Introduction:
Russian Tobacco control(TC) law supports integration of Smoking cessation (SC) in healthcare services. Still the implementation of those remains a challenge.

Material and Methods:
The study aims to examine to what extent the TC law is implemented with regards of rising public awareness for consequences of smoking and provision of smoking cessation services. Combined results of different evaluation studies and experts’ assessment results for MPOWER were analysed.

Results:
The number of prevention service units, providing SC services, including counselling and pharmaceutical treatment has grown from 503 to 3065 in three years but 71% of smoking cessation units are badly understaffed. Still low compliance to smoke-free policies in HC institutions: compliance score- 3 out of 10. Smoking prevalence is still high among health professionals: 28% in men, and 17.4% in women. Awareness of TC law is low: 58.7% had only heard and 9% not even heard of it with higher awareness in smokers vs. never smokers (35% vs. 30.8%, p<.05) and higher among doctors (35.8%), vs. nurses (28.9%, p<0,001). Smokers supported smoke-free policies (p<.001) less than non-smokers . Smokers saw themselves less responsible than non-smokers for implementing TC policies in health institutions (p<.001). Smoking cessation first line medication is purchased at high costs.

Conclusions:
Active measures are needed to implement TC policies in health institutions.