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The Tobacco Settlement Proceeds Act, a referendum passed by Arkansans in the November 2000 election, invests Arkansas’ share of the tobacco Master Settlement Agreement funds in seven health-related programs. RAND was contracted to evaluate the progress of the seven programs in fulfilling their missions, as well as the effects of the programs on smoking and other health-related outcomes. This report charts the progress of each program, including assessing progress in achieving long-range goals established by the programs in 2005, tracking the programs’ process measures, and assessing performance on a set of program management integrity criteria. The report also updates trends in outcome measures developed to monitor effects of the funded programs on smoking and other health-related outcomes. Finally, it provides program-specific and across-program recommendations for future activities and funding.

Table of Contents

  • Chapter One

    Introduction and Background

  • Chapter Two

    The ATSC Policy Context in 2005-2006

  • Chapter Three

    Tobacco Prevention and Education Program

  • Chapter Four

    College of Public Health

  • Chapter Five

    Delta AHEC

  • Chapter Six

    Arkansas Aging Initiative

  • Chapter Seven

    Minority Health Initiative

  • Chapter Eight

    Arkansas Biosciences Institute

  • Chapter Nine

    Medicaid Expansion Programs

  • Chapter Ten

    Evaluation of Smoking-Related Outcomes

  • Chapter Eleven

    Evaluation of Nonsmoking Outcomes

  • Chapter Twelve

    Synthesis and Recommendations

  • Appendix A

    Initiated Act 1 of 2000: The Tobacco Settlement Proceeds Act

  • Appendix B

    RAND Evaluation of the Arkansas Tobacco Settlement Program Evaluation Methods

  • Appendix C

    Program Component Process Evaluation Information Request for 2005-06 Arkansas Tobacco Settlement Evaluation

The research described in this report was sponsored by the Arkansas Tobacco Settlement Commission and was performed under the auspices of RAND Health.

This report is part of the RAND Corporation Technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.

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