印度尼西亚农民和工人缓解工作组:烟草控制的协作治理方法

A. Ahsan, P. B. Ali, K. Rahmayanti, Renova Glorya Montesori Siahaan, Nadira Amalia
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摘要

由于印度尼西亚目前是吸烟率最高的国家之一,为改善公共卫生而控制烟草已被规定为《印度尼西亚2020 - 2024年国家中期发展计划》的一部分。另一方面,印度尼西亚作为最大的烟草生产国之一,需要针对直接接触烟草业的特定社区采取适当的缓解战略。因此,需要确定坚实和适当的部门内合作战略。正式的部门内协作为公共卫生和经济部门创造了双赢的解决办法,其他国家通过适当的政府协作方案证明了这一点。本研究旨在确定一种合适的协作治理模式,为烟农和烟草业工人提供缓解战略。本研究通过定性的方法探讨了环境扫描的可行性。数据收集是通过与主要决策者进行四个系列的半结构化焦点小组讨论进行的,并辅以二手数据分析。工作队模式是最适合烟农和卷烟业工人的缓解倡议。在监管方面,它也更易于管理,因为它需要最低的监管要求。特别工作组模式还使中央和地方政府之间能够产生更大的协同效应。然而,强有力的协调、部门间的情绪以及需要强有力的政治意愿仍然是工作队执行工作面临的挑战。
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Mitigation Task Force for Farmer and Worker in Indonesia: A Collaborative Governance Approach in Tobacco Control
Tobacco control for public health improvement has been mandated as a part of the Indonesian National Medium-Term Development Plan (RPJMN) 2020 – 2024, as Indonesia currently sits among the countries with the highest smoking prevalence. On the other hand, Indonesia's position as one of the largest tobacco producers requires proper mitigation strategies for specific communities directly exposed to the tobacco industry. Hence, solid and adequate intra-sectoral collaboration strategies need to be identified. A formal intra-sectoral collaboration creates a win-win solution for both public health and economic sectors, as witnessed by other countries with appropriate government collaboration formulation. This study aims to identify a suitable collaborative governance model for providing mitigation strategies for tobacco farmers and tobacco industry workers. This research investigates the feasibility and environment scanning through a qualitative approach. The data collection was conducted through four series of semi-structured focused group discussions with key policymakers, complemented with secondary data analysis. The Task Force model is the most suitable mitigation initiative for tobacco farmers and cigarette industry workers. It is also more manageable in terms of regulation since it needs minimum regulatory requirements. The task force model also enables more substantial synergies between the central and local governments. However, strong coordination, between-sectoral sentiments, and the need for strong political will remain challenges for the task force implementation.
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