Treaty Room - Treaty
International Union Against
Tuberculosls and Lung Disease
Health solutl "
·
I
MEMORANDUM OF UNDERSTANDING
Between
Directorate of Non-Communicable Disease Prevention and Control, Directorate
General of Disease Prevention and Control, Ministry of Health Indonesia,
And
The International Union Against Tuberculosis and Lung Disease
Annex 1
Project Proposal and Workplan
Form A: Project Proposal
Project ID (current grant): INDONESIA-Rl2-11 B
ORGANIZATION
Directorate General of Disease Control and
Organization's legal name
Environmental Health, Ministry of Health Republic of
Indonesia
My organization is Governmental
AUTHORIZED CONTACT PERSON
Title (Dr I Ms I Mr Dr.
etc)
Contact
person
First name
Family name
Direct email
Lily
Sulistyowati
kronisdegeneratif@yahoo.com;
PROJECT DETAILS
Project title { 20 words or less)
Enhancing tobacco control policies in
Indonesia at national and subnational level
Total amount requested in US$
158,897
Duration of project (in months) 24 Months
Proposed new start date of project
•
151 October 2016
Project scope National and Subnational
Project outreach: population (number of 250 million
people) that will be directly affected
by your project
REINVESTMENT
Will this project expand on previous grants Yes
work completed with The Union?
PART A.1
A.1.1
PROJECT SUMMARY
Provide a concise summary of your proposal
Two-thirds (67.4%) of Indonesia males, 4 .5% of females and 36.1% of overall adults
(61.4 million) currently use tobacco in smoked and smokeless forms. More than 97
million Indonesian nonsmokers are regularly exposed to secondhand smoke (SHS).
Smoking kills at least 235,000 people annually. Healthcare costs attributed to tobacco
related illnesses amount to 11 trillion IDR each year (1.2 billion USO). Despites these
facts and figures, Indonesia has not acceded the WHO FCTC yet and there is no
comprehensive tobacco control policy at national level.
Efforts are being made to accede to the WHO FCTC. The President held a special
cabinet meeting in July to discuss on FCTC accession. Follow-up meetings are being
planned. Indonesia has successfully implemented a 40% pictorial health warning since
June 2014. Smokefree policy has been expanded to more than 200 subnational
jurisdictions of which about 50% ensured 100% smokefree in all public places and work
places.
The current project aims to sustain the efforts for acceding to WHO FCTC, to improve a
size of pictorial health warning to at least 75%, to improve legal elements for
comprehensive ban of tobacco advertising, promotion and sponsorship, to increase
tobacco taxes and strengthen tax administration and sustain expansion of smokefree at
subnational level.
PART A.2
A.2.1
PROJECT DESCRIPTION
Purpose of the project and measurable objectives
The proposed project aims to strengthen tobacco control at national and sub-national
level by studying the possibility to acceded to WHO Framework Convention on
Tobacco Control (FCTC) and improving current law and regulation related to tobacco
control.
Objective 1: Prepare the readiness of all stakeholders in Indonesia to
Accede to World Health Organization Framework Convention on
Tobacco Control (WHO FCTC)
Objective 2: Improve awareness and obtain commitments of the law makers on
improving legal provisions to ban tobacco advertising, promotion
and sponsorship
Objective 3: Increase a size of pictorial health warning to at least 75% as per the
MOH tobacco control roadmap
Objective 4: Expand smokefree and ban tobacco advertising and promotion
regulation to at least 30 new subnational jurisdictions in Indonesia
Objective 5: Work with Ministry of Finance to increase tobacco taxes
A.2.2 Context, linkages to work undertaken for current Bl grant, available
resources and partners
Health Law 2009 mandated government to establish smokefree environments, health
warning, labelling and educating the risk of smoking. As per the requirements of the
law, government endorsed an Implementation regulation in December 2012 requiring
enforcement of pictorial health warning in June 2014. Ministry of Health has
successfully managed to enforce a pictorial health warning since 24 June 2014. The
compliance rate was found over 95%.
Smokefree implementation has been gradually expanded in subnational jurisdictions.
Currently more than 200 jurisdictions are being implementing smokefree. Among them ,
more than 80 jurisdictions have a comprehensive ban of tobacco smoking in all indoor
public places and work places. Smokefree at subnational has built a momentum of
tobacco control movement in Indonesia for national tobacco control policy and FCTC
accession. Subnational leaders such as Mayors, Regents and Governors played key
roles to establish smokefree regulation to prevent people from tobacco smoke. A
mayors and regents alliance was established in 2011 with 12 Mayors which now has
been expanded to more than 100 cities and districts in Indonesia. The alliance has
shown as one of the key drivers in tobacco control.
Directorate of Non-communicable Disease Control (NCDC) at the Ministry of Health is
the focal point for tobacco control. It has been playing strategic roles to advance
tobacco control as one of the key intervention to control NCO. NCDC directorate has
been working with the International Union Against Tuberculosis and Lung Disease (The
Union) since 2007 to improve tobacco control in Indonesia. Working together with The
Union, remarkable achievements have been made; i) implementation of 40% pictorial
health warning, ii) establishment of a subnational tobacco control in coordination with
Mayors Alliance, iii) enhancement of partnership between civil society and government,
iv) improving partnership between and among government departments and v)
accelerating collaboration with international partners in tobacco control and NCDs.
Ministry of Health is committed to sustain these achievements and advance tobacco
control policy works.
MOH collaborate with Indonesian Tobacco Control Network, Indonesian civil society
and International Partners such as WHO and The Union. In addition, NCDC continued
to working together with related ministries such as Ministry of Finance, related
organization, NGOs and universities to speed up FCTC accession and other tobacco
control interventions. Indonesian Mayors' and Regents' Alliance will remain as the
strategic partners.
A.2.3 Project strategies and activities
Strategies:
1. Building partnership with Indonesian public figures and enhance their
engagement in tobacco control policy advancement
2. Enhancing engagement with national policy makers and advocates and building
their capacity on tobacco control polices
3. Expanding and consolidating sub-national political will through Mayor's and
Regent's Association to improve tobacco control policy development and
national and sub-national level
4. Mobilizing media engagement and partnership
Objective 1: Prepare the readiness of all stakeholders in Indonesia to
Accede to World Health Organization Framework Convention
on Tobacco Control (WHO FCTC)
Activity 1. 1
Organize high level inter-ministerial policy meeting and
consultation to advance the processes of FCTC accession
Activity 1.2
Provide technical and administrative inputs to the Ministry of
Foreign Affairs, Vice-President Office and the President office
in adoption of Presidential Decree on FCTC accession
Activity 1.3
Organize FCTC meeting with tobacco control stakeholders
and partners to enhance their policy advocacy support for
FCTC accession
Activity 1.4
Conduct media workshop to build policy awareness on
benefits of FCTC
Activity 1.5
Engage influencial informal leaders to advocate President and
other policy makers for FCTC accession.
Activity 1.6
Counter and address tobacco industry interferences related to
FCTC and other tobacco control measures
Objective 2: Improve awareness and obtain commitments of the lawmaker
on improving legal provisions to ban tobacco advertising,
promotion and sponsorship (TAPS ban)
Activity 2. 1
Review current Jaws and regulation to identify gaps and areas
to be improved
Activity 2.2
Organize stakeholders meeting to consolidate ideas, facts and
figures for a development of tobacco advertising, promotion
and sponsorhip (TAPS) ban position paper
Activity 2.3
Organize one to one meeting with Ministry of Information and
Broadcasting to gain support in revision of current Jaws and
regulation
Activity 2.4
Organize policy meetings with related ministries and
organizations to build policy awareness and commitment to
ban TAPS comprehensively
Activity 2.5
Draft TAPS ban regulation in coordination with Ministry of
Information and Broadcasting and other related governmental
institution
Activity 2.6
Submit the draft to the cabinet for further approval process
and make necessary follow-up to obtain approval
Objective 3: Increase a size of pictorial health warning to at least 75% as per
the MOH tobacco control roadmap
Activity 3. 1
Organize inter-departmental meeting within Ministry of Health
to create
a policy paper for increasing a size of pictorial health
warning
Activity 3.2
Organize stakeholders consultation to gain policy support and
awareness
Activity 3.3
Develop a draft of amendment to increase the size of pictorial
health warning to at least 75% in coordination with legal
department of MOH and other relevant stakeholders
Activity 3.4
Organize inter-ministerial policy meeting to obtain support for
amendment of pictorial health warning provision with at least
75%
Activity 3 .5
Submit the draft regulation to the cabinet for approval
Activity 3.6
Make follow-up with Cabinet to get approval of the regulation
Activity 3. 7
Prepare a set of pictures in coordination with Centre of Health
Promotion to enforce a 75% pictorial health warning
Activity 3. 8
Organize a press conference to announce the date of
enforcement of the 75% pictorial health warning
Objective 4: Expand smokefree and ban tobacco advertising and promotion
regulation to at least 30 new subnational jurisdictions in
Indonesia
Activity 4. 1
Organize Mayors and Regent policy meeting at national and
sub-national level to build their commitment in development of
sub-national regulation on smoke free and TAPS ban - two
events
Activity 4.2
Organize one to one meeting with at least 30 Mayors, Regent
and Governor to provide in-depth technical, legal and policy
assistance in development of regulation
Activity 4.3
Document and publish lessons learnt of sub-national tobacco
control in Indonesia
Activity 4.4
Organize training for 30 sub-national officials in development
of srnokefree and TAPS ban regulation
Activity 4. 5
Develop a manual based on MPOWER to guide sub-national
governments and stakeholders on priority tobacco control
policies
Objective 5: Work with Ministry of Finance to increase tobacco taxes
Activity 5. 1
Round table Policy discussion on raising tobacco taxes and
tobacco taxes related issues with Ministry of Finance and
concerned government and civil society stakeholders
Activity 5. 2
Support sub-national governments with guidelines for rationale
use of sub-national tobacco tax for tobacco control and other
public health interventions. This activity would aim to establish
sustainable funding mechanism at local level
Activity 5.3
Conduct
a high level meeting with member parliaments to
build awareness and commitment to raise taxes on tobacco
products. The meeting will be coordinated with Parliamentary
Health Caucus
Activity 5.4
Work with media to build public and policy awareness for a
need of tax increase on tobacco products
Activity 5.5
One to one meeting with Ministry of Finance to increase
tobacco taxes and prices
A.2.4 Evaluation
Key activities to monitor the progress of the project are
o
Monthly review meeting and reports
o
Monthly media monitoring to assess TC coverages
o
Six monthly compliance monitoring
o
Quarterly project review meeting with key stakeholders
o
Yearly project review meeting, and reports
Indicators to measure the projects results are
A presidential decree to accede WHO FCTC issued and approved.
a comprehensive regulation to ban tobacco advertising, promotion and
sponsorship drafted and submitted to the President for approval
A 75% pictorial health warning regulation approved
At least 30 subnational jurisdictions adopted a 100% smokefree regulation
Ministry of Health built a strong position paper to enhance policy advocacy on
tobacco taxation and MOH obtained commitments from Ministry of Finance to
increase taxes on tobacco products
Identifiable Obstacles
Coordination and collaboration with inter-sectoral and inter ministerial also one
of the challenges to bring the entire sector on the same perspective to succeed
implementation of tobacco control regulation and FCTC accession process.
Strong tobacco industry interference both at the government and parliament
level.
Pro-tobacco groups' lobbying with national and subnational policy makers
hinder advancing tobacco control policies.
A.2.5 Sustainability
MOH has been working together with Ministry of Finance to advance tobacco control
resources to sustain and development of tobacco control and public health program.
One of the successes is establishments of subnational tobacco tax. As per the national
regulation, subnational governments receive a 10% tobacco tax from the central
government. They are mandated to spend at least 50% to health programs including
tobacco control. This mechanism would contribute to accelerate tobacco control at
subnational level in Indonesia.
At the national level, MOH efforts are being continued to establish a health promotion
fund for tobacco control.
MOH has been strengthening tobacco control and NCO control at national and sub
national level. A partnership with the stakeholders, NGO's, universities, civil society
organization, public health advocate and related ministries for tobacco control also
conducted to enhance commitment to support tobacco control.
To sustain the implementation plan, MOH strengthen commitment and enhance
international and national cooperation in the area of tobacco control. Indonesia will
gradually improve and maintain the collaboration with non health sectors to make
sustainable potential partners and collaboration with related sectors nationally and
internationally through the mobilization of financial resources, manpower and
facilitating the transfer technology. The sustainability of the activities will continued
since every sector will support tobacco control based on their area of expertise. MOH
will continue to increase allocation of budget for tobacco control policy change and
enforcement as well health promotion to build public awareness on danger of tobacco
use.
PART A.3
ORGANIZATIONAL INFORMATION
A.2.6 Organisation history and mission
Directorate of NCDC was appointed by Minister of Health as a focal point for tobacco
control. Established on February 2006, Directorate of NCDC has been an active
participant in various national and regional tobacco control activities. NCDC also being
a coordinator for tobacco control in Indonesia. A national tobacco control roadmap was
developed to carry out the activities as planned way. A national health law was
amended in 2009 with some provisions of as smoke-free and pictorial health warning.
Ministry of Health facilitated to establish a Mayors' alliance in 2011 with 12 mayors
which is now expanded to more than 100 subnational jurisdictions.
As the focal point, NCDC/MOH takes a lead role to coordinate and facilitate ASEAN
tobacco control and NCO.
A.2. 7 Objectives from previous grant
Built high level debate and discussion at the President level on FCTC
accession. A policy paper along with draft President Decree on FCTC was
prepared and it was submitted to the President Office.
A 40% pictorial health warning implemented successfully
Expanded subnational smokefree to more than 200 subnational jurisdictions
however they are various stages on implementation. Among them more than 80
cities and districts are implementing 100% smokefree policy that covers more
than 80% million population in Indonesia.
Built policy awareness at government level and also parliament level to stop
tobacco industry interferences. Ministry of Health drafted a national regulation to
prevent tobacco industry interference. It is on approval process.
ENDS
ｃＺｗｏｉｕｐｌｍＭｾ＠
Dunolton of Project:
ｾ
--- - ---Ｍ
0
N.. ..
Objectives lllld Activities:
,OIJtadlw ,, _ . .. _... ...... o..,.. _
Year1
ＢＭｾＬＮｐｃＧｬｱ＠
Acl111ty 1 I Clrgonl.ze high lnlor-
Tuberculosls and Lung Disease
Health solutl "
·
I
MEMORANDUM OF UNDERSTANDING
Between
Directorate of Non-Communicable Disease Prevention and Control, Directorate
General of Disease Prevention and Control, Ministry of Health Indonesia,
And
The International Union Against Tuberculosis and Lung Disease
Annex 1
Project Proposal and Workplan
Form A: Project Proposal
Project ID (current grant): INDONESIA-Rl2-11 B
ORGANIZATION
Directorate General of Disease Control and
Organization's legal name
Environmental Health, Ministry of Health Republic of
Indonesia
My organization is Governmental
AUTHORIZED CONTACT PERSON
Title (Dr I Ms I Mr Dr.
etc)
Contact
person
First name
Family name
Direct email
Lily
Sulistyowati
kronisdegeneratif@yahoo.com;
PROJECT DETAILS
Project title { 20 words or less)
Enhancing tobacco control policies in
Indonesia at national and subnational level
Total amount requested in US$
158,897
Duration of project (in months) 24 Months
Proposed new start date of project
•
151 October 2016
Project scope National and Subnational
Project outreach: population (number of 250 million
people) that will be directly affected
by your project
REINVESTMENT
Will this project expand on previous grants Yes
work completed with The Union?
PART A.1
A.1.1
PROJECT SUMMARY
Provide a concise summary of your proposal
Two-thirds (67.4%) of Indonesia males, 4 .5% of females and 36.1% of overall adults
(61.4 million) currently use tobacco in smoked and smokeless forms. More than 97
million Indonesian nonsmokers are regularly exposed to secondhand smoke (SHS).
Smoking kills at least 235,000 people annually. Healthcare costs attributed to tobacco
related illnesses amount to 11 trillion IDR each year (1.2 billion USO). Despites these
facts and figures, Indonesia has not acceded the WHO FCTC yet and there is no
comprehensive tobacco control policy at national level.
Efforts are being made to accede to the WHO FCTC. The President held a special
cabinet meeting in July to discuss on FCTC accession. Follow-up meetings are being
planned. Indonesia has successfully implemented a 40% pictorial health warning since
June 2014. Smokefree policy has been expanded to more than 200 subnational
jurisdictions of which about 50% ensured 100% smokefree in all public places and work
places.
The current project aims to sustain the efforts for acceding to WHO FCTC, to improve a
size of pictorial health warning to at least 75%, to improve legal elements for
comprehensive ban of tobacco advertising, promotion and sponsorship, to increase
tobacco taxes and strengthen tax administration and sustain expansion of smokefree at
subnational level.
PART A.2
A.2.1
PROJECT DESCRIPTION
Purpose of the project and measurable objectives
The proposed project aims to strengthen tobacco control at national and sub-national
level by studying the possibility to acceded to WHO Framework Convention on
Tobacco Control (FCTC) and improving current law and regulation related to tobacco
control.
Objective 1: Prepare the readiness of all stakeholders in Indonesia to
Accede to World Health Organization Framework Convention on
Tobacco Control (WHO FCTC)
Objective 2: Improve awareness and obtain commitments of the law makers on
improving legal provisions to ban tobacco advertising, promotion
and sponsorship
Objective 3: Increase a size of pictorial health warning to at least 75% as per the
MOH tobacco control roadmap
Objective 4: Expand smokefree and ban tobacco advertising and promotion
regulation to at least 30 new subnational jurisdictions in Indonesia
Objective 5: Work with Ministry of Finance to increase tobacco taxes
A.2.2 Context, linkages to work undertaken for current Bl grant, available
resources and partners
Health Law 2009 mandated government to establish smokefree environments, health
warning, labelling and educating the risk of smoking. As per the requirements of the
law, government endorsed an Implementation regulation in December 2012 requiring
enforcement of pictorial health warning in June 2014. Ministry of Health has
successfully managed to enforce a pictorial health warning since 24 June 2014. The
compliance rate was found over 95%.
Smokefree implementation has been gradually expanded in subnational jurisdictions.
Currently more than 200 jurisdictions are being implementing smokefree. Among them ,
more than 80 jurisdictions have a comprehensive ban of tobacco smoking in all indoor
public places and work places. Smokefree at subnational has built a momentum of
tobacco control movement in Indonesia for national tobacco control policy and FCTC
accession. Subnational leaders such as Mayors, Regents and Governors played key
roles to establish smokefree regulation to prevent people from tobacco smoke. A
mayors and regents alliance was established in 2011 with 12 Mayors which now has
been expanded to more than 100 cities and districts in Indonesia. The alliance has
shown as one of the key drivers in tobacco control.
Directorate of Non-communicable Disease Control (NCDC) at the Ministry of Health is
the focal point for tobacco control. It has been playing strategic roles to advance
tobacco control as one of the key intervention to control NCO. NCDC directorate has
been working with the International Union Against Tuberculosis and Lung Disease (The
Union) since 2007 to improve tobacco control in Indonesia. Working together with The
Union, remarkable achievements have been made; i) implementation of 40% pictorial
health warning, ii) establishment of a subnational tobacco control in coordination with
Mayors Alliance, iii) enhancement of partnership between civil society and government,
iv) improving partnership between and among government departments and v)
accelerating collaboration with international partners in tobacco control and NCDs.
Ministry of Health is committed to sustain these achievements and advance tobacco
control policy works.
MOH collaborate with Indonesian Tobacco Control Network, Indonesian civil society
and International Partners such as WHO and The Union. In addition, NCDC continued
to working together with related ministries such as Ministry of Finance, related
organization, NGOs and universities to speed up FCTC accession and other tobacco
control interventions. Indonesian Mayors' and Regents' Alliance will remain as the
strategic partners.
A.2.3 Project strategies and activities
Strategies:
1. Building partnership with Indonesian public figures and enhance their
engagement in tobacco control policy advancement
2. Enhancing engagement with national policy makers and advocates and building
their capacity on tobacco control polices
3. Expanding and consolidating sub-national political will through Mayor's and
Regent's Association to improve tobacco control policy development and
national and sub-national level
4. Mobilizing media engagement and partnership
Objective 1: Prepare the readiness of all stakeholders in Indonesia to
Accede to World Health Organization Framework Convention
on Tobacco Control (WHO FCTC)
Activity 1. 1
Organize high level inter-ministerial policy meeting and
consultation to advance the processes of FCTC accession
Activity 1.2
Provide technical and administrative inputs to the Ministry of
Foreign Affairs, Vice-President Office and the President office
in adoption of Presidential Decree on FCTC accession
Activity 1.3
Organize FCTC meeting with tobacco control stakeholders
and partners to enhance their policy advocacy support for
FCTC accession
Activity 1.4
Conduct media workshop to build policy awareness on
benefits of FCTC
Activity 1.5
Engage influencial informal leaders to advocate President and
other policy makers for FCTC accession.
Activity 1.6
Counter and address tobacco industry interferences related to
FCTC and other tobacco control measures
Objective 2: Improve awareness and obtain commitments of the lawmaker
on improving legal provisions to ban tobacco advertising,
promotion and sponsorship (TAPS ban)
Activity 2. 1
Review current Jaws and regulation to identify gaps and areas
to be improved
Activity 2.2
Organize stakeholders meeting to consolidate ideas, facts and
figures for a development of tobacco advertising, promotion
and sponsorhip (TAPS) ban position paper
Activity 2.3
Organize one to one meeting with Ministry of Information and
Broadcasting to gain support in revision of current Jaws and
regulation
Activity 2.4
Organize policy meetings with related ministries and
organizations to build policy awareness and commitment to
ban TAPS comprehensively
Activity 2.5
Draft TAPS ban regulation in coordination with Ministry of
Information and Broadcasting and other related governmental
institution
Activity 2.6
Submit the draft to the cabinet for further approval process
and make necessary follow-up to obtain approval
Objective 3: Increase a size of pictorial health warning to at least 75% as per
the MOH tobacco control roadmap
Activity 3. 1
Organize inter-departmental meeting within Ministry of Health
to create
a policy paper for increasing a size of pictorial health
warning
Activity 3.2
Organize stakeholders consultation to gain policy support and
awareness
Activity 3.3
Develop a draft of amendment to increase the size of pictorial
health warning to at least 75% in coordination with legal
department of MOH and other relevant stakeholders
Activity 3.4
Organize inter-ministerial policy meeting to obtain support for
amendment of pictorial health warning provision with at least
75%
Activity 3 .5
Submit the draft regulation to the cabinet for approval
Activity 3.6
Make follow-up with Cabinet to get approval of the regulation
Activity 3. 7
Prepare a set of pictures in coordination with Centre of Health
Promotion to enforce a 75% pictorial health warning
Activity 3. 8
Organize a press conference to announce the date of
enforcement of the 75% pictorial health warning
Objective 4: Expand smokefree and ban tobacco advertising and promotion
regulation to at least 30 new subnational jurisdictions in
Indonesia
Activity 4. 1
Organize Mayors and Regent policy meeting at national and
sub-national level to build their commitment in development of
sub-national regulation on smoke free and TAPS ban - two
events
Activity 4.2
Organize one to one meeting with at least 30 Mayors, Regent
and Governor to provide in-depth technical, legal and policy
assistance in development of regulation
Activity 4.3
Document and publish lessons learnt of sub-national tobacco
control in Indonesia
Activity 4.4
Organize training for 30 sub-national officials in development
of srnokefree and TAPS ban regulation
Activity 4. 5
Develop a manual based on MPOWER to guide sub-national
governments and stakeholders on priority tobacco control
policies
Objective 5: Work with Ministry of Finance to increase tobacco taxes
Activity 5. 1
Round table Policy discussion on raising tobacco taxes and
tobacco taxes related issues with Ministry of Finance and
concerned government and civil society stakeholders
Activity 5. 2
Support sub-national governments with guidelines for rationale
use of sub-national tobacco tax for tobacco control and other
public health interventions. This activity would aim to establish
sustainable funding mechanism at local level
Activity 5.3
Conduct
a high level meeting with member parliaments to
build awareness and commitment to raise taxes on tobacco
products. The meeting will be coordinated with Parliamentary
Health Caucus
Activity 5.4
Work with media to build public and policy awareness for a
need of tax increase on tobacco products
Activity 5.5
One to one meeting with Ministry of Finance to increase
tobacco taxes and prices
A.2.4 Evaluation
Key activities to monitor the progress of the project are
o
Monthly review meeting and reports
o
Monthly media monitoring to assess TC coverages
o
Six monthly compliance monitoring
o
Quarterly project review meeting with key stakeholders
o
Yearly project review meeting, and reports
Indicators to measure the projects results are
A presidential decree to accede WHO FCTC issued and approved.
a comprehensive regulation to ban tobacco advertising, promotion and
sponsorship drafted and submitted to the President for approval
A 75% pictorial health warning regulation approved
At least 30 subnational jurisdictions adopted a 100% smokefree regulation
Ministry of Health built a strong position paper to enhance policy advocacy on
tobacco taxation and MOH obtained commitments from Ministry of Finance to
increase taxes on tobacco products
Identifiable Obstacles
Coordination and collaboration with inter-sectoral and inter ministerial also one
of the challenges to bring the entire sector on the same perspective to succeed
implementation of tobacco control regulation and FCTC accession process.
Strong tobacco industry interference both at the government and parliament
level.
Pro-tobacco groups' lobbying with national and subnational policy makers
hinder advancing tobacco control policies.
A.2.5 Sustainability
MOH has been working together with Ministry of Finance to advance tobacco control
resources to sustain and development of tobacco control and public health program.
One of the successes is establishments of subnational tobacco tax. As per the national
regulation, subnational governments receive a 10% tobacco tax from the central
government. They are mandated to spend at least 50% to health programs including
tobacco control. This mechanism would contribute to accelerate tobacco control at
subnational level in Indonesia.
At the national level, MOH efforts are being continued to establish a health promotion
fund for tobacco control.
MOH has been strengthening tobacco control and NCO control at national and sub
national level. A partnership with the stakeholders, NGO's, universities, civil society
organization, public health advocate and related ministries for tobacco control also
conducted to enhance commitment to support tobacco control.
To sustain the implementation plan, MOH strengthen commitment and enhance
international and national cooperation in the area of tobacco control. Indonesia will
gradually improve and maintain the collaboration with non health sectors to make
sustainable potential partners and collaboration with related sectors nationally and
internationally through the mobilization of financial resources, manpower and
facilitating the transfer technology. The sustainability of the activities will continued
since every sector will support tobacco control based on their area of expertise. MOH
will continue to increase allocation of budget for tobacco control policy change and
enforcement as well health promotion to build public awareness on danger of tobacco
use.
PART A.3
ORGANIZATIONAL INFORMATION
A.2.6 Organisation history and mission
Directorate of NCDC was appointed by Minister of Health as a focal point for tobacco
control. Established on February 2006, Directorate of NCDC has been an active
participant in various national and regional tobacco control activities. NCDC also being
a coordinator for tobacco control in Indonesia. A national tobacco control roadmap was
developed to carry out the activities as planned way. A national health law was
amended in 2009 with some provisions of as smoke-free and pictorial health warning.
Ministry of Health facilitated to establish a Mayors' alliance in 2011 with 12 mayors
which is now expanded to more than 100 subnational jurisdictions.
As the focal point, NCDC/MOH takes a lead role to coordinate and facilitate ASEAN
tobacco control and NCO.
A.2. 7 Objectives from previous grant
Built high level debate and discussion at the President level on FCTC
accession. A policy paper along with draft President Decree on FCTC was
prepared and it was submitted to the President Office.
A 40% pictorial health warning implemented successfully
Expanded subnational smokefree to more than 200 subnational jurisdictions
however they are various stages on implementation. Among them more than 80
cities and districts are implementing 100% smokefree policy that covers more
than 80% million population in Indonesia.
Built policy awareness at government level and also parliament level to stop
tobacco industry interferences. Ministry of Health drafted a national regulation to
prevent tobacco industry interference. It is on approval process.
ENDS
ｃＺｗｏｉｕｐｌｍＭｾ＠
Dunolton of Project:
ｾ
--- - ---Ｍ
0
N.. ..
Objectives lllld Activities:
,OIJtadlw ,, _ . .. _... ...... o..,.. _
Year1
ＢＭｾＬＮｐｃＧｬｱ＠
Acl111ty 1 I Clrgonl.ze high lnlor-