Creating Tobacco-Free Communities Jeffrey Willett, Ph.D. Vice President for Programs.
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Transcript of Creating Tobacco-Free Communities Jeffrey Willett, Ph.D. Vice President for Programs.
“Statewide efforts should include implementing evidence-based policy interventions to decrease tobacco use initiation, increase cessation, and protect people from exposure to secondhand smoke.”
“Through advocacy and education, tobacco control coalitions play a critical role in exposing the tobacco industry’s predatory marketing tactics and deceitful denials. Coalitions also help mobilize communities to develop and implement policies and programs.”
Advocacy, Education,Mobilization are the
essential activities of coalitions!
Community Change Model
Environment that Supports Strong Tobacco Control
Policies
Community Mobilization
Community Education
Advocacy with Organizational
Decision Makers
Educating Government Policymakers
Community Mobilization
Engaging influential community members and organizations to publicly support and call for actions that advance public health policies. Successful community mobilization will identify strong community champions and ensure there is broad engagement from constituents, including community leaders and organizations, to actively support public health policies.
Community Mobilization
Scalable ApproachesI. Identifying shared goals with community organizations.
II. Leveraging support of existing coalition for initiative/policy objective.
III. Establishing a coalition to focus on specific initiative/policy objective.
IV. Supporting coalition coordinators to maintain a strong infrastructure.
V. Supporting a community mobilizer to actively engage the public and key influencers.
VI. Training and supporting partners to be actively engaged in community education and advocacy with decision makers.
Community Mobilization
Community Education
• Activities that educate the public (or subsets of the public) about health issues with the intention of influencing individual opinions, beliefs and behaviors. Community education includes discrete events, earned media and paid media. Successful community education will ensure there is public support for public health policies; help mobilize the community to voice its support for policies; and help educate policy makers about the issue.
Community Education
Scalable Approaches
I. Dissemination of materials to the media.
II. Dissemination of localized/personalized materials to the media.
III. Fostering strong relationships with local reporters.
IV. Holding community events designed to garner media coverage.
V. Coordinating comprehensive earned media campaigns with involvement from a wide range of partners.
Community Education
Advocacy with Organizational Decision Makers
• Strategies to change organizations’ policies, programs, or practices. Successfully advocating with organizational decision makers will ensure that decision makers are taking meaningful, verifiable and sustainable action in support of public health policies.
Advocacy with Organizational
Decision makers
Scalable Approaches
I. Meet with organizational decision makers to discuss policies.
II. Coordinate efforts with key partners to approach organizations as part of a team.
III. Develop issue-specific toolkits/factsheets to make the “business case.”
IV. Recruit organizational leaders to be champions for community-wide efforts.
Advocacy with Organizational
Decision makers
Government Policy MakerEducation
• Educating local, state, regional or national policy makers about public health issues, and the implications of policy change. Successful government policy-maker education can help establish strong legislative champions and ensure that elected officials make informed decisions when they are called on. Activities must be designed to ensure that lobbying for specific legislation or regulation is expressly prohibited.
Educating Government Policymakers
Scalable Approaches
I. Send government policymakers information about health issues.
II. Invite elected officials to speak at community events.
III. Bring youth and other stakeholders to meetings with government policymakers.
IV. Coordinate office visits with staff of voluntary organizations and partners.
V. For statewide efforts, hold “Legislative Days” to educate legislators and their staff, and garner earned media coverage.
Educating Government Policymakers
Promoting Healthy Behaviors of Kansans: Access to Healthy Foods RFP Initiative Logic Model
STRATEGIESSHORT-TERM OUTCOMES
LONG-TERM OUTCOMES
INTERIM OUTCOMES
Increased knowledge/ awareness of coalition members•AHF and health benefits/risks•Healthy communities and the link to individual health•AHF best practices
Impact: The health of all Kansans has im
proved through access to healthy local foods.
Increased consumption of healthy local foods among individuals in targeted communities
Increased awareness among policy/ decision makers regarding AHF policies and practices
Sustained effective leadership around access to healthy local foods
Increased ability of coalitions to form and cultivate partnerships with community stakeholders including schools, workplaces etc., that support AHF
Community norms support healthy behaviors and environments
Identify, fund and support
implementation of best practices
promoting access to healthy foods.
Design AHF RFP using evidence based/best practices
Distribute RFP widely to communities throughout Kansas
Communicate purpose of the AHF grant and best practices in AHF through two-day RFP conference
Select the strongest proposals through a systematic review process
Provide technical assistance to grantees around coalition building/planning/ evaluation and leadership development throughout grant period. Focus of TA will be around AHF policies and practices that facilitate healthy eating
Support creation of, and activities implemented by, statewide advisory group
Policies and/or practices are implemented in grantee communities that facilitate AHF
Increased community knowledge about AHF
Increased champions within community among influencers/ policymakers/ decision makers
Increased motivation and opportunities for evidence-supported healthy local food policy within community
Increased effectiveness of coalitions/communities at advocating for AHF policies.
Increased resources dedicated within community to implementing AHF practices and policies
Increased community support and involvement in improving access to healthy foods
Revised by Innovation Network 3/9/11
Strengthening of coalition/local leadership team: increased skills, collaboration and leadership within coalitions to advocate for AHF policies
Increased # and types of key players in coalition – including unlikely suspects
Promoting Healthy Behaviors of Kansans: Access to Healthy Foods RFP Initiative Logic Model
STRATEGIESSHORT-TERM OUTCOMES
LONG-TERM OUTCOMES
INTERIM OUTCOMES
Increased knowledge/ awareness of coalition members•AHF and health benefits/risks•Healthy communities and the link to individual health•AHF best practices
Impact: The health of all Kansans has im
proved through access to healthy local foods.
Increased consumption of healthy local foods among individuals in targeted communities
Increased awareness among policy/ decision makers regarding AHF policies and practices
Sustained effective leadership around access to healthy local foods
Increased ability of coalitions to form and cultivate partnerships with community stakeholders including schools, workplaces etc., that support AHF
Community norms support healthy behaviors and environments
Identify, fund and support
implementation of best practices
promoting access to healthy foods.
Design AHF RFP using evidence based/best practices
Distribute RFP widely to communities throughout Kansas
Communicate purpose of the AHF grant and best practices in AHF through two-day RFP conference
Select the strongest proposals through a systematic review process
Provide technical assistance to grantees around coalition building/planning/ evaluation and leadership development throughout grant period. Focus of TA will be around AHF policies and practices that facilitate healthy eating
Support creation of, and activities implemented by, statewide advisory group
Policies and/or practices are implemented in grantee communities that facilitate AHF
Increased community knowledge about AHF
Increased champions within community among influencers/ policymakers/ decision makers
Increased motivation and opportunities for evidence-supported healthy local food policy within community
Increased effectiveness of coalitions/communities at advocating for AHF policies.
Increased resources dedicated within community to implementing AHF practices and policies
Increased community support and involvement in improving access to healthy foods
Revised by Innovation Network 3/9/11
Strengthening of coalition/local leadership team: increased skills, collaboration and leadership within coalitions to advocate for AHF policies
Increased # and types of key players in coalition – including unlikely suspects
Community Mobilization
Promoting Healthy Behaviors of Kansans: Access to Healthy Foods RFP Initiative Logic Model
STRATEGIESSHORT-TERM OUTCOMES
LONG-TERM OUTCOMES
INTERIM OUTCOMES
Increased knowledge/ awareness of coalition members•AHF and health benefits/risks•Healthy communities and the link to individual health•AHF best practices
Impact: The health of all Kansans has im
proved through access to healthy local foods.
Increased consumption of healthy local foods among individuals in targeted communities
Increased awareness among policy/ decision makers regarding AHF policies and practices
Sustained effective leadership around access to healthy local foods
Increased ability of coalitions to form and cultivate partnerships with community stakeholders including schools, workplaces etc., that support AHF
Community norms support healthy behaviors and environments
Identify, fund and support
implementation of best practices
promoting access to healthy foods.
Design AHF RFP using evidence based/best practices
Distribute RFP widely to communities throughout Kansas
Communicate purpose of the AHF grant and best practices in AHF through two-day RFP conference
Select the strongest proposals through a systematic review process
Provide technical assistance to grantees around coalition building/planning/ evaluation and leadership development throughout grant period. Focus of TA will be around AHF policies and practices that facilitate healthy eating
Support creation of, and activities implemented by, statewide advisory group
Policies and/or practices are implemented in grantee communities that facilitate AHF
Increased community knowledge about AHF
Increased champions within community among influencers/ policymakers/ decision makers
Increased motivation and opportunities for evidence-supported healthy local food policy within community
Increased effectiveness of coalitions/communities at advocating for AHF policies.
Increased resources dedicated within community to implementing AHF practices and policies
Increased community support and involvement in improving access to healthy foods
Revised by Innovation Network 3/9/11
Strengthening of coalition/local leadership team: increased skills, collaboration and leadership within coalitions to advocate for AHF policies
Increased # and types of key players in coalition – including unlikely suspects
Community Education
Promoting Healthy Behaviors of Kansans: Access to Healthy Foods RFP Initiative Logic Model
STRATEGIESSHORT-TERM OUTCOMES
LONG-TERM OUTCOMES
INTERIM OUTCOMES
Increased knowledge/ awareness of coalition members•AHF and health benefits/risks•Healthy communities and the link to individual health•AHF best practices
Impact: The health of all Kansans has im
proved through access to healthy local foods.
Increased consumption of healthy local foods among individuals in targeted communities
Increased awareness among policy/ decision makers regarding AHF policies and practices
Sustained effective leadership around access to healthy local foods
Increased ability of coalitions to form and cultivate partnerships with community stakeholders including schools, workplaces etc., that support AHF
Community norms support healthy behaviors and environments
Identify, fund and support
implementation of best practices
promoting access to healthy foods.
Design AHF RFP using evidence based/best practices
Distribute RFP widely to communities throughout Kansas
Communicate purpose of the AHF grant and best practices in AHF through two-day RFP conference
Select the strongest proposals through a systematic review process
Provide technical assistance to grantees around coalition building/planning/ evaluation and leadership development throughout grant period. Focus of TA will be around AHF policies and practices that facilitate healthy eating
Support creation of, and activities implemented by, statewide advisory group
Policies and/or practices are implemented in grantee communities that facilitate AHF
Increased community knowledge about AHF
Increased champions within community among influencers/ policy makers/ decision makers
Increased motivation and opportunities for evidence-supported healthy local food policy within community
Increased effectiveness of coalitions/communities at advocating for AHF policies.
Increased resources dedicated within community to implementing AHF practices and policies
Increased community support and involvement in improving access to healthy foods
Revised by Innovation Network 3/9/11
Strengthening of coalition/local leadership team: increased skills, collaboration and leadership within coalitions to advocate for AHF policies
Increased # and types of key players in coalition – including unlikely suspects
Advocacy with Organizational
Decision makers
Educating Government Policymakers
Promoting Healthy Behaviors of Kansans: Access to Healthy Foods RFP Initiative Logic Model
STRATEGIESSHORT-TERM OUTCOMES
LONG-TERM OUTCOMES
INTERIM OUTCOMES
Increased knowledge/ awareness of coalition members•AHF and health benefits/risks•Healthy communities and the link to individual health•AHF best practices
Impact: The health of all Kansans has im
proved through access to healthy local foods.
Increased consumption of healthy local foods among individuals in targeted communities
Increased awareness among policy/ decision makers regarding AHF policies and practices
Sustained effective leadership around access to healthy local foods
Increased ability of coalitions to form and cultivate partnerships with community stakeholders including schools, workplaces etc., that support AHF
Community norms support healthy behaviors and environments
Identify, fund and support
implementation of best practices
promoting access to healthy foods.
Design AHF RFP using evidence based/best practices
Distribute RFP widely to communities throughout Kansas
Communicate purpose of the AHF grant and best practices in AHF through two-day RFP conference
Select the strongest proposals through a systematic review process
Provide technical assistance to grantees around coalition building/planning/ evaluation and leadership development throughout grant period. Focus of TA will be around AHF policies and practices that facilitate healthy eating
Support creation of, and activities implemented by, statewide advisory group
Policies and/or practices are implemented in grantee communities that facilitate AHF
Increased community knowledge about AHF
Increased champions within community among influencers/ policy makers/ decision makers
Increased motivation and opportunities for evidence-supported healthy local food policy within community
Increased effectiveness of coalitions/communities at advocating for AHF policies.
Increased resources dedicated within community to implementing AHF practices and policies
Increased community support and involvement in improving access to healthy foods
Revised by Innovation Network 3/9/11
Strengthening of coalition/local leadership team: increased skills, collaboration and leadership within coalitions to advocate for AHF policies
Increased # and types of key players in coalition – including unlikely suspects
Community Mobilization
Community Education
Advocacy with Organizational
Decision Makers Educating
Government Policymakers
Community Change Model
Access to Healthy Foods
Tobacco Control
Community Design
Physical Activity
Community Mobilization
Community Education
Advocacy with Organizational
Decision makers
Educating Government Policymakers
Healthy Communities Round 2
Example tobacco control strategies:
•Reducing youth exposure to pro-tobacco marketing where they shop. •Using zoning or local tobacco permits to limit the density of tobacco retailers. •Implementing tobacco-free policies, regulations and laws that protect non-smokers and children who reside in multi-unit housing. •Implementing tobacco-free policies, regulations and laws for public parks and playgrounds.
In 2010, tobacco companies spent $8.5 billion nationally on marketing.
90% of tobacco marketing goes to the retail environment. Retail tobacco marketing includes paying retailers to prominently display tobacco products, in-store advertising, price discounts and other in-store promotions.
Stores are the main channel of communication for tobacco companies to reach new and current customers.
Studies have identified a clear link between retail tobacco marketing and youth smoking behaviors.
There are apparent discrepancies between self-reported youth purchase behaviors and retail sales to minor compliance data.
Tobacco companies pay retailers to put their products in the most visible location in the store: at the point of sale where they are prominently displayed.
Contracts with retailers give the tobacco industry direct control over how products are displayed and promoted at the point of sale.
Preventing litter and pollution Discarded cigarette butts constitute the majority of litter on beaches, parks,
playgrounds, and sidewalks. The need to substantially reduce litter (and associated clean-up costs) is a major reason cited by supporters of tobacco-free outdoor policies.
Cigarette filters are not 100 percent biodegradable. As filters break down, they leach toxic chemicals into the ground that can seep into waterways, polluting water sources and poisoning wildlife.
Keeping children safe Children exposed to even small amounts of secondhand smoke are at a heightened risk
for adverse health effects. Many people erroneously believe that it is not possible to be exposed to dangerous concentrations of secondhand smoke in outdoor areas. The truth is that there is no safe level of secondhand smoke exposure, and there is growing evidence that secondhand smoke outdoors can reach concentrations found in indoor areas.
Discarded cigarette butts contain concentrated levels of carcinogens as well as nicotine which can be poisonous when ingested by children.
Role-modeling Prohibiting tobacco use in outdoor places frequented by the public reduces the
perception by young children that tobacco use is a common, acceptable, and desirable adult behavior.
Winfield – City Code• (b) Prohibition of smoking in public places. Smoking shall be prohibited in all enclosed public
places, unless otherwise set out herein, within the City of Winfield, including, but not limited to, the following places:
– (10) Sports arenas and convention halls, including bowling facilities, sports complexes, outdoor play facilities, parks and football stadiums. Outdoor facilities shall be non smoking, as posted.
– (13) Lobbies, hallways, and other common areas in apartment buildings, condominiums, common areas in trailer parks (club houses, storm shelters), retirement facilities, nursing homes, and other multiple-unit residential facilities.
– (16) Outside of any of the above within ten feet of all entrances, exits and ventilation system air intake mechanisms.
Community Mobilization
Essential partners to engage for ANY tobacco control initiative:
– Youth and organizations that represent youth.– KDHE Chronic Disease Risk Reduction grantees– Representatives from Heart, Lung and Cancer– Tobacco-Free Kansas Coalition– Tenants – for smoke-free housing initiatives– Build upon these essential partners.– Ensure they are ACTIVELY engaged.
Community Mobilization
31
Local statistics
Not lobbying
The toll of tobacco on
the community
Not lobbying
Real-life stories that personalize the issue
Not lobbying
Your coalition and similar
activities across the state /
nationNot lobbying
Specific legislative action that
would make you happyLobbying!!
Educating Government Policymakers
How state & federal money is being spent on tobacco control
Not lobbying
Actions that community champions are taking
Not lobbying
Community Change Model
Community Mobilization
Community Education
Advocacy with Organizational
Decision makers
Educating Government Policymakers