Abstract
SWOT analysis and an eight-item best practice assessment instrument, are utilized to asses intergovernmental public health policy development to advance tobacco free living in a Mid-Western region of the United States. Findings revealed similar patterns across methods and data sources. Compared to effective and tested practices, the tobacco free policy advocacy strategy was successful at both the statewide level and regional level. Agendas were more aligned among community partners for regional initiatives than for statewide initiatives. Also, it was clear that alignment of agendas at the community partnership level was harder when issues were tough and opposition from economic interest was high.
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