Request for Proposals Tobacco-Free Communities in Minnesota

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Minnesota Department of Health
Alcohol and Tobacco Prevention & Control Unit

Request for Proposals
Tobacco-Free Communities in Minnesota:
Local Grants and Statewide Technical Assistance & Training Grants
RFP Released: October 4, 2012
Applications due November 13, 2012

Alcohol and Tobacco Prevention & Control Unit

85 East Seventh Place, Suite 220

P.O. Box 64882

St. Paul MN 55164-0882

(651) 201-3535

table of contents

Part I. Tobacco-Free Communities in Minnesota Grant Program

Description of the Program 3

Tobacco Use and Secondhand Exposure in Minnesota 4

Tobacco-Free Communities in Minnesota Grant Program 6

Objectives 6

Eligible Applicants 6

Grant Period 7

Grant Requirements 7

Available Funding and Approved Strategies 9

Category A – Local Grants 10

Category B – Statewide Technical Assistance and Training Grants 13

Timeline 15

Notice of Intent 15

Contacting the Minnesota Department of Health 15

Applicant Conference Call 16

Part II. Application Submission Requirements

Applications Due to MDH 16

Application Format Requirements and Checklist 16

Tobacco-Free Communities Grant Application Format 17

Project Narrative 17

Work Plan, Outcome Evaluation Plan and Budget 20

Required Application Documents 23
Part III. Application Review and Award Process

Proposal Review and Award Process 24

Application Evaluation Criteria 25

Part IV: Appendices

A: List of Required Application Forms 30

B: Cover Sheet and Instructions 31

C: Table of Contents Template 33

D. Financial Capacity and Review Form and Instructions 34

E. Administrative – Indirect/Cost Allocation Worksheet and Indirect Cost Allocation for Tobacco-Free Communities Grant 39

F. Work Plan 41

G. Outcome Evaluation Plan 44

H. Line-item Budget 46

I. Tobacco-Free Worksite and Grounds Certification Form 47

J. Certification of Non-Acceptance of Tobacco Funds Form 48

K. Glossary of Terms 49

L. Sample Grant Agreement Templates 54

Part V: Tobacco Prevention & Control Resources 64

Part I. Tobacco-Free Communities in Minnesota Grant Program

Description of the Program
The Minnesota Legislature has dedicated $3.2 million for Tobacco Use Prevention funds under Minnesota Statute 144.396 for the Commissioner of Health to award. The purpose of the funds is to reduce tobacco use among youth in Minnesota. The goal of these funds is to reduce tobacco use among youth and to promote statewide and local tobacco use prevention activities.
The Minnesota Department of Health’s (MDH) Alcohol and Tobacco Prevention & Control Unit (ATPC) is seeking applications to implement the Tobacco-Free Communities in Minnesota Grant Program. $1.95 million in state grant funds will be awarded through a competitive process through the Tobacco-Free Communities in Minnesota grant program. Another $1.25 million has been reserved for the American Indian Grants Program, which will be distributed through a separate process. The ATPC Unit is also responsible for managing, monitoring and evaluating the grantee’s activities and budgets and providing a bi-annual report to the Legislature.
The ATPC Program seeks to: prevent the initiation of tobacco use; reduce current tobacco use among adults and youth; eliminate exposure to secondhand smoke; identify and eliminate tobacco-related health disparities. The ATPC Program will address these strategic priorities through TFC and American Indian (AI) grant funding and by implementing or supporting other statewide initiatives and strategic approaches.
The Tobacco-Free Communities (TFC) in Minnesota Grant Program focuses on implementing local tobacco control policy, systems and environmental change efforts through a range of evidence-based strategies and statewide technical assistance and training to assist the grantees in their efforts. A description of the TFC goals and objectives can be found on page 6.
The focus of the TFC Request for Proposals (RFP) is to address tobacco-related disparities in Minnesota. Tobacco use and exposure rates are highest among specific populations in Minnesota. In an effort to address and reduce tobacco-related disparities, the targeted populations for the TFC RFP include but are not limited to: youth; young adults; populations of low socio-economic status (SES); racial and ethnic populations; the lesbian, gay, bisexual and transgender population; and other at-risk or high risk populations.

Tobacco Use and Secondhand Smoke Exposure in Minnesota
Tobacco use continues to be the leading cause of preventable death and disease in Minnesota and the United States. Despite significant progress toward reducing the number of Minnesotans who smoke cigarettes or use smokeless tobacco, 21 percent of Minnesota adults are still current tobacco users, including 16 percent who are current cigarette smokers. Cigarette smoking was responsible for the premature death of an estimated 5,135 Minnesotans in 2007, about one in every seven deaths in the state1.

Reducing exposure to secondhand smoke is one of the major components of a comprehensive strategy to reduce the damage caused by tobacco use. Across the nation, 3,000 adult non-smokers die of lung cancer and an additional 46,000 die of coronary heart disease each year due to secondhand smoke exposure.

Each year, secondhand smoke is responsible for $215.7 million in excess medical costs in Minnesota; these costs are borne by individuals, businesses, and government. This estimate is conservative; it does not include costs for long-term care, nor does it consider the significant economic cost of lost productivity due to the more than 66,000 individuals suffering from diseases caused by secondhand smoke.
Youth Tobacco Use and Exposure to Secondhand Smoke

The 2011 Minnesota Youth Tobacco Survey found that 25.8 percent of high school students (grades 9-12), and 5.6 percent of middle school students are current tobacco users. Cigarettes are the most common form of tobacco used. One-third of male high school students (31.9%) are current tobacco users, compared to one-fifth of females (19.1%). More than one‐fourth of high school students (28.6%) and 6.8 percent of middle school students report that they have tried flavored cigars, cigarillos or little cigars at some point in their lives. The FDA recently banned candy flavors, fruit flavors, chocolate and other sweet flavors in cigarettes, but not in cigar products. Half of teen smokers usually smoke menthol cigarettes. Among Minnesota high school students, the preference for menthol cigarettes has more than doubled since 2000.

The 2011 Minnesota Youth Tobacco Survey found that 52.5 percent of high school students were exposed to secondhand smoke in the past seven days and 37.7 percent of middle school students were exposed. Over one-third of students (34.2% in middle school; 36.0% in high school) reported that they live with someone who smokes. High school students are more likely than middle school students to be exposed to secondhand smoke, whether in an enclosed room, in a car or at work. Among high school students, 32.8% reported repeated exposure to secondhand smoke in the past 7 days compared to 21.9% of middle school students.
Minnesota’s Youth Tobacco Surveys show that children who are exposed to smoking at home or in public settings are more likely to begin smoking as adolescents and to become regular smokers as adults. Exposure to secondhand smoke in any setting, whether indoors or outdoors, is associated with a variety of health risks for both children and adults. Tobacco-free policies send the message that tobacco use is harmful to health and not acceptable. These perceptions are reinforced through social norms.
Research suggests that advertising, promotions, and other pro-tobacco marketing influences are key factors in the initiation of smoking and use of other tobacco products2. Exposure to industry promotional, marketing and messaging strategies increases the risk that children, youth and young adults will initiate the use of tobacco products.
The Tobacco Industry spent an estimated $157 million to advertise and promote cigarette sales in Minnesota in 2008, according to the Campaign for Tobacco Free Kids.
Key Data on Smoking and Tobacco Use among Targeted and Disparate Populations in Minnesota
Young Adults - 34.9 percent of young adults used tobacco in the past 30 days, including 27.8 percent who smoked cigarettes in the past 30 days.
Disparate Populations - Smoking rates among Minnesotans 18 years or older who describe themselves as current smokers (defined as: smoked at least 100 cigarettes in lifetime and now smokes every day or some days) include:

• White, 18.4 percent*

African American, 29.6 percent*

• Asian, 12.7 percent*

• Hispanic, 20.1 percent*

• American Indian, 44.2 percent*

Youth - Minnesota 9th graders who reported using any form of tobacco within 30 days: White, 12.4 percent; African American, 15 percent; Asian, 9.6 percent; Hispanic, 19.5 percent and American Indian, 25.4 percent.**
Minnesota 9th graders who reported smoking cigarettes in the last 30 days:

White, 9.6 percent; African American,11 percent; Asian,8 percent; Hispanic, 16.5 percent and American Indian, 21.5 percent.**

*Behavioral Risk Factor Surveillance Survey (BRFSS) data (2011)

**Minnesota Student Survey (2010)

***Minnesota Youth Tobacco Survey (2011)

Tobacco-Free Communities in Minnesota Grant Program
The goal of the Tobacco-Free Communities in Minnesota (TFC) grant program is to reduce and prevent youth and young adult tobacco use and secondhand smoke exposure by creating tobacco-free environments in Minnesota. Through evidence-based strategies and promising practices, funded grantees will work with a coalition or community partnership to coordinate and implement policy, systems and environmental change activities to counteract pro-tobacco influences on children, youth and young adults and eliminate exposure to secondhand smoke in populations disproportionately affected by the harm caused by tobacco.
The TFC grant program’s primary objectives are to:

  1. decrease the number of Minnesota children, youth, and young adults in targeted populations who are exposed to secondhand smoke;

  2. reduce youth and young adult exposure to tobacco influences and change social norms around tobacco use and exposure; and

  3. focus efforts on implementing policy, systems and environmental change strategies which impact disparate populations.

Glossary of Terms
See Appendix K for a glossary of terms used in this RFP.

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