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Monitoring compliance and examining challenges of a smoke-free policy in Jayapura, Indonesia

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Title: Monitoring compliance and examining challenges of a smoke-free policy in Jayapura, Indonesia
Authors: Wahyuti, W
Hasairin, SK
Mamoribo, SN
Ahsan, A
Kusuma, D
Item Type: Journal Article
Abstract: Objectives: In Indonesia, 61 million adults smoked in 2018, and 59 million were exposed to secondhand smoke at offices or restau- rants in 2011. The Presidential Decree 109/2012 encouraged local governments to implement a smoke-free policy (SFP), and the city of Jayapura enacted a local bill (1/2015) to that effect in 2015. This study aimed to evaluate compliance with this bill and to explore challenges in implementing it. Methods: We conducted a mixed-methods study. Quantitatively, we assessed compliance of facilities with 6 criteria (per the bill): the presence of signage, the lack of smoking activity, the lack of sale of tobacco, the lack of tobacco advertisements, the lack of cigarette smoke, and the lack of ashtrays. We surveyed 192 facilities, including health facilities, educational facilities, places of worship, govern- ment offices, and indoor and outdoor public facilities. Qualitatively, we explored challenges in implementation by interviewing 19 in- formants (government officers, students, and community members). Results: The rate of compliance with all 6 criteria was 17% overall, ranging from 0% at outdoor public facilities to 50% at health facili- ties. Spatial patterning was absent, as shown by similar compliance rates for SFP facilities within a 1-km boundary around the provin- cial and city health offices compared to those outside the boundary. Implementation challenges included (1) a limited budget for en- forcement, (2) a lack of support from local non-governmental organizations and universities, (3) a lack of public awareness at the facil- ities themselves, and (4) a lack of examples set by local leaders. Conclusions: Overall compliance was low in Jayapura due to many challenges. This information provides lessons regarding tobacco control policy in underdeveloped areas far from the central government.
Issue Date: 1-Nov-2019
Date of Acceptance: 25-Oct-2019
URI: http://hdl.handle.net/10044/1/75275
DOI: 10.3961/jpmph.19.240
ISSN: 1975-8375
Publisher: Korean Society for Preventive Medicine
Start Page: 427
End Page: 432
Journal / Book Title: Journal of Preventive Medicine and Public Health
Volume: 52
Issue: 6
Copyright Statement: © 2019 The Korean Society for Preventive Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and repro-duction in any medium, provided the original work is properly cited.
Publication Status: Published
Open Access location: https://www.jpmph.org/journal/view.php?number=2066
Article Number: JPMPH-19-240
Appears in Collections:Imperial College Business School