Building advocacy capacity for tobacco control among the public health workforce in China Tingzhong Yang Centre for Tobacco Control Research, Zhejiang University School of Medicine ， China 1

Objective The overall goal of this project is to build capacity for tobacco control advocacy among the public health workforce in China. 2

Background Currently 76 universities in China have either a school or department of public health. About 5000 students graduate annually from these institutions with a degree in public health. The absence of education on tobacco control in their curricula has meant that many of these graduates do not have appropriate knowledge and skills to be effective in advocating policies that can lead to the reduction of tobacco use. 3

4 Background Chinese culture, to a large extent, is still adhering to agrarian social mores, which suggests that the social values may frame people’s behavioral response models differently from those of Western countries’ (Yang K-S 2004). Our researches will develop and test culturally relevant behavioral models and tools for tobacco control in China and build capacity that focuses on applied research that is capable of providing technical assistance to real-world interventions.

Project Profile Include 2 sub-projects preliminary project ( ,7 universities) current project ( ,24 universities) 31 universities were included in this project, which cover all provinces in mainland China except for Tibet. 5

中国公共卫生控烟能力建设项目汇报 意义 浙江大学 哈尔滨医科大学 北京大学 宁夏医科大学 南京医科大学 广东药学院 山西医科大学

中国公共卫生控烟能力建设项目汇报 意义 浙江大学 北京大学 宁夏医科大学 南京医科大学 广东药学院 哈尔滨医科大学 山西医科大学 新疆医科大学 青海大学 兰州医学院 西安医学院 成都医学院 昆明医学院 贵阳医学院 南华大学 广西医科大学 海南医学院 厦门大学 包头医学院 吉林大学 河北医科大学 天津医科大学 山东大学 郑州大学 华中医科大学 南昌大学 徐州医学院 大连医学院 上海交通大学安徽医科大学 重庆医科大学

8 Project Design 1.Basic advocacy theory and principal. 2.Develop advocacy strategies under Chinese culture. 10 methods----policy advocacy 14 methods----public advocacy 3.Some action toolkits. 4. Evaluation system.

Tobacco control advocacy capacity (Evaluation Framework) Ability Knowledge SkillPractice Behavioral Capacity Attitudes Interest and motivation Behaviors General tobacco control attitudesPublic health tobacco control attitudes SmokingAnti-smoking susceptibilityAnti-second smoke Students’ behavior Tobacco control advocacy behaviors 9 Project Design --Evaluation framework

10 Project Design --Tobacco-Free Campus Guideline

Project Implement I. Implement the tobacco control advocacy curriculum in each setting II. To advocate for tobacco-free campus policies as a practice 11

I. Implement Tobacco Control Courses 1.To lobby university teaching administration department to arrange tobacco control advocacy in public health curriculum. 2. To train knowledge- and skills-based competencies among teaching staff. 12

3. Course deliver 16 hours (8 h contact and 8 h non-contact) training curriculum. Contact hours: 2 hours smoking epidemiology and health and economic impact, 2 hours for FCTC and the current status of the international tobacco control, 3 hours for tobacco control advocating theories, strategies and methods, 2 hours for in-class discussing. Non-contact hours: students drafted a plan for tobacco-free campus policy development. 13 I. Implement Tobacco Control Courses

--Textbook 14

15 I.Implement Tobacco Control Courses --Class delivering

Developing themes and slogans for activities to support tobacco control. Creating an advocacy coalition group each university. Tobacco control advocacy publicity in each participating universities campus. Policy advocacy activities, such as lobbying university leaders and contacting the press 16 II. Advocate for Tobacco-Free Campus Policy

17 II. Advocate for Tobacco-Free Campus Policy --Theme & Logo

18 II. Advocate for Tobacco-Free Campus Policy --Coalition signature

19 II. Advocate for Tobacco-Free Campus Policy --Big publicity poster

Develop A Website We develop a “China Tobacco Control Capacity Build” or “Chinese Tobacco – Free Campus” website 20

HOME About UsTC NewsTC CurriculumTF CampusForum Background Research Projects and Publications Senior International Consultants Center Staff Contact Us Blog National and International News Academic News Project News TF Campus Design TF Campus Implement TF Campus Evaluation Standards for TF Campus Tobacco Control Song TF Campus videos Curriculum Design Curriculum Implement Curriculum Evaluation Curriculum News Media room Basic TC Tools Resource Center Academic Corner Expert Opinions Fact Sheet Articles of TC Research in China Website --Mapping Management

22 Website --Chinese homepage version

23 Website --Project management

24 Website --Universities activities display

25 Website --Interaction online

26 Website --Progress bar

27 Website --Quality control chart

Results 28 Tobacco control advocacy training has been ratified by teaching administration departments and has been embedded in the public health curriculum in seven universities in China in the first project. Smoke-free campus policies were developed and implemented in each university in project. Behaviour capacity of tobacco control advocacy of the public health students increased in first project (Yang, et al., Tobacco Control, 2011).

29

30 Results --Gain media attention

Future Plans 31 We have built a basic module, implemented strategies and programmers for tobacco control advocacy capacity building among the future public health workforce through this project implementation (Yang et al., Tobacco Control,2011), and should be further extended to all public health universities. This module also useful for other health professional students tobacco control training. We have set up a infrastructure, that is Center for Tobacco Control Research and establish a “Chinese Tobacco-Free Campus Network” to sustain the partnership and training activities among universities.

32