Strengthening the Tobacco Cessation Ecosystem 

Strategies for Improving Access, Use, Success, Synergy and Impact at the National, Subnational and Organizational Levels

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About the Report

This report introduces the concept of the Tobacco Cessation Ecosystem (TCE), a model that emphasizes maximizing the reach and effectiveness of tobacco cessation interventions by integrating different tobacco cessation services and supporting them with consistent funding and strong policies. A TCE approach aligns and integrates services across diverse clinical and public health systems, ensuring maximum impact through sustainable, equitable, population-level access to evidence-based services that support tobacco users to quit. The TCE is enhanced by the success of other tobacco control initiatives that increase motivation to quit and decrease the influence of the tobacco industry.  

Inside the Report

The report reviews the evidence for practical, proven and targeted cessation services and key considerations for integrating and implementing population-level approaches. It utilizes case studies to illustrate effective and successful ways the tobacco cessation ecosystem approach has been applied in countries, and provides key resources, data and guidance for policymakers and tobacco cessation managers, implementers and advocates. 

Why it Matters

More than 60% of tobacco users globally want to quit, yet 70% lack access to cessation services. Help is often fragmented and hard to access, reaching only a small fraction of those in need. An ecosystem approach treats cessation not as a single program or clinic, but as a coordinated system aligning policies, clinical practices, population services, financing and measurement to make it easier for all tobacco users to have accessible, comprehensive support to quit.