to summarize and highlight the international collaboration and support

1. to summarize and highlight the international collaboration and support MetroHealth System - Center for Community Health American Cancer Society, Cleveland, Ohio and City of Martin, Slovak Republic Purpose P A R T N E R S H I P Smoking Prevention Municipal Program

2. History lNOV1996 - 1st contacts with US partners lFEB 1997 - Partnership established Signatureof Memorandum of Understanding lMAY 1997-Acceptance of project: SMOKING PREVENTION MUNICIPAL PROGRAM lJUNE 1997 - Action plan and timetable for project

3. Main objectives of the project • Data collection - smoking prevalence, opinions and attitudes of inhabitants to smoking • Implementation of non-smoking promotion activities • Information support- resource center, Internet, teleconferencing, exchange trips,... • Constitution of the Center for Non-smoking Promotion • Exchange of the experiences, knowledge via conferences presentation and publication

4. Strategic aims of the project Smoking Prevalence Decrease Decrease of morbidity and mortality Prolongation of the life expectancy Quality life improvement Economic benefit for society and individual

5. First project phase 1997 lEpidemiological survey of smoking prevalence - a randomized sample of Martin population-anonymous questionnaire lSurvey on Medical Students and Tobacco- Questionnaire of WHO and IUATLD- modified lExchange trip to Cleveland- “know-how" for smoking control activities including written and visual materials

6. Distribution of smoking habit Regular smokers 36% 50% 14% Occassional smokers Non-smokers

7. Smoking habit in women Regular smokers 24% 15% 61% Occassional smokers Non-smokers

8. Smoking habit in men Non-smokers Occassional smokers 37% 14% 49% Regular smokers

9. Age distribution of regular smokers

10. Distribution of smokers according to cigarettes number smoked per day

11. Smokers education

12. SMOKING HABITS OF MEDICAL STUDENTS Regular smokers 8.% Occasional smokers 74.0% 10.7% Ex-smokers 7.3% Non-smokers

13. Second project phase 1997, 1998 lLearning Resource Center Establishment - AIHA, USAID equipment with training on the use of technical information (computer, scanner, INTERNET, software, laser printer, CD, textbooks,...)

14. Perception of doctor`s role 20 40 60 80 0 100% Doctors should be more active than they have been in speaking to lay groups about smoking 91.7 1. 5. 86.3 agree Doctors would be more likely to advice people to quit smoking if they knew of a good approach that really worked 80.0 1. 80.6 5. don`t know Your current knowledge is suffi- cient as a basis for counselling patients who want to stop smoking 45.3 32.4 1. 22.3 33.7 48.8 17.5 5. disagree At every contact with a patient, whe- re it would be natural to do so, you should dissuade him from smoking 1. 83.3 5. 77.3 year

15. lSmoking Prevention Activities • Organization: • „1st Conference on Prevention and Health Promotion“ • with international participation, guests from Clevelend, • students from 11 European countries- 1997 • Educational courses for students and teachers • Competitions for children and students (sport, painting) • Collaboration with massmedia: radio, TV, press • Hot lines

16. Third project phase 1998, 1999 April 26. 1999 -Opening ceremony Non-smoking Promotion Center Smoking prevention non-smoking promotion activities Smoking cessation courses Support: AIHA- USAID, ACS PC, TV, VCR, copy maschine, laser printer, other

17. Continuing close contacts with U.S. partners èNew projects èConsulting èTeleconferencing èEducational and research contacts è è è è

18. FUTURE PLAN CONTINUATION IN COMPREHENSIVE MUNICIPAL TOBACCO CONTROL PROGRAM RETRIEVAL OF GRANTS FOR COOPERATION NATIONAL TOBACCO CONTROL PROGRAM NETWORK OF THE ORGANIZATIONS AND ACTIVITIES PEOPLE AND FINANCIAL SOURCES SCHOOL EDUCATION VOLUNTARY HEALTH NGOs SMOKE FREE WORKPLACES SUPPORT FROM THE INSURANCE COMPANIES INTERNATIONAL COLLABORATION FRAMEWORK CONVENTION ON TOBACCO CONTROL TOBACCO FREE SLOVAKIA

19. Strengths and weaknesses of the Partnership Strengths • Many institutions involved in Cleveland- many informational resources • Two-side relations with American Cancer Society • Support of authorities • Sustainability - role in regular training • Enthusiasm and effort to help, to teach, to learn • Great Slovak community in Cleveland

20. Strengths and weaknesses of the Partnership Weaknesses • Short duration /closing AIHA office in Bratislava/- -impossibility to achieve strategic aims and results • Insufficient coordination:1partnership - 2 Slovak cities, uncertain relationship of city-volunteers- AIHA office Bratislava-Cleveland

21. CONCLUSION • Partnership was a trigger point starting contacts among institutions and people, among city council and voluntiers, massmedia and voluntiers,... • acquirement of the experience in the area of prevention • Input from outside (building bridges beyond partnership ) • Acquirement of skills needed to activate the public • Network of voluntiers • Resource and Information Centers (AIHA) • Qualified professional leadership from MHS

22. CONCLUSION • Teleconferencing • Contacts by E-mail • Education via Internet • Multiple-Resource Financing (AIHA/USAID, Grants, • private companies) • Center for non-smoking promotion • Official support: at the national and municipal level • Working together - multisectorial activities • Partnership - Friendship