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RESOLUTION
RE: APPROVE APPLICATION FOR TOBACCO SETTLEMENT FUNDS AND AUTHORIZE
CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Application for Tobacco Settlement
Funds from the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Department of Public Health and
Environment, to the Colorado Department of Public Health and Environment, with terms and
conditions being as stated in said application, and
WHEREAS, after review, the Board deems it advisable to approve said application, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Application for Tobacco Settlement Funds from the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,
on behalf of the Weld County Department of Public Health and Environment, to the Colorado
Department of Public Health and Environment be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 21st day of August, A.D., 2000.
BOARD OF COUNTY COMMISSIONERS
WE_ ItD COUNTY, COLORADO
ATTEST: LW ZA: �./t/fQ� I gaihrt_-
i�c4 /� arbara J irkmeyer, Chair (/
Weld County Clerk to t • �w ,�
M. J. Geile, Pro-Tem
BY: % . i- /
�: .::. �n. ;,
Deputy Clerk to the B VI N EXCUSED
—_ crorge E. Baxter
APP V AST M: d,
Da�e K. Hall
my ttorn /,�,u,ta i/
Glenn V d =
in
2000-2003
HL0027
C ,, : hi-G.
C� MEMORANDUM
COLORADO
TO: Barbara J. Kirkmeyer, Chair, Board of County Commissioner;
FROM: Mark E. Wallace, MD, MPH, Director, Department of Public I kalif,
Environment "meld
SUBJECT: Proposal for Tobacco Settlement Funding
DATE: August 17, 2000
Enclosed for Board review and approval is a grant application to the Colorado Departmcnl )I
Public Health and Environment. This grant will provide funding for implementation of a
comprehensive tobacco control program in Weld County in cooperation with the Tobacco I:ree
Weld County Coalition and the community.
The grant, if funded, will provide funding to:
1. Increase capacity in Weld County by adding additional staff and resources for strategic
planning, expansion of the coalition, training on tobacco issues, development of cultural
competency, leadership and marketing.
2. Reduce exposure to environmental tobacco smoke through conducting public awareness
campaigns and promoting existing resources to reduce ETS.
3. Promote cessation of tobacco use among youth and adults by marketing and prorno i ing
existing services.
4. Reduce initiation of tobacco use among youth by developing and supporting youth
coalitions focused on tobacco education, prevention and cessation.
Weld County Department of Public Health and Environment is requesting funding in the
amount of$104,907 to provide these services for the time period November 1, 2000 throuf h
June 30, 2001. If the grant is funded, it will be renewable for four additional years.
I recommend your approval of this application.
Enc. 20C,i) 21 3
Tobacco Free Weld County
Weld County Department of Public Health & Environment
1555 N. 17th Ave.
Greeley, CO 80631
Contact: Mario Rhea, Phone # 970-304-6420, ext.2381
Application questions and answers for Tobacco Settlement Funds
1. Describe the community's population, readiness to mobilize resources for tobacco control
programs (community assets), unmet needs for a comprehensive tobacco control program
(community barriers), and how the department will address the unmet needs during this funding
period.
Weld County's population is estimated at 167, 820, (1998) with 47.7% living in the
Greeley and Evans area, located 50 miles north of Denver, Colorado. There are 14 other smaller
municipalities in Weld County within a primarily agricultural and farming area encompassing 4004
square miles.
The population of Weld County is 73.2 % White, 24.8 % Hispanic/Latino, 0.4 % African
American, 0.4 % American Indian/Eskimo, 1.0 %Asian/Pacific Islander and 0.2% other. The
largest city, Greeley, is 23.7 % Hispanic. 33.2 % of the population is under 21 years of age.
The medium household income in 1999 was estimated at $35,240 while the per capita
income is $2(,,209. In 1998, 30% of the employable population was employed in agriculture and
related businesses. According to the 1996 Census Bureau estimates, 13.7% of the families in the
United Stater were living in poverty. In 1995, 13.3% of the families and 16.9% of the you:l under
age 18 in We,d County were living in poverty. According to the United States Behavioral R.sk
Factor Survei,!ance System, 1997, Coloradans with lower incomes are more likely to smoke taan
people with b. gher incomes.
There ire 13 public school districts in Weld County and two institutions of higher
education, Ur iversity of Northern Colorado and Aims Community College. The Greeley Hans
school district six is the largest school district in Weld County with an enrollment of 15, 667
students.
The major employers in Weld County are Con Agra Meat Companies, the University of
Northern Colorado (State of Colorado), School District Six, Eastman Kodak, North Colorado
Medical Center, Aims Community College and State Farm Insurance, City of Greeley, and Weld
County Government. Other primary sector employers include the Greeley Tribune and National
Hog Farms. (Weld County demographic profile, 2000).
According to the 1996-97 Centers for Disease Control (CDC) Behavioral Risk Surveillan,.e
System, the prevalence of tobacco use in Weld County is 20.8% Recent estimates (1999) of adult
smokers in Colorado indicates 22.7% with 26.4% of men and 19.5% of women using tobacco. i'he
Health Statistics Section of the Colorado Department of Public Health and Environment estimates
adult smoking prevalence in the Weld and Larimer region at 20 % in adult males ages 35-64 and
females, ages 35-64 at 19 %. They also estimate the number of pregnant women who smoke, at
12%. In adults ages 65 and older, 11% of males and 6 % of females smoke. The 1995 CDC Youth
Risk Behavior Survey conducted in Weld County schools showed that 32% of the students lead
smoked during the previous 30 days., compared to 34% in Colorado.
The Tobacco Free Weld County (TFWC) survey was conducted in February, 2000 Or the
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117 people surveyed, 27% said they currently smoke, 25.2% said they formerly smoked, and 38.3'vo
said they had never smoked..The survey included 12.3% Hispanics, and 2.6 % other non-
Caucasian groups, and 7 of the 32 key informants were Hispanic.
Community Assets
The Weld County community is concerned about tobacco use and prevention. The Weld Count
Department of Public Health and Environment has provided tobacco prevention and educanon
activities since 1994 through contracts with the CDPHE (ASSIST and STEPP).
Many agencies and organizations in the county are or have been represented on the Tobacco Fre.c
Weld County Coalition during the past 6 years. These include several of the major employers and
health providers including the University of Northern Colorado, School District Six, North
Colorado Medical Center, the City of Greeley, American Cancer Society, American Heart
Association, and the Regional Prevention Center. Several key community leaders are coalition
members, including a Greeley City Councilwoman.
Two school districts in Weld County, including School District Six (15,667 students) and Eaton
School district (1,360 rural students) were awarded three year CKID (Colorado Kids Ignore Drugs)
grants which provides curricula to middle school students on refusal skills for high risk behaviors.
including tobacco use. Twelve of the 13 school districts are in compliance with the Tobacco Free
Schools Law Weld County schools will participate in the Youth Risk Behavior Survey in 2001.
Three municipalities in Weld County have passed ordinances regarding tobacco. Greeley has a local
ordinance banning smoking in public places, including the Independence Stampede outdoor arena,
and sales of tobacco to youth. Ault and Johnstown have ordinances banning youth access and
possession. :Veld County has banned smoking in county buildings, including the jails and
courthouse a_id county vehicles. In 1999, according to the Director of SYNAR Compliance, then
was 12 % nen-compliance with retail sales to youth in Weld County. In addition, 92 restaurant, ,,n
Weld Counr-are smoke free.
Over 300 professionals, including physicians, dentists, nurses, respiratory therapists, WIC staff and
health educators have been trained on brief tobacco cessation and intervention models during the
past 6 years.
The Greeley Tribune and six weekly newspapers in Weld County provide coverage of tobacc o-
related activities and information, including presentations by nationally recognized speakers. Victor
DeNoble, Rick Bender and Dave Goerlitz.
Youth of all cultures have participated in activities involving tobacco prevention and cessation in
through schools and community activities. Tobacco education and cessation materials have been
translated into Spanish and many of the professional providers who serve the Hispanic comrnunny
in Weld County are bicultural and bi-lingual.
The TFWC survey and the key informant interviews conducted in February 2000 indicated then is
awareness and concern with tobacco use in Weld County. The top tobacco issues in Weld County,
according to survey participants, are youth tobacco use prevention, environmental tobacco smola
and enforcement of tobacco laws. Participants most often notice smoke free restaurants and
buildings and the positive effects of the Tobacco Free Schools Law.
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Community Barriers
Weld County is perceived as a conservative community and infringement on personal rights and/or
ethnic bias can become an issue. According to the responses on the community survey of 2000,
personal choice is an important barrier in addressing tobacco concerns, as are insufficient money tt
provide a comprehensive program and to offset promotion by the tobacco companies. Other
barriers are social acceptance of smoking, apathy, denial of the health effects, peer pressure to use.
and addiction to nicotine. With the tobacco settlement funding, TFWC and WCDPHE will )e
able to provide the resources and leadership needed in our community to build capacity and chant;(
the social norms that were identified as barriers.
The current funding from the CDC for the STEPP program in Weld County is not sufficient to
provide a comprehensive tobacco program. A .5 FTE health education specialist coordinates :he
STEPP project to provide the scope of services outlined in the STEPP action plan. The WCL PPP I
provides in-kind time from health department staff and administration. Additional staff, equipmect
and program funding are needed to develop and implement a comprehensive program as outlined in
the "Recommended Tobacco Use Prevention and Reduction Plan" for Colorado, January 2000, by t ra
Colorado Department of Public Health and Environment. Bilingual and bicultural staff are to ede-d
to build capacity in the Hispanic community.
There are some gaps in the coalition membership for TFWC. Participation in the TFWC Coalition
has declined since the initiation of the CKIDS projects in two school districts because many of the
same volunteers are asked to participate. WCDPHE staff are CKIDS committee members to dell
coordinate activities. Representation is also needed from North Colorado Medical Center, Aims
Community College, the American Lung Association, more local law enforcement in Greeley and
other cities, schools in each district, private physicians and health care providers, and member, of
the Hispanic community.
We are focusing our efforts at this time on identifying and recruiting new coalition members and i
cooperation with existing projects to better utilize our community resources. We have established a
working relationship with several agencies that provide services to the Hispanic population,
including the Jesus Rodarte Cultural Center, a recreational facility, and Monfort Children's Clinic.
In this contract year, we will recruit additional coalition members that better represent all key
groups, agencies and organizations in Weld County.
Another gap is youth involvement in coalition and youth peer education activities. The YCA'I'S
youth peer educators were disbanded in 1999 due the decrease in TFWC coordinator time and
program funding. The youth Stay Healthy Oppose Using Tobacco (SHOUT) program through th
City of Greeley was also inactive because of lack of funding. We can support the SHOUT projed
in providing community youth programs after school. The director of the District Six CKIDs
project has expressed interest in collaborating with TFWC to build on the peer education
component of CKIDs and to move tobacco education out into the community and other schools
We will work more closely with the CKIDS projects to develop youth participation in schools and
in the communities in Weld County.
2. Summarize the major strengths and abilities of the department and the community to
successfully evaluate tobacco education, prevention and cessation programs.
The Weld County Department of Public Health and Environment was established in 1938,
the second health department in Colorado. The mission of the health department is to preserve,
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promote and protect a healthy life and safe environment for all of the people of Weld County. 1 he
financial support for WCDPHE consists of county funding, 40.2%, service for fee, 29.5%, grant:
and contracts, 28.5% and miscellaneous, 1.8%.
The director of the WCDPHE is a practicing family physician with an MPH who is ::.cri\e
in the medical community and president of the District Six School Board. He is former director of
the North Colorado Family Medicine Clinic. The health department is recognized as the leader i n
population based health services and prevention programs in Weld County. WCDPHE offer;
clinical, preventative, educational, environmental and administrative services for all of Weld County
with facilities in Greeley and Ft Lupton and outreach clinics in many of the small towns. We are
recognized as a lead agency for offering and coordinating tobacco control programs.
The WCDPHE Public Health Education and Nursing division serves as the lead age:acy i
coordinating many community coalitions and groups. These include the Tobacco Free Weld
County Coalition, Diabetes Coalition, Immunization Coalition, Drive Smart Weld County. Teen
Pregnancy Prevention Workgroup, and the Weld County AIDS Coalition. We are active member s
of the Suicide Education and Support Service, CICIDS , Greeley Underage Drinking Coalition,
NCMC Diabetes Advisory Board, District 2 CWT Coalition, and the Greeley Youth Initiative.
We work with many other local entities/agencies to provide health education services and
programs, including school districts, private and non-profit businesses and local government.-. We
have the support of the Board of County Commissioners to provide a comprehensive tohaccc
control program for adults and children in Weld County.
3. Describe the department's experience in conducting tobacco education, prevention.
and cessation.
The Weld County Department of Public Health i Environment has had a contract with
the Colorado Department of Public Health & Environment since 1994 to provide tobacco moo )
activities.
Colorado was one of 17 states to participate in ASSIST (American Stop Smoking
Intervention Study) funded by the National Cancer Institute. In 1999, the Centers for Disease
Control and Prevention began funding tobacco programs in Colorado. As part of the ASSISI'
project in Colorado, the state saw a 4.6% decrease in adult smoking, 33 local ordinances to restrict
youth access to tobacco, the Tobacco Free Schools Law, and 3800 restaurants 100% smoke free. II
partnership with over 22 agencies, Weld County school districts, the cities of Greeley, Johnsrowr.,
and Ault, and the Weld County government, we have provided tobacco control activities to address
prevention, cessation and development and enforcement of local ordinances.
The TFWC project has also:
• Provided technical assistance to School District: Six to adopt a Tobacco Free school police
and provided training to 20 high school peer educators. Over 1600 students attended their
presentations.
• Collaborated with other agencies to approach 1200 local businesses about going smoke
free; surveyed local restaurants and assisted 92 to go smoke free. Developed Retailer Educational
Packets for Larimer and Weld County
• Assisted three municipalities to pass tobacco access and possession ordinances and
collaborated with Larimer County in another. Conducted assessment s of retail tobacco sales and
provided follow up education. Assisted UNC in adopting smoke-free dorm rules. Participated in
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SYVAR compliance checks in Weld County.
• Conducted a secondhand smoke media campaign in cooperation with Larimer County
Tobacco prevention campaign ads on buses and benches using winning ads developed by student, in
School District Six as the media.
• Worked with ethnic and minority groups to develop prevention strategies in their
organizations; provided educational information to the community
• Participated in hundreds of community and school health activities in Weld County for
tobacco prevention and cessation. Conducted a community survey to identify awareness, strengtlis
and barriers to tobacco prevention in Weld County, February 2000.
4. Describe the department's capacity building, infrastructure, and/or planning needs for
tobacco education, prevention, and cessation programs for this funding period.
The TFWC project is currently funded through the CCPHE and CDC for $36,000 for tit r
.5 FTE project coordinator and program implementation. To increase agency capacity, we will
increase the project coordinator position to 1.0 FTE, and hire 1.5 FTE health educators. The
program coordinator will plan and implement the project objectives for this contract and the STIF.I'P
contract, coordinate the activities of the new staff, recruit and collaborate with partners, and
coordinate the revision of the 5 year plan as the comprehensive plan with the evaluation component.
The full time health educator will coordinate the youth recruitment and educational activities anti
the .5 staff will assist with coordinating the TFWC Coalition activities and chair the coalition. Wic
wilt hire a .5 FTE office technician to perform the clerical functions such as regular mailing, sappn
acquisitions, follow up phone calls to members and meeting preparations. We have office space
available but will need additional computers/ software and furniture for new staff.
Increasing the capacity and infrastructure within the coalition and the community ate the
focus of this funding period. To do this, we need to identify partners and key stakeholders we hao e
not worked with before, especially in the Hispanic community and provide training for staff.
Coalition members, and the community. Capacity and infrastructure building will include:
✓ Meeting with all key stakeholders to discuss the opportunities provided by the Tobaa c
Settlement Grant and what that means for a comprehensive tobacco prevention plan in
Weld County.
✓ Increasing the membership in our TFWC Coalition by recruiting stakeholders to
become members of TFWC Coalition and targeting leaders in the Hispanic comtnuni-y
as stakeholders and as coalition members.
/ Providing educational presentations on comprehensive tobacco programs for agencies,
groups, schools, parents and other community members in Weld County.
✓ Increasing the capacity of the coalition and TFWC staff through training on
comprehensive tobacco control programs, collaborative leadership and strategic planing
to support the implementation of the 5 year comprehensive plan for Weld Count).
✓ Involving the Coalition in the development of the 1 year and long term evaluation plan
to ensure a clear understanding of how we will measure the objectives and outcome of
the project.
5. Describe the department's capacity to hire qualified staff representing the
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racial and cultural diversity of the county or region the program serves.
WCDPHE employs 88 individuals who work in the Public Health Education and Nursing
Division,Administration, and Environmental Health. The staff is ethnically and culturally dverse
to provide and improve services to the Hispanic/Latino population. We serve a primarily low
income and Hispanic population in the Public Health Education and Nursing Division. We
currently use interns and recruit graduates from the University of Northern Colorado in Greeley
that has both a bachelors and masters degree program in community health education. We also
recruit staff from CSU in Ft Collins and the Denver area. We currently have a county funded
bilingual and bicultural health educator on staff. With additional funds, we will hire or contract
with a qualified, bicultural and/or bilingual health education specialist to improve collaboration wi h
the Hispanic community.
6. Describe the department's capacity to comply with the application
requirements and monitor the proposed program activities.
The WCDPHE project coordinator and the health promotion program supervisor are
responsible for assuring compliance with the application requirements. The health department and
division directors support the project and will assist with recruiting key stakeholders and comrnuniry
members to participate in the coalition.
The project coordinator, supervisor and the health department administrative staff monk c r
the budget expenditures. The administrative staff and the county accounting division do billing.
Accounting and billing for this project funding will be separate from STEPP funding. Monthly
reports will be submitted by the project coordinator within 15 days to CDPHE, following tht
month services were provided. An annual report will be submitted within 30 days of the coanplet ion
of the contract period.
WCDPHE Health Promotion Programs currently administers 6 grants from CDPHE and
Colorado Action for Healthy People for $141, 700.00, not including matching funds. During, 1999-
2000, all of these grants were renewed for a second or third funding cycle. We have established
coalitions or advisory boards for each grant project to assist the staff and coordinators in
accomplishing the program goals.
• 7. Describe how the department will develop an evaluation component as part of
the comprehensive tobacco program during this contract period. Describe resources
and staff that will be allocated for this activity.
The WCDPHE will develop a surveillance and evaluation plan to monitor and docun Lent
the TFWC activities, outputs and outcomes. The purpose of the TFWC evaluation component
will be to assess how well the project is working, what project components work best, and how to
improve project components to achieve more positive outputs and outcomes. Input from the
STEPP office at CDPHE and a local evaluation consultant will result in a comprehensive multi-year
evaluation plan. The evaluation component for the first year will focus on strengths and weakness(s,
working with the state on data collection reporting forms, developing the TFWC evaluation
questions and logic model, and refining our goals, objectives and indicators. During the first Jew,
the TFWC project will review its record-keeping procedures to insure information needed by the
state is being systematically gathered. Lastly, the TFWC Coalition, in conjunction with the local
evaluation consultant and the state STEPP program evaluator, will determine what local baseline
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data collection may be needed to measure the TFWCs long-term program outcomes.
Staff and the local evaluation consultant will perform evaluation activities. The uncle dying
philosophy in determining how staff and resources will be allocated is to build evaluation capacity
among staff, coalition members, and the community. In accordance with CDC best practices
guideline recommendations, approximately 10% of the total annual program funds will be allocated
for surveillance and evaluation activities. Year 1 resource and staff allocation is projected as follow: :
Evaluation consultant (approx. 125 hours) $6250.00
Proect coordinator time (approx. 50 hours) $900.00
Data collection $5,500.00
8. Describe how the department will develop and implement an evaluation plan
for a comprehensive tobacco control program that spans several years.
The Weld County Tobacco Project Evaluation Plan will be developed by September 25, 2000 u•iug
the CDC logic model framework as a guide(see attached framework). The WCTP evaluation pl:u
will also draw information from the state STEPP 5-year Evaluation Plan in order to link its plan
with the state plan. Input from key stakeholders, community members, and staff will he used to
develop the overall evaluation questions and the multi-year evaluation plan. A local evaluatic n
consultant will then develop the design and data collection schedule. Also, the evaluation consultant
will work with coalition members and project staff to determine what baseline data on local t obao o
use and exposure is needed and how to collect it. Existing baseline data will be used whereve•
possible. (Data for Weld County exist from the Youth Risk Behavior Survey, Colorado SYN AR
and Tobacco Free Schools Survey, for example.) WCDPHE will be conducting a Year 2001
comprehensive community needs assessment in which tobacco surveillance and evaluation
inhumation will be gathered.
9. Describe the level of support for the department to serve as the lead
organization for tobacco education, prevention, and cessation programs.
WCDPHE has provided tobacco education and prevention programs since 1994 throng'.
the CDPHE ASSIST project and STEPP. These projects have helped bring the local providers for
tobacco education and cessation services together to work in a coordinated way towards a common
goal. These individuals, agencies and organizations recognize WCDPHE and the TFWC Prujec . s
the local leader and the liaison with the state for tobacco use prevention.
The health department works closely with these and many other agencies on other community
health issues as the lead agency. Our agency has lead the community to address issues on our most
urgent health issues, teen pregnancy, suicide, traffic fatalities and health care for uninsured funiliei.
We have support from our coalition membership including the University of Northern Colorado.
American Heart Association, American Cancer Society, School District Six, the City of Greel;y, ar d
several private citizens to coordinate the comprehensive tobacco use and prevention plan.
10. Describe or list the coalition members and community partnerships currently
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established around the issue of tobacco education, prevention, and cessation.
To provide a comprehensive program, Tobacco Free Weld County collaborates with the
following agencies:
Carole Anderson, Greeley City Council Katy Kupecz, Colorado Dept. of Heal'
Dr. Doug Armbrust, Radiologist Carol Martens, Safe & Drug Free School/
James Berg, Greeley Youth Initiative Dirt. 6
Doug Birdsall, Greeley Police Department
Laurie Chesler, Dr. Shaddock, DDS office Susan Byman, American Heart Association
Herb Conley, Community Member Mark Smith, DDS, Community Dent sr
Richelle Conway, American Cancer Society Dave Steward, School District 6
Tom Deen, Greeley Medical Clinic Laurie Struthers, UNC Student Health
Darlene Elsea, Community Member Dr. Kathleen Zavela, UNC Communky
Franklin Fronek, Community Member Health Dept.
Bob Guthman, University of Northern Ann Quinn-Zobeck, UNC Student LiFe
Colorado Pat Yetman,American Lung Associatic n
Sheri Hannah-Ruh, WCDPHE Sunny Justice, American Lung Association
Ron Kingsford, Greeley Attorney
The Greeley Youth Initiative, Safe & Drug Free Schools, Greeley Evans School District 6, UNC b Lucien t Life
and several community members have assisted with implementation of youth initiation prevention and cessation
programs. The American Cancer Society, American Lung Association, and the American Heart Associaton, l lniversity
of Northern Colorado and WCDPHE have implemented education programs for initiation prevention, cess.0 ion, and
environmental tobacco smoke. The Greeley City Council, Greeley Police Department, local attorneys and community
members have been key in passing local ordinances for providing for smoke free facilities and eliminating vouch access
and possession.
11. Provide a Scope of Work which details each measurable objective, provides a brief rational for
the objective, describes how the objective will be evaluated, and provides the projected costs under the
appropriate Program Goal.
Program Goal: Increase capacity building for comprehensive tobacco control.
Measurable Objective 1: By December 15, 2001 increase number of Tobacco
Free Weld County Project staff by increasing the field coordinators position
from .5 to 1.0 FTE, hiring 1.0 and .5 FTE Health Educators, and a .5 office
technician.
Rationale for the Objective: The increase in staff is needed to implement a
comprehensive tobacco control program in Weld County.
Desired Outcome: Adequate staff to support a comprehensive tobacco control program
in Weld County.
Evaluation of the Objective: Record of personnel hired.
Cost $61,776.58, for salaries of added positions plus fringe for positions.
Program Goal: Increase capacity building for comprehensive tobacco control.
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Measurable Objective 2: By November 30, 2000 purchase 2 computers, 2
Microsoft Office 2000 software, and office furniture for new staff.
Rationale for the Objective: The health department has office space but not enough
computers /software or office furniture to support additional staff. This will provide
resources needed for project implementation and communication with CDPHE, STEPP
coordinators, coalition members, and community partners.
Desired Outcome: Adequate work space and technical support equipment for the
TFWC staff and coordinator.
Evaluation of the Objective: Receipts of purchase.
Cost $4,650.00, for the above mentioned items as quoted from Weld County computer services.
Pro ram Goal: Increase capacity building for comprehensive tobacco control.
Measurable Objective 3: By January 31,2001 identify and meet with
stakeholders to present and discuss the Tobacco Settlement funding and the
comprehensive tobacco plan for Weld County, and recruit 5 additional
partners from these stakeholder meetings to participate in the TFWC
coalition.
Rationale for the Objective: By identifying additional Weld County stakeholders and
combining our efforts with theirs, Tobacco Free Weld County Project will increase our
im act on Weld county residents.
Desired Outcome: To build a stronger, more comprehensive program by partnering
with all agencies and organizations committed to decreasing tobacco use in Weld
Count
Evaluation of the Objective: A list of stakeholders in the community; documentation of
of attendance at meetings; addition of 5 new names to the coalition list. _
Cost approximately $500.00, for 1 to 2 meetings, depending on the number of stakeholders that wend.
Program Goal: Increase capacity building for comprehensive tobacco control.
Measurable Objective 4: Provide training on what a comprehensive control
tobacco programs for the Tobacco Free Weld County staff, coalition,
stakeholders, health department staff, Weld County schools and parents, and
community leaders and members by April 30, 2001. _
Rationale for the Objective: Provide training for the staff and Coalition on a
comprehensive tobacco program. Once trained, they can educate health department
administration and staff, health professionals, teachers, parents, local businesses, and law
enforcement, local leaders, etc.
Desired Outcome: Increased awareness of what a comprehensive program encompasses
and how all community partners can participate.
Evaluation of the Objective: Training for staff and Coalition documented. Schedules
of all presentations on file with attendance documented.
Cost $3,000 for workshops for staff and Coalition; Materials and advertising for community meeting;.
Progratn Goal: Increase capacity building for comprehensive tobacco control.
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Program Goal: Increase capacity building for comprehensive tobacco control.
Measurable Objective 5: Provide professional and technical assistance for
strategic planning by contracting with a consultant to assist the Tobacco Free
Weld County Project staff, coalition and stakeholders in reviewing and
revising the 5 year comprehensive plan by March 31,2001.
Rationale for the Objective: Strategic planning is an ongoing process. We will improve
the 5 year comprehensive plan and goals by assisting staff, coalition, and stakeholders
with the process of strategic planning.
Desired Outcome: A collaboration of informed staff, coalition, and stakeholders that are
motivated to implement a comprehensive plan.
Evaluation of the Objective: Hire a consultant. Documentation of the planning process
in Coalition meeting minutes.
Cost $1,000.00 for materials and facilitator.
Program Goal: Increase capacity building for comprehensive tobacco control.
Measurable Objective 6: Provide Tobacco Free Weld County s' staff and
coalition members skills in collaborative leadership by contracting with a
professional leadership consultant for training by April 30,2001.
Rationale for the Objective: Strong community leadership skills are needed to
implement a comprehensive program.
Desired Outcome: Improve and enhance the leadership skills of each individual on the
Tobacco Free Weld County staff and Coalition.
Evaluation of the Objective: Hire a consultant and schedule a presentation time and
Place. Documentation of attendance at the presentation.
Cost $4,000.00, a multi-day workshop, plus materials and facilitator.
Program Goal: Reduce Exposure to ETS
Measurable Objective 7: Determine attitudes and beliefs surrounding clean in-
door air in Ault, Johnstown, and Windsor through 1 survey in each
community by May 31, 2001.
Rationale for the Objective: Cigarette smoking, second-hand smoke, and lack of smoke-
free restaurants would effect Clean in-door air. By surveying these communities, we can
determine the readiness of each to work towards having cleaner indoor air.
Desired Outcome: Determine the needs of each community and focus our efforts for
clean indoor air education and assistance toward the most receptive community.
Evaluation of the Objective: Documentation of the results of a random mail survey in
each of the three locations.
Cost $1,500.00 community survey document with assistance from an evaluation specialist.
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Pro ram Goal: Promote Cessation amon Youth and Adults _
Measurable Objective 8: By May 31, 2001, Increase by 10% the number of
youth at Adelante Alternative School who report they have contemplated
quitting or attempted to quit after participating in a smoking cessation
ro as evidenced by a pre and post test of youth at the school.
Rationale for the Objective: In February 2000, from the Weld County jury pool, 21 of
the 117 persons surveyed also identified youth tobacco prevention programs as an equal
concern.
Desired Outcome: Decrease the number of youths that smoke at the Adelante School.
Evaluation of the Objective: Show increase from baseline number by 10% of youth who
report they have contemplated quitting or attempted quitting smoking after
participating in the smoking cessation program.
Cost $700.00, development of a pre & post test and implementation of program.
Program Goal: Prevent Initiation of Tobacco Use among Youth.
Measurable Objective 9: Provide one presentation to school athletic directors
in Weld County at the monthly district meeting on strategies to enforce youth
possession ordinances and to discourage the use of spit tobacco by May 31,
2001.
Rationale for the Objective: In February 2000, from the Weld County jury pool, 69 of
the 117 persons surveyed identified at least one of the following as a top concern
surrounding youth and smokeless tobacco. Addressing youth tobacco prevention
programs, youth tobacco possession, and smokeless tobacco use among young men in
grades 9-12 would be incorporated in a program directed at the high school athletic
de artments.
Desired Outcome: Reduce the incidence of use of spit tobacco among young men grades
9-12.
Evaluation of the Objective: Documentation of presentation outline, overheads, and
handouts. Attendance records.
Cost $150.00, Field coordinator presentation including materials, travel and printing.
Pro ram Goal: Increase capacity building for comprehensive tobacco control.
Measurable Objective 10: Create a written evaluation plan for the Tobacco
Free Weld County program by September 25, 2000, by hiring an evaluation
consultant to assist the staff/coalition with the development.
Rationale for the Objective: To establish a baseline and create ro ram accountabili .
Desired Outcome: A complete tracking system for the comprehensive program.
Evaluation of the Objective: Documentation of the written plan submitted to STEPP
coordinators in Denver.
Cost approximately $9,000.00, for collaboration with evaluation specialist and data collection.
11
WELD COUNTY TOBACCO PROJECT FRAMEWORK
PUTS ACTIVITIES OUTPUTS OUTCOMES
Initial Intermediate Long-term
K Exposure 1
Counter- to no
•
Weld smoking& Reduced
marketing* pro-health
County messages Positive a aimong youthntiaton
Knowledge, t
o County-wide wide
Tobacco attitude, N Behavior
and skill cB
Project — • changes Increased Change
• Staff Community Increased o cessation
• Coalition use of among
•
• Interventions
• 5-year Plan programs -o youth and
• Surveillance and adults Weld County
Evaluation Smoke-free
Component Adherence/ Y Increased Environments
• Stable Funding enforcement o environments •
E
State and other Creation of of bans, with no
no smoking Icoalitionbans, policies, smoke 1collaration And # policies, f regulations( cy
gulation regulations
Ultimate Goals
•
• Reduced tobacc •
o-
related
morbidity/mortality
in Weld County
• Decreased tobacco-
aiyeteu it,ulayciaie Wyuianuia also ielaled disparity in
Weld County
Attachment 2: Preferred Budget Format
UDG TPA _
LOCAL HEALTH DEPARTMENT: Weld County Health Department - -
TIME PERIOD: 11/1/00 thru _6/30/01
FISCAL OFFICER/CONTACT PERSON: _Mario Rhea _ ________ PHONE:_(970)304-6420 Ext.2381_ . ____
CATEGORY AND ANNUAL TIME ON PROGRAM COST FOR PERIOD
LINE-ITEM SALARY PROJECT_
No.of Hrs./Week _
Months
A. `PERSONNEL ...... .` ii ��
€ssition Titles € ,z' !. a•:; ':::
:
1.Field Coordinator(H.E.II) 38,243 8 20/week 12,748.00
2.Health Educator I 29,088 8 40/week 19,392.00
3.Health Educator I 29,088 8 _ 20/week 9,696.00
4.Office Technician 6,297.00
18,891 8 20/week
Subtotal Personnel 48,133.00
B.FRINGI✓.,@_25-30 %
1.Field Coordinator(H.E.II)*please see budget narrative 4,483.00 —_
2.Health Educator 1(25%) _ 4,848.00 __
3.Health Educator I(25%) 2,424.00
4.Office Technician(30%) 1,889.00
Total Personnel 61,777.00
C: 'I AYI3L aVO, :':: t1..ir ;:.:::,
In-State 1,000.00
Out-of-State _ 1,650.00 _—
Total Travel 2,650.00
D. STAFF DEVELOPMENT&TRAINING .
1.Leadership Training Materials 500.00 T_____ _ . ._._
_2.Comprehensive Tobacco Training&Presentation _ 3,000.00 ____.____ _ _. .__ •,
Total Staff Development 3,500.00
::. • ...
-
........ ......::::
1.Evaluation Specialist __ 6,250.00 _. __ _ _ .._- _
2.Leadership Trainer _3,500.00 _ _.__.— . __.___ ..__._
3.Stratigic Planning facilitator 1,000.00
Total Consultants 10,750.00
PROGRAM COST FOR
PERIOD
-F: PROGRAM OPERATING EXPENSE €
1. Educational Materials _ 2,000.00 - __-
2. Printing 2,000.00
3. Postage 500.00 _.--•— _
4. Meeting Expenses 2,000.00
5. Office Supplies _ 500.00
6. Equipment 2 computers,2 microsoft office word,desk, 2 chairs 4,650.00
7. Phone in-kind
8.
9.
Total Operating Expense 11,650.00
TA:CO..
Total Data Collection 5,000.00
H.H. 1
-Ill TCOSl'S OP 105 %
1.(Please See Narrative) _ 9,580.00
2.
Total Indirect Costs 9,580.00
TOTAL PROGRAM COSTS 104,907.00
Budget Narrative:
Salary: Fringe:
Field Coordinator $12,748.00 20 hours/week $4,482.00 *
Health Educator $19,392.00 40 hours/week $4,848.00
Health Educator $9,696.00 20 hours/week $2,424.00
Office Technician $6,297.00 20 hours/week $1,889.00
Total $48,133.00 + $13,643.00 = $61,777.00
* The variation in the field coordinator's fringe is due to adjustments made for the difference
berween benefits received by a .5 grade 31 FTE to the benefits received by a 1.0 grade 34
FTE.
In-state travel includes: $1,000.00 travel to presentations, workshops and training sessions
at Adelante Alternative School for all staff members.
Out of state travel includes: $1,650.00 For accommodations and travel to and from
educational tobacco workshops for all staff.
Leadership training materials: $500.00: Meeting supplies and training materials,
marketing of the leadership workshop to coalition members and stakeholders.
Comprehensive Tobacco Training and Presentations: $3,000.00: Meeting supplies,
office supplies, marketing of the comprehensive tobacco training to coalition members,
stakeholders, and the community and to hire a training facilitator for the staff and coalition.
Evaluation specialist: $6,250.00: Consultant fees for development and implementation of a
comprehensive evaluation.
Leadership trainer: $3,500.00 For implementation of a multi-day collaborative leadership
training session by a professional leadership consultant for the coalition.
Strategic Planning facilitator: $1,000.00 For a professional strategic planning consultant to
provide 20 hours of strategic planning training at $50 an hour.
Educational Materials: $2,000.00: For marketing materials, office supplies and incentives.
For the presentations to Athletic Directors and the cessation program at Adelante Alternative
School.
Printing: $2,000.00 : For design work and creation of marketing materials .
Postage: $500.00 For invitations to training sessions and stakeholder meetings, community
presentations
Meeting Expenses: $2,000.00: For training sessions and meetings with stakeholders, staff,
coalition, community leaders.
Office Supplies: $500.00 For desk "set-ups" for new personnel and program supplies.
Equipment:$4,650.00: For office equipment and furniture for the new personnel Data collection.
Data Collection: $5,000.00: For the 5 year plan evaluation plan of the comprehensive program, an
evaluation of the cessation program at Adelante Alternative school and for assessment of attitudes in Ault,
Johnstown and Windsor. Including purchase of mailing addresses,phone numbers,postage and materials
for survey.
Indirect Cost: $9,580.00: Accounting, budgeting, office space and related costs, data
processing, management services, office machines and equipment maintenance and repairs,
office supplies, personnel services, freight, purchasing services, telephone.
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