Compliance Study of Hotels’ and Nightclubs’ Smokes-Free Zones in Bogor City, Indonesia

Indonesia is the largest of six developing countries that has not ratified the World Health Organization Framework Convention for Tobacco Control (WHO FCTC). However, local governments have established smoke-free zones (SFZs) in order to control tobacco use, as in Bogor City, a city of over 1 million people. Local regulation No.12 of 2009 was implemented in May 2010, and in 2011 Bogor City's Health Office released its monitoring and evaluation results with regard to compliance in smoke-free zones (SFZs) 1,2 . Compliance to this local regulation was measured by eight indicators: 1) a nosmoking sign at the entrance gate, 2) no one found smoking inside the building's zones, 3) a no-smoking room within the building's zones, 4) no smoking equipment found such as ashtrays, 5) no smell of smoke, 6) no cigarette butts found inside the building's zones, 7) no one selling tobacco, and 8) no tobacco promotion on the premises 1,3 . In the 2011 overall assessment, hotels and nightclubs were the only zones with poor compliance (below 80%) 1 . A previous study only describes hotel and nightclub compliance 4 . On the other hand, we conducted an observational study in 49 out of a total 71 hotels and nightclubs in Bogor City. For these 39 hotels and 10 entertainment outlets participants were selected by their willingness to participate, according to informed consent as ethical approval. For the hotels, a wide variety of zones were monitored, such as: the lobby, restaurant, waiting room, meeting room, business center, a minimum of two toilet rooms, fitness room, floors with a minimum of four bedrooms, and other places such as the bar and/or spa center. Eleven questions were posed (Table Table There were 2 zones (4.1%) that had zero score and 2 zones (14.3%) a score of 11. Compliance in Bogor City increased over time. The compliance rate in 4453 buildings was 26% initially, but increased to 78% by the end of year 5 . However, this rate was still below the acceptable indicator rate of 80%. Our findings show that management support is essential for a successful SFZ local regulation.