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Mixed-methods evaluation of a ban on tobacco advertising and promotion in Banyuwangi District, Indonesia
  1. Susy K Sebayang1,
  2. Desak Made Sintha Kurnia Dewi1,
  3. Syifa’ul Lailiyah2,
  4. Abdillah Ahsan3
  1. 1 Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Airlangga, Banyuwangi, Indonesia
  2. 2 Department of Health Policy and Administration, Faculty of Public Health, Universitas Airlangga, Banyuwangi, Indonesia
  3. 3 Department of Economics, Faculty of Economics and Business, Universitas Indonesia, Depok, Indonesia
  1. Correspondence to Dr Susy K Sebayang, Faculty of Public Health, Universitas Airlangga, Banyuwangi 68425, Indonesia; sksebayang{at}


Introduction Tobacco advertisement bans in Indonesia are rare and seldom evaluated. The recent introduction of an outdoor tobacco advertisement (OTA) ban in Banyuwangi District, East Java, Indonesia provided an opportunity to evaluate such policy.

Methods Using a mixed-methods approach, we undertook an observational study of OTA in 15 locations where such advertising had been prohibited. We also interviewed a sample of 114 store-owners/storekeepers and 131 community members, and conducted indepth interviews with government officials and the Public Order Agency (POA), the designated enforcement agency.

Results In phase 1 we found only one location was free of advertisements. We identified 667 advertisement points and 1283 advertisement materials in the study location; of these, 7% and 7.8% were within 25 m of schools and religious sites, respectively. Phase 2 showed that 68% of the respondents were unaware of the regulation, but many supported an OTA ban. Indepth interviews revealed that not all members of the POA were familiar with the regulation. POA members believed they will enforce the regulation better if higher level regulation for ban on tobacco advertisements, promotions and sponsorships was made and digital application is available to support surveillance.

Conclusion Policy violations were evident 1 year after the launch of OTA ban in Banyuwangi. Tobacco advertisements are still visible, including near schools and religious sites, potentially stimulating adolescents to smoke. Regional regulation and setting specific violation reductions as a performance indicator for POA could improve compliance. App-based technology could assist violation surveillance and reporting, as could awareness-raising campaigns that encouraged community support to report violation through the apps.

  • advertising and promotion
  • low/middle income country
  • public policy

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  • Contributors SKS designed the study, conducted the interviews and analysis, and prepared the manuscript. DMSKD helped design the study, conducted the interviews and analysis, and revised the manuscript. SL helped design the study, conducted the interviews and analysis, and revised the manuscript. AA helped design the study and revised the manuscript.

  • Funding This study was funded by Johns Hopkins School of Public Health through the Indonesian Tobacco Control Research Network organised by the Demographic Institute Faculty of Economics and Business, Universitas Indonesia.

  • Competing interests None declared.

  • Patient consent Not required.

  • Ethics approval In line with the Indonesian requirements, permits for the study were granted by the local government, while the Ethics Committee of the Faculty of Public Health of Universitas Airlangga approved the study.

  • Provenance and peer review Not commissioned; externally peer reviewed.