Iranian Association of Geography and Rural Planning journal of sustainable rural development 25383876 9 2 2025 12 01 Assessment of the Execution of a Tobacco-Free Village with a social development and sustainable rural health approach A Case Study: Damagh Sefid Village in Sarpol-e Zahab, Iran 171 184 227737 10.22034/jsrd.2025.508268.1213 EN Aeizh Azmi Department of Geography, Faculty of Literature and Humanities, Razi University, Kermanshah, Iran. 0000-0001-8409-6262 Mohammad Reza Masjedi Tobacco Control Research Center (TCRC), Iranian Anti-Tobacco Association, Tehran, Iran. Journal Article 2025 02 23 <strong>Purpose: </strong>Rural communities often face the challenge of high rates of tobacco use, with both cigarette smoking and hookah consumption being particularly prevalent. Therefore, it is critical to manage and implement measures that effectively eliminate tobacco consumption in these settings. Several villages have implemented measures and achieved zero tobacco use, thereby earning recognition as “tobacco-free villages”. Damagh Sefid, located in Sarpol-e Zahab, is one such example. Accordingly, the present study seeks to analyze the process and factors influencing the implementation of the tobacco-free initiative in Damagh Sefid.<br><strong>Methods</strong>: This study is an interpretivist approach using a Grounded Theory method. A total of 30 individuals participated, and thus, the sample size was determined through (situational) sampling until data saturation was reached, employing snowball sampling techniques.<br><strong>Results:</strong> The results reveal the significant roles of non-governmental organizations and private institutions, alongside influential village figures, such as health officers, clerics, and elders. Visual campaigns, including banners and public lectures, along with active engagement from local broadcast media, particularly the Islamic Republic of Iran Broadcasting (IRIB), successfully raised awareness and motivated residents.. Academically educated youth, particularly university students residing in the area, played a crucial role in encouraging smoking cessation, while schoolchildren served as effective health ambassadors. Furthermore, the schoolchildren served as prominent health ambassadors. Key obstacles include the village’s geographic isolation, visitors disregarding the smoking ban, and decreased shopkeeper earnings due to the cessation of cigarette sales.<br><strong>Conclusion:</strong> The involvement of governmental and non-governmental organizations has facilitated the adoption of effective<strong> </strong>policies to combat tobacco use. Furthermore, the selection of the village as a tobacco-free zone has served as a powerful incentive for maintaining anti-tobacco efforts. However, there are several challenges. Notably, the a lack of recreational and tourism places alongside educational classes to spend their free time. Employment opportunities remain scarce, and tourists sometimes undermine tobacco control efforts. Moreover, persistent unemployment, especially seasonal unemployment, remains a critical challenge despite broad collaboration. https://www.jsrd.ir/article_227737_c044fe34a0433b70791f4c5637667d5f.pdf