Background-Since the passage of a voter approved state referendum in 1992 t
o establish a 25 cent increase on the excise tax on cigarettes and smokeles
s tobacco, Massachusetts has received an average of $40 million annually fo
r its tobacco control programme. This funding allowed Massachusetts to expa
nd and develop its tobacco control programme to become one of the most comp
rehensive in the world.
Objectives-The development of the Massachusetts Tobacco Control Program is
outlined, focusing on three stages of development: formation, strategic par
tnership building,and shared leadership.
Methods-The development of management structures, programmatic infrastructu
re, communication and partnership networks, and advisory structures are tra
cked throughout the three phases.
Results-The use of pre-existing public health resources, implementation of
a strong training component, a geographical management structure, the creat
ion of public and private partnerships, and the development of a shared lea
dership model contributed to building consensus and provided the foundation
for coordinated approaches to tobacco control.
Conclusion-Other states and countries can use lessons learned from Massachu
setts about the organisational development of a comprehensive tobacco contr
ol programme as they embark upon similar efforts.