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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 perform a comprehensive evaluation of 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 discusses the Arkansas Tobacco Settlement Commission's activities and its responses to recommendations by RAND in the earlier evaluation reports and documents continued activity and progress by the seven funded programs for 2008 and 2009. The report evaluates the progress of each of the funded programs, including assessing progress in achieving programmatic goals and tracking the programs' activities and indicators. It also updates trends in outcome measures developed to monitor the effects of the funded programs on smoking and other health-related outcomes. Finally, it provides both program-specific and statewide recommendations for future program activities and funding, including ongoing strategic planning, developing evaluation measures, collaboration with other programs, and sustaining funding and growth.

Table of Contents

  • Chapter One

    Introduction and Background

  • Chapter Two

    The ATSC Policy Context in 2008-2009

  • Chapter Three

    Fay W. Boozman College of Public Health

  • Chapter Four

    Arkansas Biosciences Institute

  • Chapter Five

    Delta Area Health Education Center

  • Chapter Six

    Arkansas Aging Initiative

  • Chapter Seven

    Minority Health Initiative

  • Chapter Eight

    Medicaid Expansion Programs

  • Chapter Nine

    Tobacco Prevention and Cessation Program

  • Chapter Ten

    Smoking-Related Outcomes

  • Chapter Eleven

    Synthesis and Recommendations

  • Appendix A

    Initiated Act 1 of 2000: The Tobacco Settlement Proceeds Act

  • Appendix B

    Evaluation Methods

The research described in this report was sponsored by the Arkansas Tobacco Settlement Commission. The research was conducted in RAND Health, a division of the RAND Corporation.

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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