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The Framework Convention on Tobacco Control (FCTC) and implementation of tobacco control policies: Lessons learned from Indonesia and Thailand

烟草控制 消费税 公共卫生 烟草工业 惯例 业务 卫生政策 经济增长 政治学 环境卫生 医学 经济 护理部 法学
作者
Faizal Rahmanto Moeis,Renny Nurhasana,Fandy Rahardi,Danty Novitasari,Ni Made Shellasih,Inayati Inayati,Murwendah Murwendah,Paibul Suriyawongpaisal,Roengrudee Patanavanich,Suci Puspita Ratih
出处
期刊:World Medical & Health Policy [Wiley]
卷期号:14 (4): 750-772 被引量:9
标识
DOI:10.1002/wmh3.534
摘要

Abstract The threat that the tobacco epidemic poses to public health underscores the importance of comprehensive tobacco‐related regulation. Despite aiming to reduce the prevalence of smoking, Indonesia still falls short of this goal. In contrast, within the same region, Thailand's achievement in controlling tobacco serves as a potential role model for Indonesia. To understand the issue, we conducted a literature review of the current regulatory framework as well as the implementation of the World Health Organization's Framework Convention on Tobacco Control (FCTC) and MPOWER framework in both countries. The review was supplemented with a Focus Group Discussion and an in‐depth interview with stakeholders in Thailand and Indonesia. This study finds that: (1) Indonesia currently lacks a strong tobacco control policy champion, whereas Thailand has several authorities that focus on the issue; (2) Thailand's tobacco product advertising and promotion and smoking bans are more restrictive compared to Indonesia's policies; and (3) Thailand's policies on tobacco pictorial health warnings, pharmacotherapy, and excise taxes are more extensive than Indonesia's. We recommend that Indonesia ratify the FCTC as the foundation of tobacco control policies while also strengthening and coordinating organizations working on tobacco control, encouraging subnational governments to introduce regulations, and enforce control, as well as improving excise policies to reduce the affordability of tobacco products.
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