Chronic Obstructive Pulmonary Disease (COPD) is the third leading cause of death worldwide, causing 3.23 million deaths in 2019 .Over 80% of these deaths occurred in low- and middle-income countries (LMIC).COPD causes persistent and progressive respiratory symptoms, including difficulty in breathing, cough and/or phlegm production. COPD results from long-term exposure to harmful gases and particles combined with individual factors, including events which influence lung growth in childhood and genetics. Environmental exposure to tobacco smoke, indoor air pollution, and occupational dusts, fumes, and chemicals are important risk factors for COPD. Early diagnosis and treatment, including smoking cessation support, is needed to slow the progression of symptoms and reduce flare ups.(WHO,2019)