A study was conducted in selected districts of Bihar to evaluate the effectiveness of Intensive vs. Minimal, Community centered vs. Clinic/Camp centered and Mass/Group vs. Individual targeted intervention programs for cessation of tobacco use. Relevant Qualitative and Quantitative data was collected and analyzed using the SPSS statistical package. Results revealed high (>50%) pre-intervention prevalence of tobacco use and oral diseases related to tobacco usage and no community initiative towards control of tobacco use. Post intervention data revealed 4% quitting, 3% dose reduction and 2% reduction in usage of multiple types of tobacco. The study demonstrated that community centered mass approaches with minimal sustained intervention was more effective than clinic centered, intensive, individual approach.