Local Government Commitment to the Smoke-Free Policy in Indonesia
Abstract
A growing number of local governments have already enacted a smoke-free policy in Indonesia. This promising phenomenon indicates the commitment of local governments to overcoming the high smoking prevalence through smoke-free policies. This study aims to describe the enactment and implementation of the smoke-free policy in Indonesia. The cross-sectional study employs descriptive research to observe and investigate the enactment and implementation of the smoke-free policy in all local government levels in Indonesia up to December 2016 and on secondary data from previous research. The results of the study find that the implementation of the smoke-free policy requires strong commitment from the local government leader. There are variations in degree of smoke-free implementation at the local level, so this breakthrough cannot decrease smoking prevalence without budget allocation support and tobacco control activities, especially for promotion and prevention steps. All of these driving forces rely on local government’s commitment to control tobacco
consumption through the smoke-free policy. The policy also needs politically driven forces, from leaders to street-level bureaucrats. These findings increase our knowledge of the progress of smoke-free policies in Indonesia and are useful guidance for academics or government officials to conduct further study or follow-up enforcement of the implementation of the smoke-free policy.
Keywords: Smoke-Free Policy, Local Government, Commitment
References
[1] Partnership for Prevention. (2007). Smoke-free policies: Establishing a smoke-free ordinance to reduce exposure to secondhand smoke in indoor worksites and public places: an action guide. Washington DC, United States of America: Partnership for Prevention. http://www.prevent.org/data/files/initiatives/ smokefreepolicies.pdf
[2] Task Force on Community Preventive Services. (2001). Recommendations regarding interventions to reduce tobacco use and exposure to environmental tobacco smoke. American Journal of Preventive Medicine, 20(2), 10-15, https://doi.org/10.1016/S0749-3797(00)00297-X page 48
[3] Hahn EJ. 2010. Smoke-free legislation: a review of health and economic outcomes research. American Journal of Preventive Medicine 39: S66–76.
[4] Byron, M. J., Suhadi, D. R., Hepp, L. M., Avila-Tang, E., Yang, J., Asiani, G., Rubaeah, Tamplin, S., Bam, T., & Cohen, J. E. (2013). Secondhand tobacco smoke in public venues in three Indonesian cities. Medical Journal of Indonesia, 22(4), 232.
[5] Ministry of Health (2013). Basic Health Survey. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Ministry of Health Republic of Indonesia
[6] Tobacco Atlas. (2018). Country Profile Indonesia. Tobacco Atlas Factsheet, file download from https: //tobaccoatlas.org/wp-content/uploads/pdf/indonesia-country-facts.pdf
[7] Ministry of Health (2013). Basic Health Survey. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan Republik Indonesia.
[8] WHO. Global Adult Tobacco Survey: Indonesia report 2011. Geneva: World Health Organization; 2012.
[9] Surbakti, P. (1995). Indonesia’s National Socio-Economic Survey: a continual data source for analysis on welfare development. Central Bureau of Statistics; Ministry of Health (2007). Basic Health Survey. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Ministry of Health Republic of Indonesia; and Ministry of Health (2013). Basic Health Survey. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Ministry of Health Republic of Indonesia
[10] Tobacco Atlas, 2011 http://www.tobaccoatlas.org/topic/smoking-among-youth/
[11] Mandiri. (2017). Industry Update. Office of Chief Economist, Volume 5, Maret 2017. Download from http:
//www.bankmandiri.co.id/indonesia/eriview-pdf/PLPR45324727.pdf
[12] Yogatama, Benediktus Krisna. (2014). Cigarette export in 2015 can reach USD 1.1 billion (Ekspor rokok
2015 bisa mencapai US$ 1,1 miliar). Editor: Uji Agung Santosa. www.kontan.co.id. Download from http:
//industri.kontan.co.id/news/ekspor-rokok-2015-bisa-mencapai-us-11-miliar
[13] Barber S, Adioetomo SM, Ahsan A, Setyonaluri D. Tobacco economics in Indonesia. Paris: International
Union Against Tuberculosis and Lung Disease; 2008. p.39.
[14] Brinson B. A good match: Sampoerna continues to thrive following its acquisition by Philip Morris. TobaccoReporter. 2008 Nov:54
[15] Ministry of Health (2013). Basic Health Survey. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Ministry of Health Republic of Indonesia
[16] Ministry of Health (2013). Basic Health Survey. Jakarta: Badan Penelitian dan Pengembangan Kesehatan
Ministry of Health Republic of Indonesia
[17] Nichter, M., Nichter, M., Padmawati, R. S., & Ng, N. (2010). Developing a smoke free household initiative: an Indonesian case study. Acta obstetricia et gynecologica Scandinavica, 89(4), 578-581.
[18] Kaufman, M. R., Merritt, A. P., Rimbatmaja, R., & Cohen, J. E. (2014). ‘Excuse me, sir. Please don’t smoke
here’. A qualitative study of social enforcement of smoke-free policies in Indonesia. Health policy and planning, 30(8), 995-1002.
[19] Change.org. (2015). My baby and I are expelled by the person who wants to smoke in the Mall (Saya dan Bayi saya terusir oleh oknum yang mau merokok di dalam Mall). https://www.change.org/p/pluitvillage-jcoindonesia-saya-dan-bayi-saya-diusir-dan-dibentak-olehperokok-di-dalam-j-co-donuts-pluit-village-mall
[20] Meilikah. (2017). Dinas Lingkungan Hidup DKI Dilaporkan ke Ombudsman. Download file from http://news.metrotvnews.com/read/2017/08/03/738571/dinas-lingkungan-hidup-dki-dilaporkan-keombudsman
[21] With total districts in Indonesia 542 based on HarianTerbit (2016). 542 Daerah Otonom di Indonesia: 34 Provinsi, 415 Kabupaten dan 93 Kota. Download from http://nasional.harianterbit.com/nasional/2016/11/ 23/73237/0/25/542-Daerah-Otonom-di-Indonesia-34-Provinsi-415-Kabupaten-dan-93-Kota
[22] Oktamianti, Puput. (2015). Smoke Free Regulation: Analysis of local policy documents in Indonesia. Proceeding Book of The 47th Asia Pasific Academic Consortium for Public Health Conference 21-23 Oktober 2015.
[23] World Health Organization. (2017). WHO report on the global tobacco epidemic 2017: Monitoring tobacco use and prevention policies. Download file from https://cloudfront.escholarship.org/dist/prd/ content/qt8nw5p0zt/qt8nw5p0zt.pdf page 142
[24] Prabandari, Y. S., & Dewi, A. (2016). How do Indonesian youth perceive cigarette advertising? A crosssectional study among Indonesian high school students. Global health action, 9(1), 30914. p.2
[25] Nichter, M., Padmawati, S., Danardono, M., Ng, N., Prabandari, Y., & Nichter, M. (2009). Reading culture
from tobacco advertisements in Indonesia. Tobacco Control, 18(2), 98-107.p.72
[26] Prabandari, Y. S., & Dewi, A. (2016). How do Indonesian youth perceive cigarette advertising? A crosssectional study among Indonesian high school students. Global health action, 9(1), 30914.
[27] Sebayang, S. K., Rosemary, R., Widiatmoko, D., Mohamad, K., & Trisnantoro, L. (2012). Better to die than
to leave a friend behind: industry strategy to reach the young. Tobacco control, 21(3), 370-372.p.370
[28] Hurt, R. D., Ebbert, J. O., Achadi, A., & Croghan, I. T. (2012). Roadmap to a tobacco epidemic: transnational tobacco companies invade Indonesia. Tobacco control, 21(3), 306-312.
[29] Sebrié, E. M., & Glantz, S. A. (2010). Local smoke-free policy development in Santa Fe, Argentina. Tobacco control, 19(2), 110-116.
[30] Chantornvong, S., & McCargo, D. (2001). Political economy of tobacco control in Thailand. Tobacco control, 10(1), 48-54. p.32