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lessons from
Massachusetts
Massachusetts
Department of Public Health, Massachusetts Tobacco Control Program,
Boston, Massachusetts, USA
Correspondence to: Harriet Robbins, EdM, Massachusetts Department of Public Health, Massachusetts Tobacco Control Program, 250 Washington Street, 4th Floor, Boston, MA 02108-4619, USA; Harriet.Robbins{at}state.ma.us
Received 9 July 1999; Revision received 13 April 2000;
Accepted 21 April
2000
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.
OBJECTIVESThe
development of the Massachusetts Tobacco Control Program is outlined,
focusing on three stages of development: formation, strategic
partnership building, and shared leadership.
METHODSThe
development of management structures, programmatic infrastructure,
communication and partnership networks, and advisory structures are
tracked throughout the three phases.
RESULTSThe 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.
CONCLUSIONOther
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.
This article has been cited by other articles:
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 H. Fear and P. Barnett Holding fast: the experience of collaboration in a competitive environment Health Promot. Int., March 1, 2003; 18(1): 5 - 14. [Abstract] [Full Text] [PDF]
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 H K Koh Accomplishments of the Massachusetts Tobacco Control Program Tob. Control, June 1, 2002; 11(90002): ii1 - 3. [Full Text]
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H Robbins, M Krakow, and D Warner Adult smoking intervention programmes in Massachusetts: a comprehensive approach with promising results Tob. Control, June 1, 2002; 11(90002): ii4 - 7. [Abstract] [Full Text]
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S Soldz, T W Clark, E Stewart, C Celebucki, and D K. Walker Decreased youth tobacco use in Massachusetts 1996 to 1999: evidence of tobacco control effectiveness Tob. Control, June 1, 2002; 11(90002): ii14 - 19. [Abstract] [Full Text]
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