Evaluasi pelaksanaan peraturan kawasan larangan merokok pada perilaku merokok pegawai pemerintah di Boalemo, Gorontalo

Sudarmi I Popa; Fatwa Sari Tetra Dewi; Laksono Trisnantoro

doi:10.22146/bkm.7968

Evaluasi pelaksanaan peraturan kawasan larangan merokok pada perilaku merokok pegawai pemerintah di Boalemo, Gorontalo

https://doi.org/10.22146/bkm.7968

Sudarmi I Popa^(1*), Fatwa Sari Tetra Dewi⁽²⁾, Laksono Trisnantoro⁽³⁾

(1) Dinas Kesehatan Boalemo Gorontalo
(2) Departemen Perilaku Kesehatan, Lingkungan dan Kedokteran Sosial Fakultas Kedokteran Universitas Gadjah Mada
(3) Departemen Kebijakan dan Manajemen Kesehatan Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract

Evaluation of the implementation of the smoking area banning regulations on smoking behavior of government officials in Boalemo, Gorontalo

Purpose

This study aimed to investigate implementation of regional regulations for banning smoking on employees smoking behavior in a government office in Boalemo.

Methods

This research used a qualitative approach with a case study design involving 23 subjects. Data collection used systematic observation, regulatory documents, in-depth interviews and focus group discussions.

Results

Background process of drafting rules were, 1) idea of regent, 2) translation of indicators of clean and health living behavior, 3) Ministry of Health, 4) illness and death data caused by smoking, and 5) impact of smoking. Effectiveness of policy implementation for area smoking ban was largely determined by, 1) input: availability of facilities dedicated to smoking area, effort control, labeling, guidance system and form of communication channel, 2) process: leadership support, stakeholder involvement, social norm, legal regulation regent, monitoring, and evaluation. Rules indirectly provide positive effect for output of small portion of employees in terms of, 1) intention to quit smoking, 2) frequency of smoking in room reduced, and 3) there were some employees who quit smoking.

Conclusion

Implementation of a policy was determined by: 1) role of leader as indicator of example and role model for subordinates, 2) support and role of all relevant stakeholder, and 3) social norms that encouraged positive behavioral changes in smoking.

Keywords

valuation; regulation; cigarettes; smoking behavior; government officials

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References

World Health Organization. Global Report: Mortality Attributable to Tobacco. 2012.
World Health Organization. WHO Report On The Global Tobacco Epidemic. 2013.
Kementerian Kesehatan. Pedoman Pengembangan kawasan tanpa rokok. 2011;
Tobacco control support Center, Ikatan ahli Kesehatan masayarakat KR. Bunga Rampai fakta tembakau dan permasalahannya di Indonesia Tahun 2012. Jakarta; 2012.
Kementerian Kesehatan. Riset Kesehatan dasar Tahun 2010. Badan penelitian dan Pengembangan kesehatan Kementerian Kesehatan Republik Indonesia; 2010.
Kementerian Kesehatan. Riset Kesehatan dasar Tahun 2010. Jakarta; 2010.
Departemen Kesehatan. Riset Kesehatan Dasar tahun 2007. Jakarta; 2008.
Dunn W. Pengantar Analisis Kebijakan Publik. 2nd ed. yogyakarta: Gadjah Mada University Press; 2003.
Glanz, Karen, Barbara. Rimer KV. Health Behavior and Health education. San Franssisco: Jossey Bay; 2008.
Buse K, Mays N, Walt G, Editors S, Black N, Raine R. Making Health Policy. New York: Open University Press; 2005.
Guerrero F, Santonja FJ, Villanueva RJ. Analysing the Spanish smoke-free legislation of 2006: a new method to quantify its impact using a dynamic model. International Journal of Drug Policy. 2011 Jul 1;22(4):247-51.
Zablocki RW, Edland SD, Myers MG, Strong DR, Hofstetter CR, Al-Delaimy WK. Smoking ban policies and their influence on smoking behaviors among current California smokers: a population-based study. Preventive medicine. 2014 Feb 1;59:73-8.
Fathallah N, Maurel-Donnarel E, Baumstarck-Barrau K, Lehucher-Michel M-P, Miller MR, Zhang WS, et al. Three-year follow-up of attitudes and smoking behaviour among hospital nurses following enactment of France’s national smoke-free workplace law. Int J Nurs Stud. US Department of Health and Human Services, Public Health Service, Centres for Disease Control, Centre for Chronic Disease prevention and Health promotion, Office on Smoking and Health, Rockville, MD; 2012 Jul;49(7):803–10.
Ritchie D, Amos A, Martin C. Public places after smoke-free-A qualitative exploration of the changes in smoking behaviour. Health Place. 2010;16(3):461–9.
Lazuras L, Rodafinos A, Eiser JR. Adolescents' support for smoke-free public settings: the roles of social norms and beliefs about exposure to secondhand smoke. Journal of Adolescent Health. 2011 Jul 1;49(1):70-5.
Drope JM. The politics of smoke-free policies in developing countries: Lessons from Africa. CVD Prevention and Control. 2010 Sep 1;5(3):65-73.
Azkha N. Studi efektivitas penerapan kebijakan perda kota tentang kawasan tanpa rokok (ktr) dalam upaya menurunkan perokok aktif di Sumatera Barat tahun 2013.
Prabandari YS. Kawasan tanpa rokok sebagai alternatif pengendalian tembakau studi efektivitas penerapan kebijakan kampus bebas rokok terhadap perilaku dan status merokok mahasiswa di fakultas kedokteran UGM, Yogyakarta. Jurnal Manajemen Pelayanan Kesehatan. 2009;12(04).