Introduction:
University is the best sustainable for smoke-free and healthy zone among youth.

Objectives:
To evaluate the progress of smoke-free and healthy university establishment in Thailand.

Methods:
Methodology cross-sectional descriptive survey was applied. A self-report questionnaire was applied to recruited university data. 41 universities under higher education commission, Ministry of Education were self-evaluated based on standard guidelines.

Results:
The 251 professional subjects, 280,247 students and 51,495 staff. Among them 6,353 smoker students and 921 smoker staff. Only 41.5% set smoke free university committees as a key success factor to mobilizes to smoke free and healthy universities. Only 28 universities established smoke- free indoor areas. They set the smoke zone for smoker students and staff by varied from 1 area to 20 areas outdoor. For smoker screening, 61% did not screen the new students and 4 universities included screening in the annual check-up and cover only some students. All smokers did not refer to cessation services provided in or out university clinic. For public relations or campaigning. The majority of university 22 set traditional PR in university. Only 4 universities apply modern social media such as facebook or line as a PR channel. But it is inadequate frequent to raise awareness. The majority of universities attempt to integrate tobacco topics into their curriculum. At the same time, they promote extra-curriculum activities to students as volunteer activists. Most of all they did not apply data-based for smoke-free and healthy universities establishment due to lack of funding and basic strategic knowledge. Based on 7 key guidelines and 15 items of key performance indicators, the best indication reported was KPI3 (mean = 1.48, SD = 1.08). The lowest indicators was 7.4 and 7.5 (mean = 0.60, SD = 1.03, respectively).

Conclusion(s):
The university still under development to be a smoke-free and healthy university. And finally, they need continuous improvement.