Case Studies
Strategic Planning Process to Address Tobacco-Related
Disparities in Idaho
Overview
Healthy
People 2010 Objectives |
Increase the number of tribes,
territories and states, and District of Columbia with
comprehensive, evidence-based tobacco control programs. |
OSH Indicator |
Strategic plan to address
tobacco-related disparities. |
City/County/Other |
|
State |
Idaho |
Goals |
Identifying and Eliminating
Tobacco-Related Disparities |
Components |
N/A |
Areas of Policy and/or
Program Intervention |
Identifying and Eliminating
Tobacco-Related Disparities
|
Audience/Population |
American Indians/Alaska Natives
Hispanics/Latinos
Lesbians/Gays/Bisexual/Transgender
Low-Socioeconomic-Status Groups
Migrant Farm Workers
Rural
Women
Young Adults (18–24)
Other: WIC Women, Medicaid Population,
Pregnant Women, Bosnian Refugees |
Policy/Program
Objectives of the Intervention
The objective was for
Idaho to create a statewide strategic plan that included
priorities for building the capacity to identify and
eliminate tobacco-related disparities.
Description of the
Intervention
The Idaho Tobacco Prevention and Control Program with
funding from the Centers for Disease Control and
Prevention partnered with community members to create a
strategic plan for identifying and eliminating
tobacco-related disparities. Idaho engaged in an
18-month-long process to hire the facilitator, identify
an evaluator, identify and recruit workgroup members,
gather and organize data, agree on a strategic planning
process, conduct environmental scans, create plan goal
areas, and adopt a final strategic plan. An inclusive
workgroup met three times over six months to develop a
strategic plan that was integrated into the state’s
five-year tobacco plan. In the time allotted, Idaho was
successful in developing a plan that included goals,
strategies, tactics, lead person responsible and a
timeline.
Personnel/Key
Players/Resources Required for Conducting the
Intervention
Project
Director (20% time, in-kind): 576 hours
Facilitator (Contractor): 100 hours
Meeting Secretary (in-kind): 24 hours
Evaluator(Student, in-kind): 100 hrs
Volunteer Workgroup Members: 13 members volunteering 24
hours per month for six months = 1,872 hours, Workgroup
members included:
- Shoshone-Bannock Tribes, Tribal Administration
- Nezperce Tribal Health
- Region X Cancer Information Service, Latino Outreach
Coordinator
- Idaho Dept. of Health and Welfare, Research Supervisor
for Health Statistics
- Diversity Works, Inc., Executive Director
- Woman of Color Alliance, Black Student Alliance (BSU),
Center for Health Policy Graduate Assistant
- Public Education and Outreach Coordinator, Bureau of
Health Promotion
- Council on Hispanic Education, Tobacco Coordinator
- Northwest Portland Area Indian Health Board, Director of
the Northwest Tribal Epidemiology Center
- Coalition for Healthy Idaho, Smokeless States Program
Coordinator
- Boise State University, Dean of College of Health
Sciences
- American Indian/Alaska Native Leadership Initiative on
Cancer, Project Manager
- Idaho Dept. of Health and Welfare, Indian Child Welfare
Act Coordinator
- Northwestern Band of Shoshone Nations, Chief Finance
Officer
- Northwest Portland Area Indian Health Board, Technical
Writer/IRB coordinator, Northwest Tribal Epidemiology
- Your Family, Friends and Neighbors, Executive Board
Member
- Idaho Dept. of Health and Welfare, Disparities Project
Director
- Idaho Public Health Districts, Council on Health
Promotion Supervisors and Surveillance Liaison
- Idaho Dept. of Health and Welfare, WIC Clinical
Operations Coordinator
- Idaho Dept. of Health and Welfare, WIC Breast Feeding
Promotion Coordinator
- Nezperce Tribe, Executive Council Member
- Idaho Council on Hispanic Affairs, Executive Director
- Idaho Department of Health and Welfare, Primary Care
Program Manager
- Idaho Hispanic Caucus, Executive Committee Member
- Cancer Information Service for the Pacific Region,
Partnership Program Coordinator
- Research Analyst Supervisor, BRFSS Coordinator, Bureau
of Health Policy and Vital Statistics
- Central District Health Department, Office of
Epidemiology and Surveillance
- Boise State University, Nursing Department
- Chief Academic Officer, Idaho State Board of Education
- Idaho Commission on Hispanic Affairs, Outreach Reach
Coordinator (Youth Group TEENS)
- Idaho Dept. of Health and Welfare, Prenatal Assessment
Tracking System Manager
- Nezperce Tribe, Community Health Programs Director
- Idaho Dept. of Health and Welfare, Asthma Program
Place Where the
Intervention was Conducted
The
strategic planning workgroup represented all
geographical areas of the state of Idaho and held
meetings in Boise.
Approximate Time
Frame for Conducting the Intervention
The
strategic planning process was conducted over 18 months.
For six months prior to involving other people in the
process, the Idaho Tobacco Education and Control Program
gathered, reviewed and synthesized all the demographic
and tobacco use related data that was available for
Idaho. In addition, the Tobacco Program staff began
educating community members and community organizations
about the CDC grant for disparities strategic planning.
Six months were spent laying the framework for
recruiting active and committed members to the
Disparities Workgroup. In the next three months the
strategic planning process was worked out, the
facilitator hired, the evaluator identified and
workgroup members recruited. Three strategic planning
workgroup meetings were held during a six month period.
Revision of the final plan took two months and approval
of the plan by the state, including publication, took
one month.
Summary of
Implementation of the Intervention
The
intervention was the development of a statewide
strategic plan to address tobacco-related disparities in
Idaho. Only $45,000 was available in grant funding for
required travel to CDC meetings, contracts with a
facilitator and evaluator, and workgroup member travel.
The time of the project director and secretary were
provided in-kind by the Idaho Tobacco Prevention and
Control Program. Idaho succeeded in convening a diverse,
representative and inclusive workgroup from diverse
populations and geographical areas of the state to
develop the plan. Plan development was conducted by
consensus and the plan was published prior to December
2002 achieving the original timeline.
Summary of
Evaluation/Outcome of Intervention
The
evaluation sought to document activities, challenges,
milestones reached, and lessons learned; to monitor and
report on progress toward achieving planning goals; to
discuss evaluation results and make recommendations for
future efforts. The final evaluation report consisted of
a case study that described and interpreted key
activities, players, challenges, and lessons learned.
The outcomes of the disparities strategic planning
project were—
- Recruitment of a representative,
inclusive and diverse workgroup
- Implementation
of a respectful, consensus driven process
- Presentation of Idaho specific, population-based data
- Environmental scan of population groups conducted
by workgroup members
- Early agreement on five key
issues
- Development of a draft strategic plan based
on key issues adopted as goal areas
- Revision and
adoption of the final strategic plan within the original
timeline
Finally the state Department of Health and
Welfare approved the final plan and integrated it into
its five-year tobacco strategic plan. Because of the
success of the disparities strategic planning process,
the state earmarked $57,000 in funding towards its
implementation in 2003 and hired a half-time disparities
coordinator. The Tobacco Disparities Working Group
decided to continue to guide implementation of the plan
as a project of the Tobacco Free Idaho Alliance.
The evaluation identified four critical elements that
were crucial to the success of the project.
- Established relationships of trust that already existed
with many populations
- High quality leadership
provided by the project director
- Intensive
communication between meetings to solicit input and
feedback
- Adherence to the principles of
participatory planning
Intervention's
Applicability/Replicability/Recommendations for Other
Sites
This
project is particularly applicable to rural states with
a large geographic area and a small population. This
strategic planning process is especially applicable to
states working within a limited budget with a tight
timeline. The workgroup developed an extremely effective
process that successfully brought together
representatives from diverse populations, acknowledged
the unique challenges faced by each and outlined goals
that would be of benefit to all.
Overview Notes
The
success of the development of this strategic plan with
restricted funding in a short timeframe was dependent on—
- Prior development of an overview and synthesis of all
data sources and data available
- Support from the
Tobacco Program Manager for the State of Idaho,
Department of Health and Welfare, Bureau of Health
Promotion
- Ensuring that the voices of all
members of the workgroup were heard and valued
The Workgroup was successful at recruiting leadership
from the Lesbian/Gay/Bisexual/Transgender community to
be involved in the planning process. This was this
community’s first participation in the tobacco movement
and the respectful, inclusive tone of the meetings
helped them become strong committed members.
This case study was written by Colleta Reid, an Office
on Smoking and Health Consultant, December 2003.
Page last modified 07/25/2007