Strategies

Provide reproductive health care services such as counseling, contraception, and testing in middle and high school-based health centers

Address nutrition in schools via educational (e.g., classroom or curricula-wide efforts, peer training, etc.), environmental (e.g., school menus, classroom snacks, etc.), and other approaches

Teach students personal and social skills to avoid tobacco use; led by teachers, health educators, or students in elementary schools, middle schools, or high schools

Provide permanent, basic rental housing with social services available on-site or by referral, usually for families with low incomes, older adults, veterans, or people with disabilities

Create contracts that support community access to existing public, private, or nonprofit facilities before or after business hours; also called joint use, open use, or community use agreements

Implement private sector rules or public sector regulations that prohibit smoking outdoors or restrict it to designated areas

Support school-, community-, and clinic-based teen pregnancy prevention programs such as comprehensive sex education, HIV/STI prevention and youth development efforts, service learning, etc.

Encourage participants to quit using tobacco by a set date or during a specific time period and give successful participants a chance to win financial rewards or other prizes; often called Quit & Win contests

Use the purchasing power of employers and groups of insured individuals to create incentives and disincentives for health care providers to deliver high quality, high value care

Support breastfeeding via private, well-equipped lactation spaces in workplaces, along with breastfeeding breaks, flexible schedules, professional lactation support, etc.