Despite 20 years of sustained engagement and reductions in smoking prevalence rates globally, smoke free policy implementation remains inconsistently applied in low- and middle-income countries where there are high smoking prevalence rates and where >80% of the 1.3 billion smokers reside.1-2 Merrit’s study3 is a stark reminder that despite the forward steps of the Framework Convention on Tobacco Control,2,4-5 variations in achieving smoke free policies in specialist settings persist. Acknowledged challenges in implementing smoke free hospital policies include a lack of data, inadequate reporting, and reduced prioritisation of tobacco control at governmental level.1,3 The lack of an intersectional lens and co development with communities continues with policy development.

Note, this is a rapid response article to Smoking behaviour, tobacco sales and tobacco advertising at 40 ‘Smoke Free Hospitals’ in Vietnam. Tobacco Control. 2023