Tobacco-Free Campus
 
To develop tobacco-free campus advocacy activities the following steps were followed:
1. To develop advocacy strategies suitable for the Chinese culture, we reviewed the international literature and interviewed experienced international tobacco control advocates. We determined that advocacy strategies appropriate for China, should include the following features: (1) start within the system; (2) use both a top-down and a bottom-up approach. A lot of programs in China neglect the bottom-up approach; (3) aim at the top leaders of organizetion; (4) establish a coalition with relevant people who interact with the top leaders or have a close relationship with him/her; (5) comminicate with those who are close to the key leaders, for example their family numbers, relatives, classmates, county fellows, etc; (6) satisfy the demand of achievement in officers’ s post; (7) contact with mutiple campus departments to get masseges about how to break through obstacles; (8) establish emotional devotion to non-smoking, etc.
2. A tobacco control free campus advocacy implement program was formulated using the above strategies and theoretical frameworks.
3. Public health teachers and students were trained in tobacco control advocacy strategies. 
4. Themes and slogans were developed to support tobacco control and ban campus smoking. A number of activities to develop appropriate themes and slogans were conducted in some Universities. Finally the themes and slogans were selected after a series of discussions and revision activities on each university. For example, Ningxia Medical University’s theme is "life cannot be so burned", and Nanjing Medical University and Zhejiang University’s themes are "tobacco-free campus, you and I can create it together". These themes and slogans were widely publicized and they played an important advocacy role by creating awareness of the issue among the students (bottom-up). 
Picture 1: A sign developed by Nanjing Medical University.
 
5. A coalition group was created at each university, which included teachers, public health students, personnel from the CDC, university administrative personnel, media representatives, NGO representatives and members of the public, etc.
Picture 2: A ceremony to establish the tobacco control coalition at Zhejiang University.
 
6. Each university conducted tobacco-free public activities on the campus. A variety of strategies were utilized including news releases, conferences, publicity boards, TV coverage, newspapers and the internet.Picture 3 – 8 below depict various advocacy activities conducted at project university campuses.
Picture 3: Students discussing advocacy strategies at Nanjing Medical University.
 
Picture 4: A large-scale billboard used at Shanxi Medical University campus.
 
Picture 5: Students distributing tobacco control advocacy materials and products at Nanjing Medical University.
 
Picture 6: News about the project reported in the Central People's Government of the People's Republic of China portal and Xinhua network.
 
Picture 7: At Guangdong Pharmaceutical College faculty and students signed their names on banners to support a No Tobacco Campus policy.
 
 7. Some immediate policy advocacy activities that targeted key leaders were: (1) key leaders were invited to participant in tobacco control advocacy activities; (2) key leaders were lobbied in a variety of ways including letters, meetings, phone calls, etc. Lobby activities were conducted through formal channels at some universities, and informal channels at other universities. In most situations advocacy included both formal and informal channels of communication (3) Media personnel were contacted and provided TV and news reports which created pressure on university administrators to adopt a tobacco-free policy.
Picture 8: Positive comments from the Principal of Nanjing Medical University on a letter that was submitted by students requesting a tobacco-free campus.
 
8. The project developers released timely messages about all participating universities’ tobacco-free campus building efforts and the progress and experiences of each campus on the project website. This allowed participating universities to share information, and learn from each other’s work.