Compliance with smoke-free policy and challenges in implementation: evidence from Bengkulu, Indonesia.
File(s)
Published version
OA Location
Author(s)
Yunarman, Sepri
Zarkani, Agustin
Walid, Ahmad
Ahsan, Abdillah
Kusuma, Dian
Type
Journal Article
Abstract
BACKGROUND: Smoking is among the top contributors to deaths and disability-adjusted life years in Indonesia, particularly among males. In 2012, a presidential decree encouraged provinces and districts to implement a smoke-free policy (SFP). This study aims to evaluate compliance and explore the challenges in the implementation. METHODS: Through a mixed-methods design, we used quantitative methods to examine the compliance with six criteria including signage, no active smoking, no selling, no advertisement, no smoke, and no ashtray at SFP facilities in Bengkulu city. We observed SFP compliance at 105 facilities, including health/educational facilities, places of worship, workplaces, and indoor/outdoor public facilities. We also used a qualitative method to explore challenges in the implementation through interviews with the government and legislators. RESULTS: The compliance rate to all six criteria was 38% overall, ranging from 17% at outdoor public facilities to 67% at health facilities. We found no spatial patterning, as shown by non-significant differences in compliance rates between SFP facilities inside and outside of 1-kilometer around the provincial and city health offices. Implementation challenges included lack of sensitization, lack of coordination, and limited budget. CONCLUSION: The compliance was relatively low due to several challenges, which could serve as a tobacco control policy lesson in a lower-middle-income country.
Date Issued
2020-09-24
Date Acceptance
2020-09-24
Citation
Asian Pacific Journal of Cancer Prevention (APJCP), 2020, 21 (9), pp.2647-2651
ISSN
1513-7368
Publisher
West Asia Organization for Cancer Prevention
Start Page
2647
End Page
2651
Journal / Book Title
Asian Pacific Journal of Cancer Prevention (APJCP)
Volume
21
Issue
9
Copyright Statement
© 2020 The Author(s). This work is licensed under a Creative Commons AttributionNon Commercial 4.0 International License.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/32986364
Subjects
Control
Policy
Tobacco
Publication Status
Published
Coverage Spatial
Thailand
Date Publish Online
2020-09-24