Compliance with smoke-free legislation and associated factors: A serial survey in Bali, Indonesia

This study aims to describe the compliance to the smoke-free legislation and to identify the associated factors. A cross-sectional study was conducted to assess the compliance at all smoke-free venues. A number of 5,500 smoke-free venues were involved. The data was collected on a six monthly basis through observation and interviews. The study observed 6,670 buildings. The compliance was 11.8% in the second semester of 2013 (1st) as the baseline, which increased to 62.0% in 2015 (5th). Meanwhile, the most common violations of smoke-free legislation were found to be cigarette butts, the provision of ashtrays and smoking. Factors that were associated with compliance were awareness, knowledge and support of the legislation and the presence of internal monitoring. The compliance with Bali’s smoke-free legislation remains suboptimal, despite showing increasing trends over time. Hence, continuous education and supervision should be conducted for venue managers to increase compliance.