Tobacco is one of the vastly used substances and a top cause of escapable morbidity and mortality worldwide. The deaths of around seven million persons annually are due to direct tobacco use, and about 600,000 deaths as of secondary smoke. Globally, tobacco use among men is gradually decreasing. However, it is increasing speedily among women especially in developing countries. Tobacco linked deaths might increase from 1.5 million in 2004 to 2.5 million through 2030 among women aged ≥ 20 years, and nearly 75% of this anticipated death will be happening in low- and middle-income countries. In Africa, both smoking rates and tobacco-linked deaths are increasing as the prevalence was increased from 9.8% in 2015 to 13.9% in 2016 as well as tobacco related death was increased from 150,000 reported in 1990 to over 215,000 in 2016.