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AJPH First Look, published online ahead of print Jun 29, 2006
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August 2006, Vol 96, No. 8 | American Journal of Public Health 1363-1369
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.067124

HEALTH POLICY AND ETHICS

Sustainability of Public Health Programs: The Example of Tobacco Treatment Services in Massachusetts

Nancy R. LaPelle, PhD, Jane Zapka, ScD and Judith K. Ockene, PhD

The authors are with the Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester.

Correspondence: Requests for reprints should be sent to Nancy R. LaPelle, PhD, Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Ave N, Worcester, MA 01655 (e-mail: nancy. lapelle{at}umassmed.edu).

ABSTRACT

Sustaining important public or grant-funded services after initial funding is terminated is a major public health challenge. We investigated whether tobacco treatment services previously funded within a statewide tobacco control initiative could be sustained after state funding was terminated abruptly. We found that 2 key strategies—redefining the scope of services being offered and creative use of resources—were factors that determined whether some community agencies were able to sustain services at a much higher level than others after funding was discontinued. Understanding these strategies and developing them at a time when program funding is not being threatened is likely to increase program sustainability.




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