Implementing the Tobacco Control Policies Properly and Correctly
Arieny Ratna Oetaminingsih
Faculty of Public Health, Universitas Airlangga, Mulyorejo, Surabaya, Indonesia
Keywords: Tobacco policy, Tobacco control, Non-smoking area, Cigarettes.
Abstract: Tobacco control, if not implemented, can be a health problem both in developed countries and in developing
countries like Indonesia. The number of cases of citizens who consume cigarettes is very large and this can
adversely affect health to the point of causing premature death. Tobacco control policies in Indonesia should
be optimised and further enforced, including further details on the Regional Regulations on Non-Smoking
Areas (KTR) and the prohibition of the advertising and promotion of cigarettes. This includes the
empowerment of people who love the latest information which can be about the dangers of cigarette
content, the impact of cigarette content that can cause damage to the health of the body and encouraging the
movement of people to the creation of an Indonesia free from smoke. This will minimise the citizens of
Indonesia who consume cigarettes. Later, they will understand that their health is more important and more
will think to apply the existence of good tobacco control.
1 INTRODUCTION
Indonesia has a very high prevalence of smoking in
the community, most of which became active
smokers from an early age and continued through to
adulthood. Active smokers from year to year has
increased more than ever, and not only men. More
women are now among the many who have become
active smokers. This can be bad for the health,
whihc involves an increased risk of death.
The Global Youth Tobacco Survey states that the
population of Indonesia 15 years and over who has
been smoked has an annual increase of 34.2% in
2007 and increased in 2013 by 36.2% until 2014
reaches 50.6% of active smokers 15 years and over.
Tobacco control, if not implemented, can be a health
problem both in developed countries and in
developing countries like Indonesia. The
Government issued a Joint Regulation with the
Minister of Health and Minister of Home Affairs
No.188 / Menkes / PB / I / 2011. 7 Year 2011 About
No Smoking Area Guidelines. A No Smoking Area
(KTR) is a place or room where it is prohibited to
engage in smoking activities and to promote or sell
tobacco products. No Smoking Areas (KTR) are one
way to control and reduce the bad habit of smoking
in public places. In Surabaya, the Regulation of
Non-Cigarette Regions in some areas has been
implemented but many have not achieved
implementation. According to Perda No.5 of 2008
on Non-Smoking Areas states that non-smoking area
facilities include health facilities, teaching and
learning places, arenas where there are children's
activities, places of worship and public
transportation. Non-compliance with established
non-smoking regional regulations can be a major
problem that will impact public health, especially
the increasing prevalence of active smokers. The
purpose of this research study is to get more
information about the implementation of the No
Smoking Regions Policy (KTR) in Indonesia,
especially in Surabaya.
2 METHODS
The type of research methodology used in this study
is descriptive using a quantitative approach which is
intended to describe and analyse the implementation
of the regulations to do with cigarette areas. This
article has also used methods of research analysis
and reporting. The data collection was conducted by
using data articles, journals, and books that have
been published later on in the analysis by the author.
Oetaminingsih, A.
Implementing the Tobacco Control Policies Properly and Correctly.
In Proceedings of the 4th Annual Meeting of the Indonesian Health Economics Association (INAHEA 2017), pages 115-117
ISBN: 978-989-758-335-3
Copyright © 2018 by SCITEPRESS – Science and Technology Publications, Lda. All rights reserved
115

3 RESULTS AND DISCUSSION
3.1 Non-Smoking Area Regulations that
are not yet equally distributed in
Indonesia
The enactment of Regulations for Non-Smoking
Areas is very important and influential for the future.
It can minimise the number of active smokers who
smoke in various places that do not think about their
surrounding conditions, which can adversely affect
the health of active smokers and passive smokers
alike. According to the data from Indonesia Health
Profile 2012, pusdatin Kemenkes RI 2013, it states
that there are still many provinces that have not
implemented the Regulation of No Smoking Areas.
It is important to keep in mind that if there are no
policies, then the number of active smokers in
Indonesia will increase year to year. Non-Cigarette
Regional Regulations should be further enforced in
various areas that have not established a Joint
Regulation with the Minister of Health and Minister
of Home Affairs No.188/Menkes/PB/I/2011.7 to do
with No Smoking Area guidelines.
3.2 Areas Without Cigarettes that are not
Effective
From several research results that have been
analysed and presented by the researcher, it can be
concluded that the implementation of regulations for
Non-Smoking Areas is still not running effectively
yet. The implementation of Perda No.5/2008 for
Non Smoking Area and Limited Area Smoking in
the Joyoboyo Terminal area of Surabaya City issued
by Surabaya City Government has not yet been fully
achieved. From the results of this research, it proves
that there are still many who have not implemented
the regulations properly. There need to be firmness
from the Government to put more emphasis on the
severe sanctions that will be enforced on people who
violate the regulation of No Smoking Areas so the
violation of the regulation is not a preferable or
neutral action.
3.3 Low compliance with the Rules
Indonesian society has a low standard when it comes
to complying with regulations provided by the
Government. Lots of rules have been established,
not only the Regulation of Regions without
Smoking, but are still violated. This is due to the
lack of strict sanctions from society and a lack of
knowledge. One example is a researcher named
Iswanti who examines compliance with smoking
regulations in Surabaya. Supervision on the
implementation of Local Regulation No.5 / 2008
concerning Non-Smoking Area and Limited Area
Smoking in Joyoboyo terminal of Surabaya City is
not done as stated in Regulation No.5 / 2008. Law
enforcers also never sanction against perpetrators of
violation of Regulation No.5 / 2008, especially in
Joyoboyo terminal of Surabaya City. Although the
UPTD terminal Joyoboyo Surabaya City has tried as
much as possible, but still found many smokers who
smoke free in the terminal Joyoboyo Surabaya. It
can be concluded that the awareness and compliance
of community law in Surabaya Joyoboyo terminal is
still low.
From the results of Reno Renaldi's research
analysis in 2013, there is a significant relationship
between the implementation of KTR policy and the
knowledge of KTR policy. The researcher also
stated the results of the data analysis obtained from
society which was influenced by environment
associations who, at risk, were 17 times more likely
not to execute KTR policy. This research is in
accordance with results of the research conducted by
Puswitasari in 2012 stating the existence of a
relationship between the influences of the
environment with the level of compliance. An
analysis of the results of research from both sides
has previously been in conformity with Imelda's
research in 2012, stating the relationship between
cigarette attitudes and KTR policies with the
participation of non-smoking areas.
3.4 Cigarette Advertisement Ignored
Society in Indonesia, especially in Surabaya,
indicates that many are indifferent to the ad
campaigns that have been made by related parties.
Many people actually understand about the content
or meaning of the content contained in the ad. But
they are indifferent because no one forbids if
smoking does harm to public health. It needs a new
marketing strategy or ad campaign that generates
more attention.
4 CONCLUSIONS
The implementation of non-smoking areas in
Indonesia, especially in Surabaya, has not fully run
optimally as a whole because the Regulation of No
Smoking Area is not evenly distributed in Indonesia
and there is less community for existing regulations.
INAHEA 2017 - 4th Annual Meeting of the Indonesian Health Economics Association
116

There needs to be firm action in the form of
sanctions for those who violate the Regulation of No
Smoking Areas. Related parties can create
promotions or enforce the latest model of tobacco
control on Non-Smoking Areas (KTR). Most
Indonesians love the latest information with the
latest technology involved; this could be utilised.
This will minimise the number of citizens in
Indonesia who consume cigarettes. Those who
gradually follow the process will come to understand
that health is more important and more will begin to
apply good tobacco control and encourage the
movement of society to create an Indonesia that is
free from smoke.
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