Background:
Georgia made a step forward in 2017 and adopted new amendments on tobacco control legislation, which mostly corresponds to the FCTC requirements. Among other changes in the regulations is a ban on smoking in public buildings and public transport, with a few exemptions (casinos, big slot clubs, performances in theatres, taxi). The regulation entered into force in 1 May 2018. Effective implementation was under question in Georgia due to cultural, social and civil problems.

Objective:
The objective of the study is to learn process of monitoring of new tobacco control regulations during May 2018 to December 2021.

Results:
In Georgia exists a state program on health promotion since 2015. The main direction of the program was information and communication campaigns, as well as monitoring and capacitybuilding regarding new tobacco control regulations. The yearly expenditure on the tobacco control regulations monitoring part of the state program is around 100000 US$. The FCTC Implementation and Monitoring Center in Georgia (FCTC IMCG) has around 40 monitors in the whole country who check the compliance level of smoke-free, sale restrictions, and advertisement ban regulations during 2018–2021. Around 22000 facilities and public transport are under their monitoring yearly. They organizing around 100 meetings, trainings or seminars for enforcement bodies’ representatives yearly. The work is very hard and the budget is still limited. The permanent monitoring of the tobacco control new regulations keeps enforcement level at 95%. High compliance level of new regulations positively affected to the health status of the population regarding asthma, AMI, and COPD. Unfortunately, civil activism is still low in low- and middle-income countries. Around 97% of violations are identified by the monitors.

Conclusions:
The synergy between governmental enforcement bodies and FCTC IMCG is important. The Georgian case is a basis for sharing good experience. The state program still needs sustainable funding.