218447 Tracking and using funding reduction data in a tobacco control program

Tuesday, November 9, 2010 : 2:45 PM - 3:00 PM

Michelle Henry , Research & Evaluation, Public Health Management Corporation, Philadelphia, PA
Jennifer D. Keith, MPH , Research & Evaluation, Public Health Management Corporation, Philadelphia, PA
Kristin Minot, MA , Research & Evaluation, Public Health Management Corporation, Philadelphia, PA
Amanda Innes Dominguez, MSS, MLSP , Research & Evaluation, Public Health Management Corporation, Philadelphia, PA
Jennifer S. Thompson, PhD , Branch Associates, Inc., Philadelphia, PA
Joy Blankley Meyer , PACT, American Lung Association of PA, Camp Hill, PA
Phyllis Zitzer , Division of Tobacco Prevention and Control, Bureau of Health Promotion and Risk Reduction, Pennsylvania Department of Health, Harrisburg, PA
Background: In November 2009, the Pennsylvania General Assembly approved a 45% reduction in Master Settlement Agreement funds for the Pennsylvania Tobacco Prevention and Control Program (PA TPC), reducing the statewide programming budget from 32.2 million to 17.6 million. With guidance and support from PA TPC administrators at the Pennsylvania Department of Health (PA DOH), the eight regional programs comprising PA TPC revised programming activities in response to the funding reduction. PA TPC staff, regional programs and statewide contractors all participated in impact tracking efforts.

Discussion: This presentation will include a discussion and assessment of the impact of the funding reduction on statewide and regional programming, including changes in priorities and program structure. Information was collected by and from regional programs about reductions or eliminations in amount and types of services provided and geographic availability of services. Priority shifts and activity cuts were informed by discussion among PA TPC's stakeholders, cost benefit analyses, best practices knowledge and regional needs assessments. Programmatic reductions and eliminations were made across all regions in each of the CDC goal areas (prevention, cessation, clean air, tobacco-related health disparities), including: prevention education and activities for youth; technical assistance to schools to strengthen tobacco policies; youth access laws retailer education and compliance checks; cessation programming for some adults, youth, special populations, and worksites, including free/low-cost NRT distribution; and partnerships with chronic disease prevention/treatment services. Assessing impact of the reduction informs program planning, efforts to restore and defend state funding, and communication between stakeholders.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Program planning

Learning Objectives:
1)Discuss benefits and challenges of examining and documenting impacts of funding changes. 2)Discuss how impact analyses and other time sensitive evaluations can inform program planning efforts.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the Project Manager working with a team of program evaluators to conduct a comprehensive statewide evaluation of the Pennsylvania Tobacco Prevention and Control Program since 2005. In addition, I have worked extensively on other Pennsylvania tobacco-related projects to reduce health disparities and assess the impact of clean indoor air legislation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.