1. Inspiring Partnership, Collaboration and Knowledge Transfer: Increasing Capacity to Address Health Inequities in Tobacco Use Before, During and After Pregnancy Presentation to National Conference of Canadian Association of Public Health, Halifax, June, 2008 Phyllis Price

2. Presentation Objectives Describe how Nova Scotia is coming together to address the issue of smoking during pregnancy Discuss some of our learnings from that process

4. Background Motivated by Expecting to Quit In 2005 25% of women in NS were smoking during pregnancy 50% relapse rate within 1 year of pregnancy 3 year Health Canada funding $80 k.

5. Project Goal to build capacity and generate action around a best practice approach to pregnancy and tobacco

6. Framework for Action

7. What we did (1)…. Engaged community  Needs assessment – conversations - buzz! Developed foundation of expertise  Lit review – relationships with experts Built interest, awareness and skills  Multiple methods - 160 people trained

8. What we did (2)…. Researched and adapted tools  Windsor Guide – wipeboard Engaged partners from outside DHA  SSA Advisory Committee – tobacco control community – Pregnets – AWARE (STARSS) Involved the Province  Health Promotion & Protection - Reproductive Care Program

9. Created a community of practice  Involving all 9 districts –listserve (www.ptsn.ca) Got senior-management onside & inspired Shared our learnings  List-serve, conferences, website, articles Found a way to support FRC’s in their work with women who smoke What we did (3)….

10. Momentum! Supporting Women To Quit 5-part, case-based teleheath series, held over 5 months 11 locations in 9 districts Mainpro- M-1 Credits Dr. Peter Selby (CAMH / Pregnets) Interactive – participation built interest and community After session 1: “This has already changed my practice.” Practical, Case-Based Telehealth Training Series for Professionals who Work with Women Presenter: Dr. Peter Selby (Centre for Addictions and Mental Health, Toronto) Series will address key issues including best practices, a woman centred approach, motivational interviewing and special needs of the pregnant woman who uses tobacco.  Facilitated  Participatory  Free  Refreshments  Prizes  Telehealth Locations: Kentville Yarmouth Bridgewater Halifax – IWK New Glasgow Antigonish Sydney (CB Regional) Toronto Middleton Truro Amherst Inverness For Inquiries please contact: Public Health Services at (902) 542-6310 Fax Registration Forms to (902) 542-4919 “ Supporting Women to Quit Tobacco Use During Pregnancy and Beyond ” Dates: Oct 2 Monday 10 00 - 11:30 Nov 20 Monday 10:00 - 11:30 Jan 22 Monday 10:00 - 11:30 Feb 12 Monday 10:00 - 11:30 An initiative of South Shore Health Pregnancy and Tobacco Project, in partnership with provincial DHAs, Public Health Services and Addiction Services with support from Health Canada

11. Momentum! Connecting the Dots District Committees Connecting the Dots2 (Spring 2009

12. A STEADY RAIN THAT SOAKS

13. For more information, visit http://www.ssdha.nshealth.ca/pregnancy%20and%20tobacco.htm

14. Financial Contribution from Health Canada Acknowledgments