Implementation of tobacco control policy at the local level in Thailand: Performance evaluation and associated factors
Introduction Tobacco use is one of the top five risk factors for disability-adjusted life years globally, including Thailand. Consequently, Thailand has enacted the Tobacco Products Control Act in alignment with the World Health Organization Framework Convention on Tobacco Control. To facilitate nat...
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| Format: | Article |
| Language: | English |
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European Publishing
2025-05-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | https://www.tobaccoinduceddiseases.org/Implementation-of-tobacco-control-policy-at-the-local-level-in-Thailand-Performance,203868,0,2.html |
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| author | Chakkraphan Phetphum Orawan Keeratisiroj Artittaya Wangwonsin Wutthichai Jariya |
| author_facet | Chakkraphan Phetphum Orawan Keeratisiroj Artittaya Wangwonsin Wutthichai Jariya |
| author_sort | Chakkraphan Phetphum |
| collection | DOAJ |
| description | Introduction
Tobacco use is one of the top five risk factors for disability-adjusted
life years globally, including Thailand. Consequently, Thailand has enacted the
Tobacco Products Control Act in alignment with the World Health Organization
Framework Convention on Tobacco Control. To facilitate national tobacco control
policies at the local level, Provincial Tobacco Products Control Committees
(PTPCCs) have been established in all 77 provinces. This study aimed to assess
the performance of PTPCCs in implementing the tobacco control policy and to
identify its associated factors.
Methods
This cross-sectional survey utilized a self-reported online questionnaire
to collect data between May and August 2023. The target population comprised
secretaries of PTPCCs across 77 provinces. The survey achieved a completion rate
of 75.32%, with responses from 58 provinces.
Results
Among the 58 responding provinces, 53% achieved the law enforcement
indicator, 43% met the target for prevention of new smokers, and only 34%
achieved the smoking cessation performance. Multiple logistic regression analysis
revealed that adequate access to policy information was strongly associated with
achieving law enforcement (AOR=10.53; 95% CI: 1.20–92.23). The availability of
adequate media resources was significantly associated with successful prevention
of new smokers (AOR=8.64; 95% CI: 2.09–35.67). Stronger characteristics of
implementing agencies – referring to the provincial governor’s commitment to
tobacco control policy and the engagement of public and private stakeholders –
were positively associated with smoking cessation performance (AOR=2.05; 95%
CI: 1.13–3.71).
Conclusions
PTPCCs should be strengthened through adequate access to policy
information, sufficient media resources, and strong provincial leadership with
multi-sectoral engagement, as these factors are critical to effective policy
performance. Enhancing these components will improve the implementation of
tobacco control policy at the local level. |
| format | Article |
| id | doaj-art-577d3a47461a4f289f62926412faa644 |
| institution | DOAJ |
| issn | 1617-9625 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj-art-577d3a47461a4f289f62926412faa6442025-08-20T03:15:31ZengEuropean PublishingTobacco Induced Diseases1617-96252025-05-0123May11310.18332/tid/203868203868Implementation of tobacco control policy at the local level in Thailand: Performance evaluation and associated factorsChakkraphan Phetphum0https://orcid.org/0000-0002-2410-9524Orawan Keeratisiroj1https://orcid.org/0000-0001-6289-6795Artittaya Wangwonsin2https://orcid.org/0000-0002-1470-8005Wutthichai Jariya3https://orcid.org/0000-0002-7198-6095Department of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok, ThailandDepartment of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok, ThailandDepartment of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok, ThailandDepartment of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok, ThailandIntroduction Tobacco use is one of the top five risk factors for disability-adjusted life years globally, including Thailand. Consequently, Thailand has enacted the Tobacco Products Control Act in alignment with the World Health Organization Framework Convention on Tobacco Control. To facilitate national tobacco control policies at the local level, Provincial Tobacco Products Control Committees (PTPCCs) have been established in all 77 provinces. This study aimed to assess the performance of PTPCCs in implementing the tobacco control policy and to identify its associated factors. Methods This cross-sectional survey utilized a self-reported online questionnaire to collect data between May and August 2023. The target population comprised secretaries of PTPCCs across 77 provinces. The survey achieved a completion rate of 75.32%, with responses from 58 provinces. Results Among the 58 responding provinces, 53% achieved the law enforcement indicator, 43% met the target for prevention of new smokers, and only 34% achieved the smoking cessation performance. Multiple logistic regression analysis revealed that adequate access to policy information was strongly associated with achieving law enforcement (AOR=10.53; 95% CI: 1.20–92.23). The availability of adequate media resources was significantly associated with successful prevention of new smokers (AOR=8.64; 95% CI: 2.09–35.67). Stronger characteristics of implementing agencies – referring to the provincial governor’s commitment to tobacco control policy and the engagement of public and private stakeholders – were positively associated with smoking cessation performance (AOR=2.05; 95% CI: 1.13–3.71). Conclusions PTPCCs should be strengthened through adequate access to policy information, sufficient media resources, and strong provincial leadership with multi-sectoral engagement, as these factors are critical to effective policy performance. Enhancing these components will improve the implementation of tobacco control policy at the local level.https://www.tobaccoinduceddiseases.org/Implementation-of-tobacco-control-policy-at-the-local-level-in-Thailand-Performance,203868,0,2.htmlwho fctcpolicy evaluationlaw enforcementpolicy implementationtobacco policy |
| spellingShingle | Chakkraphan Phetphum Orawan Keeratisiroj Artittaya Wangwonsin Wutthichai Jariya Implementation of tobacco control policy at the local level in Thailand: Performance evaluation and associated factors Tobacco Induced Diseases who fctc policy evaluation law enforcement policy implementation tobacco policy |
| title | Implementation of tobacco control policy at the local level in Thailand: Performance evaluation and associated factors |
| title_full | Implementation of tobacco control policy at the local level in Thailand: Performance evaluation and associated factors |
| title_fullStr | Implementation of tobacco control policy at the local level in Thailand: Performance evaluation and associated factors |
| title_full_unstemmed | Implementation of tobacco control policy at the local level in Thailand: Performance evaluation and associated factors |
| title_short | Implementation of tobacco control policy at the local level in Thailand: Performance evaluation and associated factors |
| title_sort | implementation of tobacco control policy at the local level in thailand performance evaluation and associated factors |
| topic | who fctc policy evaluation law enforcement policy implementation tobacco policy |
| url | https://www.tobaccoinduceddiseases.org/Implementation-of-tobacco-control-policy-at-the-local-level-in-Thailand-Performance,203868,0,2.html |
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