Themes and Sub-themes | Definition |
---|---|
I. Institutions | Actors that are responsible for establishing tobacco control policy |
I.1. Political structure and type of policy: multistage delay | Barriers to policy adoption and implementation due to government and parliament structures and relationships. |
I.2. Government bureaucracy and corruption | Loopholes within government that are prone to tobacco industry interference, including the complexity of government roles and responsibilities and degree of corruption. |
I.3. Role of Ministry of Health (MoH): low bargaining position | Perceived role and position of MoH in efforts to strengthen tobacco control |
II. Agenda | Framing of tobacco and tobacco control in Indonesia |
II.1 Political economy framing of tobacco: We need the money- we need the employment | Perception of tobacco as an economic commodity and a source of income and employment rather than a threat to health and community prosperity. |
II.2. Sovereignty framing: tobacco control is an “outsider” project | Viewing the tobacco control movement as a foreign agenda and a threat to national sovereignty. |
III. Networks | Pressure participants and power shifts. |
III.1 Tobacco industry network: Established and well-funded | Well established tobacco industry network that infiltrates the policy system with funding and frontline groups |
III.2. Tobacco Control Network: Resources and cohesion | Tobacco control is an ongoing movement with potential competition and limited resources. |
IV. Socio-economic factors | The exclusive positioning of tobacco in the community contributes to its exception within the law and barriers to policy change |
IV.1. Social acceptability of tobacco: cigarettes are legal, and smoking is normal | Community views toward cigarettes, smoking, and tobacco companies are influenced by high smoking rates and tobacco industry tactics |
IV.2 Tobacco exception in the law | Privilege and exception given to tobacco within the law compared to alcohol, which potentially hampers the advancing of tobacco control |
V. Ideas and transfer of ideas | Views toward the availability of evidence and best practices, and perceptions of the barriers to transfer of evidence to policy makers. |