American Journal of Public Health, 10.2105/AJPH.2005.067124
1 University of Massachusetts Medical School
* To whom correspondence should be addressed. E-mail: nancy.lapelle{at}umassmed.edu.
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. Key Words: Community Health, Access to Care, Public Health Practice, Qualitative Research, Smoking Cessation, Tobacco Control
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