POST A: The Parameters Of Tobacco Promotion And Demotion, And The Ethics Of Change. 

Designers provide an ability to contribute positively, negatively or as an agent for change within any context. The parameters influencing them are society, culture and government. A thorough understanding of the stakeholders, product/service and end-user produces effective design solutions that in-turn influence the final outcomes success. Across the world, everything related to tobacco, wether it be the cigarette, packaging or paraphernalia, has been influenced by a designer and Indonesia is no exception to this, actually what they have achieved is rather exceptional.

It would be unjust to hand all the credit to designers. Whilst they play a key role, tobacco’s success to such a high degree is only made possible due to its deeply rooted interdependence in Indonesias socio-cultural, political and economic framework. In order to be an ethical designer, once must consider the determinants that influence tobaccos high prevalence. For Indonesian men, smoking is viewed as a signifier of masculinity (Nawi, 2007), whereas for women, they are a symbol of the new feminist movement (WHO 2012). If one wanted to promote change via methods of design activism, one would understand that to radically eradicate tobacco in Indonesia would be financially devastating to many, a futile solution. The tobacco industry is “a major source of tax revenue for the Indonesian Government” (World Bank, 2001). Although the costs of smoking attributable healthcare expenditures are forecast to cost Indonesia trillions by 2030 (Djutaharta, T. & Vijaya, S., 2003), Tobacco companies within Indonesia provide copious grants and opportunities that far outweigh this. This is evident with examples like Sampoerna University, a University named after a Phillip Morris’ kretek subsidiary cigarette brand. It is widely known that the university offers grants of up to $41,000 US for their top performing students, in addition to various entry-scholarships (The Jakarta Post, 2018).

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Figure 1- A pack of flavoured Esse cigarettes. With minimal warnings, the bright and colourful packaging and the product itself, it is evidently designed to target young women.
Marlboro Filter Black indonesia Cigarettes front image
Figure 2 – A pack of Marlborough blacks, this brand has strong associations with masculinity.

These practices of promoting cigarettes is in stark contrast to Australia, with a large focus on anti-smoking promotions and campaigns of prevention. In 2006, plain-packaging and graphic warnings in Australia for instance, was a design method implemented for the purpose of the anti-tobacco initiative (The Department of Health, 2018). In Indonesia, the design tactics being used to promote cigarettes and tobacco are transparent.  Whereas in Australia design tactics are bing used to render cigarettes and tobacco as unappealing.

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Figure 3 – The evolution of anti-tobacco design tactics with regards to packaging within Australia.

References

Ng, N., Prabandari, Y., Padmawati, R., Okah, F., Haddock, C., Nichter, M., Nichter, M., Muramoto, M., Poston, W., Pyle, S., Mahardinata, N. and Lando, H. 2007, ‘Physician assessment of patient smoking in Indonesia: a public health priority’, Tobacco Control, vol 16, no 3, pp.190-196.

World Health Organization 2012, Tobacco Control in Indonesia, viewed 8 December 2018, <http://www.who.int/tobacco/about/partners/bloomberg/idn/en/&gt;.

Djutaharta, T. & Vijaya, S., 2003, ‘Research on tobacco in Indonesia: an annotated bibliography and review on tobacco use, health effects, economics and control efforts’, HNAP Discussion Paper: Economics of Tobacco Control, No. 10, pp. 1-66.

Indonesia-Investment 2018, Cigarette & Tobacco Industry Indonesia: Rising Pressures in 2018?, viewed 21 December 2018, <https://www.indonesia-investments.com/news/todays-headlines/cigarette-tobacco-industry-indonesia-rising-pressures-in-2018/item8471>

The Department of Health 2018, Smoking Prevalence Rates, viewed 21 December 2018<http://www.health.gov.au/internet/publications/publishing.nsf/Content/tobacco-control-toc~smoking-rates>

Figure 1, cigarettes online store, viewed 21 December 2018, <http://www.cigarettescigs.com> 

Figure 2, The Skeptical Cardiologist, viewed 21 December 2018, <https://theskepticalcardiologist.com/2017/10/08/why-doesnt-the-usa-have-graphic-warning-labels-on-cigarette-packs-like-the-netherlands/>

Figure 3, Clove cigarettes online, viewed 21 December 2018, <https://www.clovecigarettesonline.com/products/marlboro-cigarettes/marlboro-filter-black-clove-cigarettes-details&gt;

POST C: Pride, Prejudice And Tobaccos New Target

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Figure 1 – A local Surabayan woman walking through the Arab District.

In Indonesia, 67.4% of males and 4.5% of females partake in the habit of tobacco smoking (WHO, 2018). Despite it costing billions in healthcare and a growing awareness of the negative effects of both active and passive smoke inhalation, there appears to be little change or incentive in the populace quitting and the amount of new smokers taking up the habit. Reasons for this lack of change are best explored by analysing the public advertising and marketing of tobacco, religious beliefs, sociology and gender.

The act of smoking amongst Indonesian males is viewed as a signifier of masculinity and a way to increase their social status (Nawi, 2007), this has been the zeitgeist since its inception into their culture. Because of this long-term and widely held sentiment, the male market for tobacco in Indonesia has reached a saturation point. However, existing today is a rapidly increasing rate of smoking among Indonesian women (Ng et al. 2007). As Indonesia is experiencing a new wave of feminism, tobacco companies are targeting young women by promoting cigarettes as “torches of freedom” (WHO, 2012), marketing them to be synonymous with defiance and independence. For these women, their choice in wether or not to smoke poses a series of conflicts between personal desires as well as social and religious expectations (Pampel, 2006). The experiences of those desires, pressures and expectations are represented though the perspective of my interviewee Nyssa Putri.

Speaking with the twenty one year old, Surabayan, graphic design student — Nyssa expressed that smoking for women in Indonesia is considered by many as “lower-class and for sex-workers” (2018) with a particular emphasis on the word “taboo” (2018). She expanded on this phrase citing that education of the health risks related to tobacco (especially for females) is “taboo” (2018) and consequently “not talked about” (2018). Despite Nyssa being a well-educated female, she actively partakes in smoking. When asked why she simply smiled, showed off a few of her tattoos and stated “I am a modern Indonesian, I enjoy smoking to relieve the stress of my studies, a lot of us here (at ITS) do” (2018). Her eyes gleamed as she affectionately described how she and her friends like to build towers in the ashtray on the balcony of her home where they would study together.

Tobacco advertising in Indonesia is largely aspirational and subliminally engrained within sponsorships of many youth events. In conjunction to their tactics of marketing and associating themselves with desirable lifestyles, the branding of many new cigarettes target young women. This is achieved through more ‘feminine’ – flavoured cigarettes and colourful packaging. For our interview, Nyssa kindly brought a series ‘Esse’ cigarettes among them were her favourites ‘Honey Pop’ and ‘Berry Pop’. She laid them out on the table, describing the satisfaction of “breaking the ball” and “inhaling the flavour” (2018).

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Figure 1 – A packet of ‘Berry Pop’ Esse cigarettes

Regardless of the conflicting messages within Indonesian culture toward women smoking, Nyssa seems to possess all the qualities that Tobacco companies would want their consumer to have. She is a “modern Indonesian” (2018), adopting a more ‘westernised’ lifestyle, is defiant toward the patriarchy and eager to practice her acts of defiance by being, as she says, “one of the boys” (2018). In summary, our conversation provided valuable insight into the perception of cigarettes and the identity it promotes for women. This proved valuable with regards to the conceptualisation of my teams solution, one that possessed a heavy focus on facilitating a positive identity with non-smoking.

References

World Health Organization 2018, Tobacco Control in Indonesia, viewed 8 December 2018 <http://www.who.int/tobacco/about/partners/bloomberg/idn/en/>.

Ng, N., Prabandari, Y., Padmawati, R., Okah, F., Haddock, C., Nichter, M., Nichter, M., Muramoto, M., Poston, W., Pyle, S., Mahardinata, N. and Lando, H. 2007, ‘Physician assessment of patient smoking in Indonesia: a public health priority’, Tobacco Control, vol 16, no 3, pp.190-196.

World Health Organization 2012, Tobacco Control in Indonesia, viewed 8 December 2018, <http://www.who.int/tobacco/about/partners/bloomberg/idn/en/>.

Fred C. Pampel 2006, Gobal Patterns and Determinants of Sex Differences in Smoking, viewed 21 December 2018 <https://journals.sagepub.com/doi/abs/10.1177/0020715206070267>

Figure 1, Image captured by Maddison Rutter-Malley (2018).

Figure 2, Figure 1, cigarettes online store, viewed 21 December 2018, <http://www.cigarettescigs.com> 

Post B: Community enforcement proves more effective than government legislation in the Arab district of Surabaya.

Authored, photographed and illustrated by: Maddison Rutter-Malley

Conurbations of east Java merge into a conglomerate metropolis, thickly veiled with the yellow fumes emitted from car exhausts and tobacco leaves.

According to WHO, tobacco related illness is ranked among the top three in the world for both developed and under-developed countries, with a mortality rate predicted to reach 8.4 million in 2020 (Twombly, 2002). Tobacco inhalation is a leading cause of death with particular relation to non-communicable disease across the globe (H Van Minh, et al, 2006). Ranking as the 3rd highest smoker per capita in the world, it has been officially classed as an epidemic within Indonesia. With an approximation of 33% of the total population (67.4% of men and 4.5% of women) being smokers (World Health Organization, 2018).

Indonesia is a vast archipelago of contrasting cultures. Many of those cultures, especially within big cities like Surabaya, are densely situated. Regardless of opposing religious and lifestyle views, many Indonesians employ tobacco use as an intrinsic part of their day-to-day lives. Regardless that there have been a set of laws implemented into the creation of ‘safe-zones’ for smoke inhalation, these rules are often ignored. A study of the health intervention strategies of selected schools found that in Indonesia “even though schools are supposed to be smoke free areas, the informants often see their male teachers smoking” (Tahlil et al., 2013).

Something I noticed when walking through the streets of the Arab district was the ability for the community to band together and effectively administer a set of rules for selected areas. With particular focus on alleys where young children would reside. Signs posted stated “dilarang menaiki kendaraan di dalam kampung”, which translates to “riding a vehicle in the village is prohibited”.

In contrast to the legislative efforts administered by the local government to implement safe zones, these locally controlled areas proved to be successful with regards to public compliance. With an emphasis on limiting the flow of vehicles within the alleys, most local cafes and transport junctions were situated on the surrounding main strips. These were high activity zones for smoking – due to the prevalence of Warkop’s and transport workers within that area.

Smoking across Indonesian society is embedded heavily within their social dynamics as it connotes a sense of  camaraderie, particularly among men. With a statistic of 85% of transport workers being smokers, (Rita. K, 2014) it is not surprising that these high prevalence zones correlated with the male dominated hang-outs and transport junctions. Whereas in the restricted vehicle zones leading to the Bazaar and Sunan Ampel Mosque and Tomb, there was vastly lower prevalence of smoking activity.

The map I have generated outlines the high and low smoking zones, as well as the operations within each area.

D_Map

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1) Twombly, R. (2002). World Health Organization Takes on ‘Tobacco Epidemic’. Cancer Spectrum Knowledge Environment, 94(9), pp.644-646.

2) World Health Organization. (2018). Tobacco control in Indonesia. [online] Available at: http://www.who.int/tobacco/about/partners/bloomberg/idn/en/ [Accessed 4 Dec. 2018].

3) H Van Minh, N Ng, S Wall, H Stenlund, R Bonita, L Weinehall, M Hakimi, P Byass (2006). Smoking Epidemics And Socio-Economic Predictors Of Regular Use And Cessation: Findings From WHO STEPS Risk Factor Surveys In Vietnam And Indonesia. The Internet Journal of Epidemiology, 3(1).

4) Tahlil, T., Woodman, R., Coveney, J. and Ward, P. (2013). The impact of education programs on smoking prevention: a randomized controlled trial among 11 to 14 year olds in Aceh, Indonesia. BMC Public Health, 13 (1).

5) Kirana, Rita and Dewi, Vonny Kresna and Barkinah, Tut and B., Isnaniah, ‘Smoking Behavior and Attitude Towards Cigarette Warning Labels Among Informal Workers in Surabaya City – East Java, Indonesia (April 2, 2014) <https://ssrn.com/abstract=2419434 or hp://dx.doi.org/10.2139/ssrn.2419434> [Accessed 6 Dec. 2018].