Summary The World Health Organization reports that more than six million people die each year from tobacco-related diseases. Moreover, changing markets have generated a dramatic shift in consumption from high-income countries (HICs) to low- and middle-income countries (LMICs), and by 2030 more than 80% of the disease burden from tobacco use will fall on LMICs. To help facilitate this shift, opponents of tobacco control – led by the tobacco industry and even some governments – have successfully used the supposed harm from tobacco control measures to smallholder tobacco farmers as a reason to slow, stop and even reverse tobacco control interventions, particularly in LMICs. This complex nexus of economic, agricultural and public health policymaking may prove to be home to one of the largest threats facing tobacco control. The emerging battleground is concentrated in countries with weaker governance capacity, more politically vulnerable governments and a greater economic reliance on tobacco, which includes many countries in Sub-Saharan Africa and Southeast Asia. While there is a small literature examining some of these dynamics, there is a lack of cross-country and deep, individual-level evidence about the actual livelihoods of these farmers and the political economic context in which these dynamics are unfolding. Understanding the complexities of these livelihoods is a crucial component to addressing this challenge: helping policymakers to develop strategies to integrate public health and agro-economic policies positively, and in particular, to assist farmers in finding viable economic alternative livelihoods. Such policies supporting viable alternatives are needed to counter many existing ones that serve to propel or entrench tobacco cultivation. This project aims to fill the large research gap in this area by examining rigorously the economic lives of these farmers, and the political and economic processes that frame their livelihoods, in four major tobacco- growing LMICs – Indonesia, Kenya, Malawi and Zambia. To reach this aim, we will first collect and analyze existing data and scholarship relevant to the economics and politics of tobacco farming in these regions. Informed by these findings, we will implement individual-level economic surveys of nationally-representative samples of farmers in four major tobacco-growing countries in Africa and Southeast Asia. We will complement the surveys with focus group discussions with farmers across the major tobacco-growing regions of each case country. Finally, using the expert consultation of the in-country co-investigators, we will extensively interview relevant actors in these countries, including relevant farmer organization representatives, ministry officials, civil society advocates, representatives of intergovernmental organizations, and industry representatives in order to illuminate the broader structures, policies and other important contexts that frame farmers' livelihoods. One of the project's ...