Local Government Commitment to the Smoke-Free Policy in Indonesia

A growing number of local governments have already enacted a smoke-free policy inIndonesia. This promising phenomenon indicates the commitment of localgovernments to overcoming the high smoking prevalence through smoke-freepolicies. This study aims to describe the enactment and implementation of thesmoke-free policy in Indonesia. The cross-sectional study employs descriptiveresearch to observe and investigate the enactment and implementation of thesmoke-free policy in all local government levels in Indonesia up to December2016 and on secondary data from previous research. The results of the study findthat the implementation of the smoke-free policy requires strong commitment fromthe local government leader. There are variations in degree of smoke-freeimplementation at the local level, so this breakthrough cannot decrease smokingprevalence without budget allocation support and tobacco control activities,especially for promotion and prevention steps. All of these driving forces relyon local government's commitment to control tobacco consumption through thesmoke-free policy. The policy also needs politically driven forces, from leadersto street-level bureaucrats. These findings increase our knowledge of theprogress of smoke-free policies in Indonesia and are useful guidance foracademics or government officials to conduct further study or follow-upenforcement of the implementation of the smoke-free policy.