Background: There has been increasing trends of tobaccoconsumption among the poor families in the midst of governmenteffort to improve population health through health subsidyprograms for the poor.Objective: To analyse the effect of policy on health subsidyprovisions to the poor with cigarette expenditures and utilizationof health service facilities.Method: This study consists of two parts. Part one of thestudy was a cross-sectional study using the Susenas datayear 2001 and 2004. The sample involved 69,166 households(2001) and 60,832 households (2004) in all provinces inIndonesia. Univariate and bivariate analysis with Chi Squaretest were used in the statistical analysis. The second part ofthe study was a documentary study on Indonesian tobaccocontrol policy.Result: A significant increase in the proportion of smoking inthe household who receive subsidized health care was foundin 2004 (p <0.001). Smoking habits at home among those healthcare subsidy recipients, increased 35.06 percent in 2004compared to 2001, and this was significant (p 0.002). Outpatientutilization significantly increased by 28.86% (p <0.001).Frequency of hospitalization was decreased significantly in2004 compared with 2001, amounting to 36.62% (p 0.020).Tobacco control policy was stated in government regulationNo. 38/2000 which was then revised in No. 19/2003. Thesewere weaker than government regulation No. 81/1999.Conclusion: The provision of health care subsidies has animpact on the prevalence of smoking among the head of thepoorest households. Cigarette expenditures on householdsreceiving health subsidies are greater than expenditures oneducation and health.Keywords: health subsidy, smoking, utilization of healthservices, and the poorest households.
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