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Original Research Article Open Access SINTA 2 Accredited

Implementation of Smoke-Free Area Policy in Preventing Stunting in Malang City

DOI
10.21787/jbp.17.2025.2589
Published & Pages
29 August 2025
Manuscript History
Received28 May 2025 Accepted8 Jul 2025 Published29 Aug 2025

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Abstract

Indonesia has a high prevalence of smoking, which adversely affects public health, particularly children and pregnant women. Exposure to secondhand smoke is a significant risk factor for stunting among toddlers. This study evaluates the implementation of the Smoke-Free Area (SFA) policy in Malang City as a strategy to reduce smoke exposure and prevent stunting. A qualitative descriptive approach using Grindle’s policy implementation theory was employed to assess the roles of government, society, and the private sector. The findings indicate that while the SFA policy has been adopted across public and private sectors, enforcement effectiveness and household compliance remain low. Cultural factors, limited resources, and weak coordination pose significant challenges. Nevertheless, the stunting prevalence decreased from 25.7% in 2021 to 17.3% in 2023, suggesting that the policy has had a positive impact. Strengthening resources, education, and law enforcement is essential to enhance the policy’s effectiveness in preventing stunting.

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References

25 references
  1. Aracely, N. V., Adi, S., Ratih, S. P., & Supriyadi. (2024). Studi Korelasi Persepsi terhadap Iklan Rokok dengan Perilaku Merokok Remaja di Kecamatan Sukun, Kota Malang. Sport Science and Health, 6(1), 77–87. https://doi.org/10.17977/um062v6i12024p77-87
  2. A’yuni, R. A., & Nasrullah. (2020). Implementasi Peraturan Daerah tentang Kawasan Tanpa Rokok di Dinas Kesehatan Kota Yogyakarta. Media of Law and Sharia, 2(2), 172–189. https://doi.org/10.18196/mls.v2i2.11487
  3. Berman, R. (2022, August 25). ‘Thirdhand Smoke’ May Last Longer Than You Think, Damage Your Health. MedicalNewsToday. https://www.medicalnewstoday.com/articles/thirdhand-smoke-cigarettes-may-last-longer-than-you-think-damage-health#Detecting-thirdhand-smoke-in-homes
  4. BPS-Statistics Malang Municipality. (n.d.). Jumlah Penduduk (De Jure) Menurut Kecamatan dan Jenis Kelamin di Kota Malang (Jiwa). BPS-Statistics Malang Municipality. https://malangkota.bps.go.id/id/statistics-table/2/NDgjMg==/jumlah-penduduk-menurut-kecamatan-dan-jenis-kelamin-di-kota-malang.html
  5. Budiwan, S., Arwan, & Syam, S. (2021). Implementasi Kebijakan Kawasan Tanpa Rokok di Rumah Sakit Umum Daerah (RSUD) UNDATA-Palu. An Idea Health Journal, 1(1), 16–20. https://doi.org/10.53690/ihj.v1i1.13
  6. Cao, S., Xie, M., Jia, C., Zhang, Y., Gong, J., Wang, B., Qin, N., Zhao, L., Yu, D., & Duan, X. (2022). Household Second-Hand Smoke Exposure and Stunted Growth Among Chinese School-Age Children. Environmental Technology & Innovation, 27, 102521. https://doi.org/10.1016/j.eti.2022.102521
  7. Choirunnisa, A., Febriyana, Sari, E. T. P., Ambarwati, N. M., & Nurdiantami, Y. (2022). Pengaruh Asap Rokok pada Ibu Hamil: Studi Literatur. Jurnal Kesehatan Tambusai, 3(2), 183–192. https://doi.org/10.31004/jkt.v3i2.4597
  8. Fikih, A. (2025, June 11). Perlindungan Anak dari Tembakau. Universitas Indonesia. https://www.ui.ac.id/perlindungan-anak-dari-tembakau/
  9. Grindle, M. S. (Ed.). (1980). Politics and Policy Implementation in the Third World. Princeton University Press.
  10. Khairatunnisa, & Telaumbanua, I. P. (2021). Implementasi Kebijakan Kawasan Tanpa Rokok (KTR) di SMA Negeri 17 Medan. JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan), 6(3), 247–255. https://doi.org/10.30829/jumantik.v6i3.8918
  11. Lim, K. H., Lim, H. L., Teh, C. H., Mohd Ghazali, S., Kee, C. C., Heng, P. P., Shaharuddin, R., & Lim, J. H. (2019). Is the Implementation of Smoke-Free Policies at Workplaces Associated With Living in a Smoke-Free Home?: Findings From a National Population-Based Study in Malaysia. Tobacco Induced Diseases, 17(June). https://doi.org/10.18332/tid/100692
  12. Marchel, Y. A., Indraswari, R., & Handayani, N. (2019). Implementasi Kawasan Tanpa Rokok Sebagai Pencegahan Merokok pada Remaja Awal. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education, 7(2), 144–155. https://doi.org/10.20473/jpk.V7.I2.2019.144-155
  13. Maria, F. (2024, October 30). Kota Malang Tekan Stunting dengan Kolaborasi Intensif. RRI.co.id. https://rri.co.id/info-pemda/1083595/kota-malang-tekan-stunting-dengan-kolaborasi-intensif
  14. Miles, M. B., Huberman, A. M., & Saldana, J. (2014). Qualitative Data Analysis: A Methods Sourcebook. SAGE.
  15. Muazzinah, Khalil, Z. F., Zamharira, C., & Rahmah, R. (2023). Implementation of Smoke Free Area Policy in Banda Aceh City: Analysis of the Concept of Collaborative Governance. Proceedings IAPA Annual Conference, 217–232. https://doi.org/10.30589/proceedings.2023.890
  16. Muchlis, N., Yusuf, R. A., Rusydi, A. R., Mahmud, N. U., Hikmah, N., Qanitha, A., & Ahsan, A. (2023). Cigarette Smoke Exposure and Stunting Among Under-five Children in Rural and Poor Families in Indonesia. Environmental Health Insights, 17. https://doi.org/10.1177/11786302231185210
  17. Muslim, N. A., Adi, S., Ratih, S. P., & Ulfah, N. H. (2023). Determinan Perilaku Merokok Remaja SMA/Sederajat di Kecamatan Lowokwaru Kota Malang. Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior, 5(1), 20–28. https://doi.org/10.47034/ppk.v5i1.6781
  18. Nailussa’dah, Diba, F., & Maulina. (2024). Paparan Asap Rokok pada Balita Stunting di Kota Banda Aceh. Journal of Bionursing, 6(2), 172–178. https://doi.org/10.20884/1.job.2024.6.2.13089
  19. Rahmiwati, A., Karlinda, Hasyim, H., & Febriyansyah. (2024). Passive Smoking and Its Correlation with Stunting in Children: A Systematic Review. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 19(5), 97–104. https://doi.org/10.21109/kesmas.v19isp1.1201
  20. Saenong, M. T., Sulaeman, Bakhtiar, Purnama, J., & Kenre, I. (2024). The Relationship Between Cigarette Smoke Exposure and Stunting Among Children in the Working Area of the Pangkajene Health Center, Sidrap Regency in 2023. Journal of Nursing Practice, 7(2), 325–334. https://doi.org/10.30994/jnp.v7i2.466
  21. Suryo, B. (2024, May 15). Balita Tengkes Tertinggi di Kota Malang Akibat Rokok. Media Indonesia. https://mediaindonesia.com/nusantara/671244/balita-tengkes-tertinggi-di-kota-malang-akibat-rokok
  22. Syahputra, E. (2022, February 8). Dinkes Malang Sebut Kanker Payudara & Serviks Mendominasi. CNBC Indonesia. https://www.cnbcindonesia.com/lifestyle/20220208122610-33-313739/dinkes-malang-sebut-kanker-payudara-serviks-mendominasi?utm
  23. Tim Promkes RSST - RSUP dr. Soeradji Tirtonegoro Klaten. (2022, July 22). Bahaya Perokok Pasif. Kemenkes Ditjen Keslan. https://keslan.kemkes.go.id/view_artikel/372/bahaya-perokok-pasif
  24. Utami, Y., & Ramadhanintyas, K. N. (2024). Hidup Sehat Tanpa Rokok. APMa Jurnal Pengabdian Masyarakat, 4(1), 17–24. https://doi.org/10.47575/apma.v4i1.528
  25. Wang, Y., & Gu, J. (2025). The Physical Processes and Chemical Transformations of Third-Hand Smoke in Indoor Environments and Its Health Effects: A Review. Atmosphere, 16(4), 370. https://doi.org/10.3390/atmos16040370

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