BACKGROUND AND IMPLEMENTATION CHALLENGES: Since the 1980s, Brazil has implemented the National Tobacco Control Program (PNCT), significantly reducing smoking prevalence. However, challenges such as emerging products, legislative compliance, and financial and technical sustainability persist. This study focuses on strengthening the State Tobacco Control Program (PECT) in five Brazilian states representing different regions: Tocantins, Paraíba, Goiás, Rio de Janeiro, and Paraná.
INTERVENTION OR RESPONSE: From 2020 to 2022, technical visits were conducted to analyze and enhance tobacco control practices using tools such as SWOT-based inventories to identify local strengths and weaknesses. Actions included technical training, developing communication networks among municipal and state coordinators, and promoting partnerships with strategic organizations, including state planning secretariats and academic institutions.
RESULTS AND IMPACT: Implemented practices strengthened the PECT at the state level and improved technical capacity to integrate regional and local actions. The strategy fostered alignment between states and national coordination, demonstrating an impact on smoking reduction and the structuring of sustainable state policies. The model showed potential for national expansion.
CONCLUSIONS: This pilot project highlights the importance of organizational models to ensure the sustainability of the PNCT in Brazil. The adoption of these practices in other Brazilian states is recommended, focusing on intersectoral partnerships and resource mobilization to ensure the continuity of tobacco control actions.