The National Partnership to Help Pregnant Smokers Quit

What Are The National Partnership’s Achievements and

How Did We Get There? • Part 1: An overview of accomplishments

Kay Kahler Vose, Health Care Practice Leader, Porter Novelli

• Part 2: How we formed strategic partnerships to realize accomplishments Cathy Melvin, Chair, The National Partnership & Director of Smoke-Free Families

Aiming for Success

“We know that as many as 20 percent of all women smoke during their pregnancies, far above the goal of 1 percent set in Healthy People 2010. This is a goal that must be met – or surpassed. Smoking during pregnancy is one of the nation’s most important public health challenges, but it’s a challenge that we can overcome.”– Former U.S. Surgeon General David Satcher,

M.D., Ph.D.

Who We Are• A coalition of more than 50 leading health,

business, government, and advocacy organizations that have joined forces to help pregnant smokers and new mothers quit smoking and stay tobacco-free

• Leaders and conveners. By bringing partners

together to work toward common goals, we have implemented proven strategies to improve the health of mothers and their babies

Establishing The National Partnership to Help Pregnant

Smokers Quit

• The only national organization working to mobilize the health care system and local communities to help pregnant smokers get the help they want and the support they need to quit smoking and remain tobacco-free

• Funded by The Robert Wood Johnson Foundation

General Facts: Smoking During Pregnancy

• 12-20 percent of women smoke during pregnancy. Smoking rates are much higher among teenagers and women with less than 12 years of education

• Smoking during pregnancy puts mothers’ and babies’ health at risk by contributing to increased incidence of premature birth, low-birth-weight births, and infant death

• Most pregnant smokers want to quit, but do not know that effective help is available or affordable

What We’ve AchievedSince launching in May 2002, The National Partnership has had many accomplishments through its five working groups based on the following aims:

• Offering help through the health care system• Using the media effectively• Harnessing resources in communities & worksites • Capitalizing on state & federal funding & policies• Promoting research, evaluation & surveillance

Looking Back - Key Accomplishments

• Developed and adopted an action plan that outlines our vision, goals, challenges, and opportunities

• Developed a poster for display in doctors’ waiting rooms, designed to prompt pregnant women to disclose their smoking status to their provider

Looking Back - Key Accomplishments

• Created and placed the “Help You Deserve” television public service announcement. The PSA features real women who successfully quit smoking while pregnant

Looking Back - Key Accomplishments

• Worked closely with The New York Times to shape the editorial content of the November 2001, 2002, & 2003 Tobacco Cessation supplements which also appear annually in The Boston Globe. Ads were also placed to call attention to the Partnership’s work

• Distributed copies of supplement to members of Congress, state Medicaid directors, members of the health committees of state legislatures, and state Medicaid advocates

Looking Back - Key Accomplishments

• Reached more than 35 million people through print matte and radio releases

• Distributed over 100,000 copies of Partnership materials to providers and pregnant smokers

• Developed monthly e-newsletter for partners and partner constituents

Accomplishments Video

Visual overview of The National Partnership’s accomplishments since our launch in May 2002

Looking Back - Key Accomplishments

• Funded grants to two American Indian/Alaska Native Organizations to expand the prenatal smoking cessation components of already existing Sudden Infant Death Syndrome (SIDS) risk reduction programs

• Conducted a needs assessment of American Indian/Alaska Native providers nationwide to determine the availability of population-specific resource materials and existing support for pregnant smokers who want to quit smoking

Looking Back - Key Accomplishments

• Conducted research to determine where pregnant smokers work

• Developed and promoted standardized birth certificate questions regarding smoking during pregnancy. Promoting adoption of new birth certificate electronic format

• Developed an ongoing research inventory, in conjunction with the CDC, to identify gaps in research funding

Looking Back - Key Accomplishments• Recruited experts to testify during the Interagency Committee on Smoking

and Health public hearings on tobacco control issues

• Worked with the National Women’s Law Center and the Center for Tobacco Cessation to develop ratings indicators for each state’s progress towards establishing tobacco dependence treatment systems for pregnant women

• Developed a state outreach and technical assistance working group

• Held a series of technical assistance calls that reached representatives from over 40 states

The National Partnership to Help Pregnant Smokers Quit

• Over 50 national organizations have come together to form the Partnership

• An Action Plan has been developed to accomplish the dissemination goals

• Organizational agendas are lining up with the Action Plan

• A communications plan has been developed to support the Action Plan

National Partnership Goals• To ensure that all pregnant women in the United

States will be screened for tobacco use, and that all pregnant and postpartum smokers will receive best-practice cessation counseling as part of their usual care by 2005

• To reduce the prevalence of smoking during pregnancy to two percent or less by 2010, in accordance with the Healthy People 2010 goal

National Partnership Pledge

We, the members of the National Partnership To Help Pregnant Smokers Quit, will work through health care providers, the media, worksites, communities, and states to deliver best-practice cessation programs, create supportive environments, and promote policies that can motivate and assist every pregnant smoker in her efforts to quit.

National Partnership Guiding Principles

1. Our work is based on the best scientific evidence currently available on clinical and community strategies to increase tobacco-use cessation for pregnant women in the U.S.

2. To achieve change, we will work on multiple fronts, including clinical practice, media, policy, and community and social supports

3. We will work to remove systems and other barriers to tobacco treatment for pregnant smokers

4. We will use the best available dissemination science to successfully promote and implement evidence-based strategies

5. We will work together, because partnerships, leadership, and coordinated action are essential for success

National Partnership Guiding Principles

National Partnership Organizational Structure

The Robert Wood Johnson Foundation GranteesSmoke-Free Families National Dissemination Office

Porter Novelli

ResponsibilitiesLeadership in Best Practice for Research Dissemination

and Dissemination ResearchConvening and Assisting Partners

National Partnership Working GroupsHealth Care System

MediaCommunities and Worksites

PolicyResearch, Evaluation and Surveillance

State Outreach and Technical Assistance

National Partnership Organizational Structure

Working Group Structure2 Co-Chairs

Members of Partner Organizations

Working Group SupportStaff Assistance from

Porter Novelli and Smoke-Free Families

National Partnership Organizational Structure

Working Group Process • Working groups created their own priorities

• Each working group holds monthly conference calls

• Working group co-chairs hold a monthly conference calls

• Staff and member work completed between calls

• Minutes of calls posted on Partnership web site

Working Group Participation • 45 organizations are represented on working

groups

• Organizations participate in working groups of their choosing

• Over 2/3 of partner organizations have representatives on at least one working group

• Between 6 and 8 organizations participate on each call

Health Care System • To ensure that every pregnant woman receives

evidence-based smoking assessment and cessation counseling

• Define the “5 A’s” as a part of best-practice prenatal and postpartum care

• Ensure tools, training and technical assistance for providers

• Promote systems and policy changes to help providers implement the “5 A’s”

Media • To increase pregnant smokers’ motivation and

confidence in their ability to quit

• To create the expectation among pregnant smokers that their prenatal care providers will offer them effective and nonjudgmental cessation assistance

• To increase the quality and effectiveness of social support offered to pregnant smokers by their partners, friends, families, and other members of the community

• To increase pregnant smokers’ knowledge of effective and accessible communication resources to help them quit

• To increase the number of pregnant smokers who utilize available quitline and other counseling services

Media

Communities and Worksites

To develop resources in communities and worksites that enhance pregnant smokers’ motivation and ability to quit, and increase their access to evidence-based care and to support public policies that increase tobacco cessation and prevention.

Policy To promote economic and policy interventions

that prevent and reduce maternal smoking, including increased funding for proven cessation interventions.

Research, Evaluation, and Surveillance

• To improve understanding of how to disseminate best-practice

counseling interventions to pregnant and postpartum smokers

• To develop and evaluate more powerful interventions for pregnant smokers and for all women of reproductive age

• To strengthen national and state-based surveillance of smoking in pregnancy, and of policy and programmatic supports for smoking prevention and treatment

State Outreach and Technical Assistance

• To promote evidence-based approaches to treating and preventing

tobacco use among pregnant and parenting smokers

• To directly assist states in program development– To provide opportunities for maternal and child health and

tobacco control staff to work together– To provide materials and tools for state program development– To facilitate information sharing among state programs

Looking Ahead• Information package for States encouraging them to

cover smoking cessation services for pregnant smokers through Medicaid

• Web-based grassroots turn-key kit for employers/employer groups and community-based groups

• Poster for the Native-American community designed to address the specific cultural issues/obstacles surrounding tobacco in that community

For More Information or to Join the National Partnership

Visit our website www.helppregnantsmokersquit.org

Or Call919-843-7663