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 Part III - What's Happening In the Field

What’s Happening in the Field to Promote Use of the Quitline Among MCH Providers

Recent activities of two former mini-grant recipients are highlighted below. Several other states participated in the mini-grant initiative as well. Mini-grant teams faced similar challenges, enjoyed similar triumphs and experienced common lessons learned. For more information regarding state experiences in the AMCHP/ACGO/PPFA mini-grant initiative and the state experience, please contact Jessica Hawkins, Program Manager for Women’s & Infant Health.

Great work is happening across the country to educate providers about state Quitlines and encourage provider referral to the state Quitline. If you would like to share the work happening in your state and/or materials you are using to educate providers about the Quitline and increase referrals of women of reproductive age to the Quitline please e-mail AMCHP.


The state team focused their work on educating providers on best practice cessation counseling, preventing postpartum relapse, and reducing exposure to secondhand smoke among pregnant women, infants, and children. The target audiences included providers at local public health departments (community health workers, doulas, WIC staff, and providers of women with unplanned pregnancies). Their efforts focused on the greater Minnesota area, as the PRAMS survey indicated the smoking rates in pregnancy were nearly twice as high in greater Minnesota than in the metro area. State-developed resources

  • Minnesota Call It Quits - A handout explaining how a provider agency can become part of the active fax referral process to Minnesota’s Quit Line.

One way in which MI has been increasing provider referral is by increasing the number of webinar trainings for health care providers on how to provide tobacco use treatment among the general population and women in the preconceptual, prenatal and postpartum periods. These trainings include instructions on how providers can refer clients to the state Quitline along with a slide that includes a sample of the fax referral form. These trainings have been offered to and attended by health care providers, social workers and health educators at hospitals, community health centers, including federally qualified health centers, health clinics, local public health departments and other local health and human service agencies.

State-developed Resources

  • MI Tobacco Quitline Fax Referral Program – Description of the MI fax referral program distributed to providers
  • MI Tobacco Fax Referral Form – Example of a fax referral program

Lessons Learned

  • Patients will sometimes refuse to be referred by way of fax to the quitline. Concerns of confidentiality, among others, inhibit their willingness to participate. Mini-grant participants addressed this challenge by working with providers to encourage them to develop a better rapport and more trusting relationship with their patients.
  • It was important that providers understood the services of the quitline. Calling the quitline themselves can help them explain to a patient what to expect.