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Support of the Implementation of a Whistleblowing System for Smoke-Free Environments: A Mixed Methods Approach

Al AsyaryDepartment of Environmental Health, Faculty of Public Health, Universitas Indonesia, Depok 16424, IndonesiaMeita VeruswatiStudy Program of Public Health, Faculty of Health Sciences, Universitas Muhammadiyah Prof. Dr. HAMKA, Jakarta 12130, IndonesiaLa Ode Hasnuddin S. SagalaStudy Program of Information System, Faculty of Information and Technology, Universitas SembilanBelas November, Kolaka 93561, IndonesiaLa Ode Ahmad SaktiansyahStudy Program of Public Health Science, Faculty of Public Health, Universitas Halu Oleo, Kendari 93232, IndonesiaDewi SusannaDepartment of Environmental Health, Faculty of Public Health, Universitas Indonesia, Depok 16424, IndonesiaHanns MoshammerDepartment of Environmental Health, Center for Public Health, Medical University of Vienna, 1090 Vienna, Austria
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Enforcement of a smoke-free policy is of vital concern in support of the health of smokers and bystanders. Indonesia has issued a smoke-free law, but implementation and enforcement lie with the regional and municipal governments. In a survey of 225 respondents recruited via schools, knowledge about the health effects of smoking and the smoke-free regulation, as well as attitudes towards and commitment and support of the enforcement of the smoke-free regulation in the Kendari City through an electronic whistleblowing system was examined. Furthermore, the participants were asked about the smoking status and smoking behavior. About half of the respondents were students (teenagers), the other half-their parents. Male respondents were strongly overrepresented (85%). Only 18% of the respondents declared to be smokers, mostly adults and males. Both the smokers and the non-smokers supported the smoke-free law and its enforcement through a whistleblowing system. Representatives of the local government were interviewed and participated in focus group discussions. In general, they also exhibited strong support of an electronic enforcement tool. However, issues of efficiency, costs, and responsibility must still be resolved. Nevertheless, an electronic whistleblowing system has the potential to further the health and livelihoods in a community like the Kendari City.

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