BACKGROUND:
Commercial tobacco use remains a significant public health challenge in northern Saskatchewan Indigenous communities, contributing to preventable illness and death. Our project aimed to co-develop culturally appropriate initiatives focused on smoking cessation and holistic wellness.

METHODS:
We adopted a multifaceted community-driven approach that incorporated visual storytelling, creative arts, and wellness activities. Participants were engaged to co-create educational posters, messages, and themes designed to raise awareness about commercial tobacco use, second-hand smoke, and related issues.

RESULTS:
Children from northern communities created a booklet titled "Be Smart! Don't Start!" that featured their artwork. The Ribbon Skirt Project was a significant initiative that involved young girls aged 9 to 15 and pregnant mothers. They participated in workshops about traditional tobacco and crafted ribbon skirts that symbolize empowerment and cultural pride. This project was launched in two communities. Elders led monthly Wellness Wednesdays, which included activities such as self-care and memorials for grief and loss. These wellness sessions consistently attracted 20-48 participants each, demonstrating sustained and growing interest in the program.

DISCUSSION:
These culturally tailored, community-led strategies sparked positive dialogue on commercial tobacco prevention and promoted holistic well-being. They promoted intergenerational learning and community bonding, highlighting the importance of elders' teachings. Children's artwork was used to publicly advocate for a tobacco-free future, raising awareness among community members and stakeholders. Our approach illustrates the power of integrating Indigenous traditions with public health practice. By valuing youth voices, traditional knowledge, and creative expression, communities were empowered to address tobacco-related harms while strengthening cultural identity.