A Qualitative Evaluation of Smoke-Free Policy Implementation among the Hospitality Industry in Yogyakarta, Indonesia

Background: The Indonesian government has implemented various regulations, including smoke-free policies (SFPs) aimed at reducing exposure to second-hand smoke and improving public health. However, the implementation of these policies has encountered challenges. Objective: This study aimed to investigate the implementation of SFP in the hospitality industry in Yogyakarta, Indonesia. Methods: Three focus group discussions with the managers of hotels, restaurants, and coffee shops (n=19) were conducted in November 2021. Thematic analysis was used to analyse the data. Results: Three themes were identified: 1) Efforts to implement SFPs at hospitality premises; 2) Reasons for adopting SFPs; and 3) Challenges for policy implementation. Many hospitalities industry have undertaken efforts to implement SFPs, though they are not comprehensive. The reasons for implementing SFPs include protecting second-hand smokers, meeting guest preferences, and creating a fresher environment. Resistance from customers has become a significant challenge, as some view SFPs as an infringement on personal freedom. Furthermore, unclear sanctions and enforcement from the government also highlighted by participant as the main barriers of SFPs implementation. Conclusion: Overall, while there is significant effort to implement SFPs in hospitality venues, challenges such as customer resistance and unclear government guidance persist. This condition underscores the need for clearer policies and support mechanisms for successful implementation.

Using social media to mobilize grassroots advocates and raise awareness about tobacco harms in Indonesia

Background and challenges to implementation Indonesia has one of the highest smoking rates in the world (57.1% men / 41% boys / 3.6% women) and is described as "Disneyland" for big tobacco firms. There are limited smokefree policies, minimal tobacco taxes, and cigarette companies advertise to and target youth. Intervention or response Vital Strategies launched a digital awareness campaign - #SuaraTanpaRokok (Voices Without Cigarettes) reaching out to youth and empowering real victims of tobacco to tell their stories through social media. The campaign also shifted offline, raising awareness and attendance at tobacco control events held in partnership with cities in Indonesia. The campaign gives a voice to those affected by tobacco and has built up an online following of grassroots anti-tobacco advocates. Results and lessons learnt Facebook page with 65,000+ followers, with content reaching over 2 million Indonesians/month Victim story telling campaign through Facebook and Instagram, featuring local tobacco victims and their families Discovered tobacco victim Robby who died aged 27. Told his story through a national TV campaign featuring his parents Offline events which attracted widespread traditional and social media coverage including: Anti-tobacco artwork murals on homes in the town of Kali Code in Yogyakarta that had previously been painted in tobacco industry colors. Event drove significant traditional media coverage and was #1 national trending topic on Twitter; Anti-tobacco murals on "Angkot" public transport vans in Bogor for World No Tobacco Day in collaboration with local artists and the city Mayor. Campaign microsite http://suaratanparokok.co.id constantly updated with new statistics, victims stories, latest campaign content and photos Cross promotion online of our national mass media campaigns in Indonesia Conclusions and key recommendations #SuaraTanpaRokok shows how social media can be used to build a group of online advocates, find tobacco victims and help tell their stories, and raise awareness of and drive attendance to offline events. It also amplified anti-tobacco mass media campaign messaging to youth audiences through social media

“You do not See an Interesting Ads, You See a Cowboy Killers”: A Comprehensive Public Health Communication Approach on Smoke-Free Policy Enforcement

Objectives: While smoke-free policies aiming to protect passive smokers have been identified, some works need to be carried out to implement the policy into stronger regulation. This policy transformation, as the key to policy implementation success, should be considered by researchers and public health advocates to elaborate an effective way of delivering the policy messages. Study Design: This article describes the way Muhammadiyah Tobacco Control Center (MTCC) of Universitas Muhammadiyah Yogyakarta assisted the local government to transform smoke-free policy and its relevant accomplishing measurement into an intense enforcement action by involving a multi-sectoral approach and community. Methods: This research is an independent study, reflecting an evaluation of smoke-free project assisted by Muhammadiyah Tobacco Control Center to the Local Government of Yogyakarta City. Results: We discussed the role of multi-sector of the local government upon their policy interpretation and collaboration to reach our vast community in understanding and further implementing the smoke-free policy by their awareness. In addition, we provide a model of community engagement to support policy implementation and evaluation (monitoring process). Conclusion: As the conclusion, a comprehensive public health communication can enhance the program of policy enforcement and gain support from policy-oriented audiences.</jats:p

The effect of educational videos depicting the impact of smoking on young adults smokers: a qualitative study

Objective: The morbidity caused by smoking is increasing. Meanwhile, very few people access smoking cessation counseling in primary health care. Therefore, more massive and innovative efforts to increase motivation to quit smoking are needed. This research aims to explore smokers’ perceptions of three types of videos that describe the impact of smoking. Methods: This study used a descriptive qualitative method with in-depth interviews using a semi-structured interview guide. Ethical clearance was obtained, and fourteen young adults who smoked were recruited by purposive sampling. Before the interview, participants watched five videos with the following categories: 1) the health impact of active smoking, 2) the health impact of passive smoking, and 3) the burden on the family of smokers getting smoking-related diseases. Data analysis was conducted using inductive content analysis. Results: Five themes describe smokers’ perceptions of videos depicting the effects of smoking: a) The video is interesting and can help imagine real condition visualization of the impact of smoking; b) The video deeply resonates with smokers; c) The health impact of the passive smoker and family video is more impactful than the health impact of active smoking video; d) The health impact of active smoking videos make smokers aware of smoking on themselves; e) These videos can increase motivation to quit smoking. Conclusion: This research can be a recommendation in health education and smoking cessation counseling using videos that describe the health impact of smoking, especially with an approach that highlights the effects on passive smokers and families

Newborn Weight and Second-Hand Smoking in Utero Exposure: A Case in A Low-Middle Income Country

Smoking exposure among pregnant women is correlated with the risk of low birth weight. The policy factors are believed to contribute to the rate or prevalence of smoking activities. This study aims to simultaneously portray the incidence of low-birth-weight newborns correlated with smoking exposure. The samples were 160 respondents, with 57 and 103 respondents in Hospital A and G respectively. A mixed-method analysis was utilized by combining a retrospective approach to identify the key findings and be equipped with a narrative analysis of the socio-demographic - law enforcement process. The Spearman correlation analysis was used for investigating correlation among variables. Spearman correlation test smoking exposure per day in minutes (rho= -0.595, p&lt;0.001) and the number of smokers (rho= -0.621, p&lt;0.001) for Hospital A, and smoking exposure per day in minutes (rho= -0.681, p&lt;0.001) and the number of smokers (rho= -0.613, p&lt;0.001) for Hospital G. It implied a strong correlation of inverse relationship among those variables. Smoke-free law enforcement is a key point to address, aiming at vulnerable group protection, including pregnant mothers and babies. The local government should consider the effects affected by smoking behavior in the community