Implementation of the Smoke-Free Policy in Medan City, Indonesia: Compliance and Challenges.
| Autor: | Nasution F; Faculty of Public Health, Universitas Islam Negeri Sumatera Utara, Medan, Indonesia., Gurning FP; Faculty of Public Health, Universitas Islam Negeri Sumatera Utara, Medan, Indonesia., Siregar PA; Faculty of Public Health, Universitas Islam Negeri Sumatera Utara, Medan, Indonesia., Ahsan A; Faculty of Economics and Business, University of Indonesia, Depok, Indonesia., Kusuma D; Centre for Health Economics & Policy Innovation, Imperial College Business School, London, UK. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of preventive medicine [Int J Prev Med] 2022 Feb 23; Vol. 13, pp. 30. Date of Electronic Publication: 2022 Feb 23 (Print Publication: 2022). |
| DOI: | 10.4103/ijpvm.IJPVM_106_20 |
| Abstrakt: | Background: Indonesia has an estimated 61.4 million current smokers, and the smoking prevalence among adults is persistently high while that among youth is increasing. In 2014, Medan city enacted the smoke-free policy (SFP) to protect community members against the adverse effects of smoking. Our study examines the implementation of SFP in terms of compliance and challenges. Methods: We conducted a mixed-methods study. Quantitative analyses examined the compliance with six criteria including having signage, no active smoking, no selling, no advertisement, no smoke, and no ashtray at SFP facilities. They included health facilities, educational facilities, places of worship, workplaces, and indoor/outdoor public facilities. The qualitative analysis examined the challenges through in-depth interviews of six key informants. Results: We found the overall compliance of 44%, ranging from 0% at outdoor public facilities to 83% at health facilities. We found relatively higher compliance among facilities within 1-km from the provincial and city health offices compared to those outside of the buffer (but not significant at 5% level, P = 0.070). The challenges identified were lack of budget, monitoring, enforcement, and sensitization. Conclusions: The implementation of SFP in Medan city still has lower compliance and faces many challenges. Competing Interests: There are no conflicts of interest. (Copyright: © 2022 International Journal of Preventive Medicine.) |
| Databáze: | MEDLINE |
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