To facilitate the banning of tobacco industry sponsorship, Australian healt
h promotion foundations were established to provide health sponsorship to s
port. arts, and racing organizations. Health sponsorship dollars procure he
alth sponsorship benefits such as naming rights, signage, personal endorsem
ent of a (health) product by a performer or player, and structural controls
such as smoke-free policies. Data are presented from surveys and observati
ons of spectators attending events sponsored by the West Australian Health
Promotion Foundation (Healthway) and surveys of Healthway-sponsored organiz
ations and the community. The results demonstrate that by using health spon
sorship, Healthway increased the prevalence of smoke-free policies in recre
ational settings, and there was growing support for these policies. There w
as evidence of good: compliance with smoke-free policies, thus reducing exp
osure to environmental tobacco smoke. The introduction of smoke-free polici
es in recreational settings has involved working collaboratively with secto
rs outside of health, taking an incremental approach to change, and gaining
the support of stakeholders by communicating evaluation results.