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 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 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 Achieved Since 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 Grantees Smoke-Free Families National Dissemination Office Porter Novelli Responsibilities Leadership in Best Practice for Research Dissemination and Dissemination Research Convening and Assisting Partners

National Partnership Working Groups Health Care System Media Communities and Worksites Policy Research, Evaluation and Surveillance State Outreach and Technical Assistance National Partnership Organizational Structure

Working Group Structure 2 Co-Chairs Members of Partner Organizations Working Group Support Staff 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 Or Call