Introduction:
The Vietnam Tobacco Control Law, effective since May 2013, requires all indoor public places, including restaurants and cafeterias be smoke-free. However, GATS 2015 findings showed the highest prevalence and the most modest reduction of second-hand smoke exposure in restaurants during 2010-2015. The challenges were low political commitment and reluctance of authorities to implement smoke-free policies in restaurants (SFR), the resistance of business, and high public acceptability of smoking. Hoan Kiem is the old center district of Hanoi having many big restaurants and attracting around 2 million international visitors yearly.

Objectives:
To improve SFR implementation in Hanoi.

Methods:
In 2016-2019, Hoan Kiem People’s Committee launched the implementation of SFR model. The approaches were utilized including: i) Advocacy to improve the commitment of local government; ii) Media campaigns to raise awareness and support; iii) Peer education to engage managers of compliant SFR to share their experience and motivation to other restaurant owners; iv) Strengthen the enforcement through supporting the model of monitoring visit of local authorities.

Results:
50 members of district/ward tobacco control Steering Committee and 350 Managers/Owners of restaurants were trained on SFR implementation. 65,000 leaflets on SFR and tobacco harm prevention, 3,000 no-smoking decal sign were distributed. Monitoring visits of interdisciplinary inspection teams to 294 participated restaurants were conducted. In 2017 & 2018, 109 restaurants were recognized for safety food and SFR (40% of total participated restaurants). Lesson learned: i) Integrating Smoke-free and food safety in the model; ii) Strong political commitment and involvement of People Committee leaders at district level; iii) Best practice sharing: Good SFR models shared their real experience through training, workshop, and media; iv) Simple and sustainable enforcement mechanism through the model of monitoring visit of local authorities.

Conclusion(s):
The used approaches have proven to be effective in improving the compliance of implementation of SFR and should be scaled up to other districts in Vietnam.