 to establish a 25 cent increase on the excise tax on cigarettes and smokeless tobacco, Massachusetts has received an average of $40 million annually for its tobacco control programme. This funding allowed Massachusetts to expand and develop its tobacco control programme to become one of the most comprehensive in the world. Objectives - The development of the Massachusetts Tobacco Control Program is outlined, focusing on three stages of development: formation, strategic partnership building, and shared leadership. Methods - The development of management structures, programmatic infrastructure, communication and partnership networks, and advisory structures are tracked throughout the three phases. Results - The use of pre-existing public health resources, implementation of a strong training component, a geographical management structure, the creation of public and private partnerships, and the development of a shared leadership model contributed to building consensus and provided the foundation for coordinated approaches to tobacco control. Conclusion - Other states and countries can use lessons learned from Massachusetts about the organisational development of a comprehensive tobacco control programme as they embark upon similar efforts.
CITATION STYLE
Robbins, H., & Krakow, M. (2000). Evolution of a comprehensive tobacco control programme: Building system capacity and strategic partnerships - Lessons from Massachusetts. Tobacco Control, 9(4), 423–430. https://doi.org/10.1136/tc.9.4.423
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