Strengthening Tobacco Consumption Control Policies: Program Integration for Social Assistance Recipients in Indonesia
Downloads
Background: The prohibition on using social assistance funds for purchasing cigarettes has been stipulated in the Minister of Social Affairs Decree Number 175 of 2022. However, the primary goal of this program to improve community welfare is threatened as this misuse persists. Aims: This study aims to analyze the challenges and obstacles in implementing the policy to control cigarette consumption among social assistance recipients and to identify integrated priority programs across sectors. Methods: This qualitative study employs a case study approach. Data were collected through in-depth interviews and focus group discussions with informants representing central governments, regional governments, and social assistance officers. The interviews were then analyzed using SWOT analysis to formulate strategies and identify the priority program. Results: The analysis reveals that cross-sector collaboration is a key strength for reinforcing cigarette consumption control among the recipients. This is implemented through the Family Capability Improvement Meeting (P2K2), involving healthcare workers who educate the dangers of smoking and establish Smoking Cessation Service Clinics (UBM). The proposed priority program integrates the social assistance program with UBM clinics to help recipients quit smoking. Conclusion: The study concludes that strengthening this policy requires comprehensive program integration with multi-sector involvement. This enhancement also necessitates stronger central regulatory support through the Government Regulations as derived from Health Law Number 17 of 2023. Strengthening this policy is expected to contribute to achieving the SDGs by improving community health and quality of life, and alleviating poverty through improved effectiveness of the social assistance program.
Alasqah, I., Mahmud, I., East, L., & Usher, K. (2019). A systematic review of the prevalence and risk factors of smoking among Saudi adolescents. Saudi medical journal, 40(9), 867.
Brown, T., Platt, S., Amos, A. (2014). Equity impact of population-level interventions and policies to reduce smoking in adults: A systematic review. Journal Drug and Alcohol Dependence, 138, 7-16. https://doi.org/10.1016/j.drugalcdep.2014.03.001.
CISDI. (2021). Cost Burden for Smoking-Related Diseases in 2019. Center for Indonesia’s Strategic Development Initiative. .
Dartanto, T., Moeis, A., Nurhasana, R., S, R., & Thabrany, H. (2018). Parental Smoking Behavior and Its Impact on Stunting, Intelligence, and Poverty: Empirical Evidence from IFLS Panel Data. Center for Social Security Studies, Universitas Indonesia (PKJS-UI).
Dartanto, T., Moeis, F. R., Can, C. K., Ratih, S. P., Nurhasana, R., Satrya, A., & Thabrany, H. (2021). Good intentions, unintended outcomes: Impact of social assistance on tobacco consumption in Indonesia. Tobacco Induced Diseases, 19.
Dartanto, T., Moeiz, F., Nurhasana, R., Satrya, A., & Thabrany, H. (2019). Parental Smoking Behavior and its Impact on Stunting, Cognitive, and Poverty.
Firmansyah, F. (2017). President Emphasizes the Importance of Child Nutrition. Kemkes.Go.Id.
GATS. (2021). Global Adult Tobacco Survey. World Health Organization, and Centers for Disease Control and Prevention (CDC).
Goodchild, M., Perucic, A. M., & Nargis, N. (2016). Modeling the impact of raising tobacco taxes on public health and finance. Bulletin of the World Health Organization, 94(4), 250.
Guindon, G. E., Paraje, G. R., & Chaloupka, F. J. (2016). The impact of prices and taxes on the use of tobacco products in Latin America and the Caribbean. American Journal of Public Health, 106(1), 185-192.
Hartono, R. K., Andrean, K., & Nurhasana, R. (2021). Infographic on Tobacco Excise Tax (CHT), CHT Tariff Strata, and Retail Selling Prices (HJE). Center for Social Security Studies, Universitas Indonesia (PKJS-UI).
Hartono, R. K., Meirawan, R. F., Nurhasana, R., & Dartanto, T. (2021). The Density and Accessibility of Loose Cigarettes Among School-Aged Children in DKI Jakarta: Overview and Control Policy. Center for Social Security Studies, Universitas Indonesia (PKJS-UI).
Hartono, R. Rohman, M.A., Nurhasana, R., Satrya. A., Shellasih, N.M., Ningtyas, F.R., Nadya, S. (2023). Factors Driving in Smoking Relapse Among Children in Indonesia: Evidence from the Global Youth Tobacco Survey (GYTS) (2006-2019). Center for Social Security Studies, Universitas Indonesia (PKJS-UI).
Helms, V. E., King, B. A., & Ashley, P. J. (2017). Cigarette smoking and adverse health outcomes among adults receiving federal housing assistance. Preventive medicine, 99, 171-177.
Jahan, H., Rahman, M. W., Islam, M. S., Rezwan-Al-Ramim, A., Tuhin, M. M.-U.-J., & Hossain, M. E. (2022). Adoption of agroforestry practices in Bangladesh as a climate change mitigation option: Investment, drivers, and SWOT analysis perspectives. Environmental Challenges, 7, 100509. https://doi.org/10.1016/j.envc.2022.100509
Kock, L., Brown, J., Hiscock, R., Tattan-Birch, H., Smith, C., and Shahab, L. (2019). Individual-level behavioral smoking cessation interventions tailored for disadvantaged socioeconomic position: a systematic review and meta-regression. The Lancet Public Health, 4: e628–44.
Milcarz, K., Makowiec-Dąbrowska, T., Bak-Romaniszyn, L., & Kaleta, D. (2017). Smoking patterns and smoking cessation Willingness—A study among beneficiaries of government welfare assistance in Poland. International Journal of Environmental Research and Public Health, 14(2), 131.
Nurhasana, R., Hartono, R. K., Satrya, A., Shelasih, N. M., Rizky, F., & Nadya, S. (2022). The Threat of Accessibility to Cigarettes Among Street Children in Urban Areas of Indonesia. Center for Social Security Studies, Universitas Indonesia (PKJS-UI)
Nurhasana, R., Ratih, S. P., Dartanto, T., Moeis, F. R., Hartono, R. K., Satrya, A., & Thabrany, H. (2022). Public support for cigarette price increase in Indonesia. Tobacco Control, 31(3), 483–486.
Nurhasana, R., Ratih, S. P., Gayatri, R. W., Tama, T. D., Shellasih, N. M., Satrya, A., Ningtyas, F. R., & Muhafilah, N. (2023). Smoking Behaviour and Its Impact on the Quality of Life of the Beneficiary Families of Social Assistance Funds in East Java, Indonesia. Journal of Strategic and Global Studies, 6(1), 1.
PEBS UI. (2018). Reducing the Accessibility of Cigarettes in Indonesia. Center for Islamic Economics and Business, Universitas Indonesia.
Putri, C. A. (2021). "Jokowi's Warning to Fathers: Social Assistance Shouldn't be Spent on Cigarettes" Cnbcindonesia.Com/News.
Reitsma, M. B., Kendrick, P. J., Ababneh, E., Abbafati, C., Abbasi-Kangevari, M., Abdoli, A., Abedi, A., Abhilash, E. S., Abila, D. B., & Aboyans, V. (2021). Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019. The Lancet, 397(10292), 2337–2360.
Republic of Indonesia. (2009). Law No. 11 of 2009 concerning Social Welfare. Republic of Indonesia.
Republic of Indonesia. (2011). Law No. 13 of 2011 concerning the Poor. Republic of Indonesia.
Robertson, C. et al. (2017). An Application of the Collaborative Approach to Tobacco Control Efforts in Marginalized Communities. APHA 2017 Annual Meeting.
Satpathy, N., Jena, P. K., Epari, V., & Kishore, J. (2021). Access to cigarettes among the youths in seven South-East Asian countries. Tobacco Prevention & Cessation, 7.
Septiandika, V., & Septiana, M. D. (2021). Implementasi Inovasi Peraturan Bupati Probolinggo Nomor 41 Tahun 2020 (Studi Pada Layanan Informasi Status Kepesertaan Bansos). Jurnal Ilmu Sosial dan Ilmu Politik, 10(2), 153-165.
Shang, C., Huang, J., Cheng, K. W., Li, Q., & Chaloupka, F. J. (2016). Global evidence on the association between POS advertising bans and youth smoking participation. International journal of environmental research and public health, 13(3), 306.
Simanjuntak, B. P., & Jinnai, Y. (2021). The Effect of Conditional Cash Transfer on Temptation Goods Consumption: Evidence From Program Keluarga Harapan in Indonesia. Jurnal Penelitian Kesejahteraan Sosial, 20(1), 31–40.
Susenas. (2019). Susenas. (2019). National Socioeconomic Survey 2019. Ministry of Social Affairs, Republic of Indonesia.
Taher, A., & Syakurah, R. A. (2023). Socialization of "Gebrak Dada Kita" Activities:(A Smoke-Free Movement Starts with Us) in the Working Area of the Primary Health Care Center (UPTD Puskesmas) Mersam. Jurnal Abdimas Ilmiah Citra Bakti, 4(2), 351–361.https://doi.org/10.38048/jailcb.v4i2.1594
The World Bank. (2020).Investing in Human Capital: Social Protection for Indonesia's Vision 2045. The World Bank.
White, J. S., & Basu, S. (2016). Does the benefits schedule of cash assistance programs affect the purchase of temptation goods? Evidence from Peru. Journal of Health Economics, 46, 70–89.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
In order to be accepted and published by Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education, Author(s) who submit an article should complete all the review process. The copyright of received articles assigned to the Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education,and Department of Health Promotion and Behavior Science, Universitas Airlangga as publishers of the journal. The intended copyright includes the rights to publish articles in various forms (including reprints).
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education's website. Authors are allowed to use their works for any purposes deemed necessary without written permission from Jurnal Promkes: The Indonesian Journal of Health Promotion and Health EducationS and/or Department of Health Promotion and Behavior Science, Universitas Airlangga with an acknowledgement of initial publication in this journal.
The Editorial Team of Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education and Department of Health Promotion and Behavior Sciences strive to ensure that no errors occur in the articles that have been published, both data errors and statements in the article.
Users of this website will be licensed to use materials from this website following the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. No fees charged. Please use the materials accordingly.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Attribution ” You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
NonCommercial ” You may not use the material for commercial purposes.
ShareAlike ” If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
