EFFECTIVENESS PART 2 Edited Hfci

CHAPTER 1
INTRODUCTION
1.1 Background of the Study
The Philippines is known as one of the countries that has a high number of
population that engages in smoking. At about 17.3 million Filipinos are recorded
as smokers in the year 2009 (Philippine GATS 2009). The study of the American
Cancer Society and World Lung Foundation shows that the Philippines is among
the top 20 nations with the highest smoking population in the year 2012. With this
information, it can be observed that the number of Filipinos suffering from smoke
related diseases is increasing. At about 240 Filipinos dies, in daily basis, and
accrue to the 87, 600 deaths every year due to smoking-related diseases such as
heart failure, stroke, chronic obstructive pulmonary disease, peripheral vascular
disease and many cancers (WHO, 2009).
Health risks are evidently aware to cigarette smoking or simply exposure to the
smoke being emitted in the course of smoking. Exposures to the smoke emitted
can be classified into three– first hand smoke which is the direct exposure or the
actual smoking; second-hand smoking which maybe the indirect exposure or
inhaling of the smoke when any person smokes near; and third hand-smoke or the
exposure to the chemicals, like nicotine, that remains after the cigarette is put out
(Apelberg, 2007). Two of these exposures can occur where a certain population is
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staying in places where there are cigarette smokers that smokes freely without
considering the persons in the place.
With these risks or effects of smoking being speculated, the international
authorities, specifically the WHO, promulgated the Framework Convention on
Tobacco Control (FCTC). This is a treaty where 168 countries signed for its
ratification and the Philippines became a signatory on June 6, 2005. States which
signed for the ratification of the treaty is expected to promote the aims of the
treaty. The treaty has the public health objective of the reduction of morbidity and
mortality due to the use and consumption of tobacco.
Moreover, the congress passed the RA 9211 otherwise known as the Tobacco
Regulation Act of 2003 on June 2003 which promotes furtherly the aims of the
WHO FCTC. This law covers the implementation of smoking regulation in the
following places: “Centers of youth activity such as playschools, preparatory
schools, elementary schools, high schools, colleges and universities, youth
hostels, and recreational facilities for persons under eighteen (18) years old and;
public conveyances and public facilities including airport and ship terminals and
train and bus stations, restaurant and conference halls, except for separate
smoking areas; and in all enclosed places that are open to the general public,
private workplaces, and other places not covered under the preceding section,
where smoking may expose a person to the other than the smoker to tobacco
smoke, the owner, proprietor, possessor, manager or administrator of such places
shall establish smoking areas (RA 9211, section 5). It can be inferred that the law
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protects the persons who are in public places such as the government agencies
and bureaus.
The memorandum circular encourages the people to quit smoking and recognizes
studies that show the deadly effects of smoking. This policy acknowledges
several results of studies pertaining to smoking, and these are: 1. Even the small
amounts of secondhand smoke exposure can be harmful to people’s health and
that opening a window or using ventilation, air conditioning, or a fan cannot
eliminate secondhand smoke exposure. 2. Secondhand smoke causes lung cancer,
increases the risk of a heart attack, triggers asthma attack, and causes acute
respiratory effects. 3.Second hand smoke, which has a higher concentration of
toxic chemicals than smoke inhaled by smokers, is a known human carcinogen
and an occupational carcinogen containing formaldehyde, benzene, vinyl
chloride, arsenic, ammonia, and hydrogen cyanide.
In Lamitan City, Basilan it has been shown that there are people who are smoking
in public places without adhering to the RA 9211, in partnership with City Health
Office and the City Organization they had several symposia and seminars on the
implementation of the RA 9211 to increase the awareness of the smokers.
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1.2 Conceptual Framework of the study
Input Process Output
Republic Act Effectiveness of

no. 9211 implementation
 Demographic
profile;
 Age
 Gender
 Civil status
 Educational
attainment
 Ethnic group
 Multi sectoral
Approach
 Dissemination of
information
 Health education
Figure 1. Shows the Effectiveness on the Implementation of RA 9211 In
Lamitan City, Multi Sectoral Approach, this shows thru dissemination of information,
health education while conducting research will strengthen the effectiveness on the
implementation of RA 9211. The independent variable is the R.A 9211 and the
dependent variables are the effectiveness of implementation and the intervening
variables are the demographic profile, dissemination of information, health education.
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1.3 Statement of the Problem
This study aims to determine the effectiveness of the implementation of
RA 9211 in Lamitan City, Multi-sectoral approach, specifically, this study
attained to
1. Include demographic profile of smokers such as
a. Age – 18 years old – 35 years old
b. Gender – Male and female ,
c. Civil status- married or single
d. Educational attainment
e. Ethnic group- Bisaya, Tausug, Chavacano, Yakan, Samal
2. What is the level of awareness of all smoker such as tricycle drivers, street
vendors, traffic enforcers, PNP, and teachers in the following guidelines of
R.A 9211?
3. How effective RA 9211 in government agencies in Lamitan City, Basilan?
1.4 Scope of Delimitation
The study assessed the effectiveness on the implementation of RA 9211 in
Lamitan City, Multi-sectoral approach. This study will also look into the profile of the
smoker of all sector such as Tricycle drivers, Street vendors, Traffic enforcer,
Philippine National Police and Teachers. Other variables that are connected to the
effectiveness on the implementation of RA 9211 such as governance characteristics
and compliance of the government agency, and awareness of the smoker of the
government employees will also be incorporated to the study
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1.5 Significant of the Study
1. This study will provide knowledge to the government agencies who are the
implementers of RA 9211 on how effective and efficient the implementation
of the said policy. Moreover, the outcome of this study will be a factor for the
government agencies to establish strong health policy on the prohibition of
smoking.
4. Employees- This study will give opportunity to the smoker employees’ to
know the importance of health policies being set forth by government
institutions, and in promoting and protecting their health from the hazards of
smoking.
5. Institutional academe- It is hoped that through this study, significant
information will be added to the mere knowledge on the course of
implementation and enforcement of the RA 9211. The information that will be
gained would fill the gap between the reality and the ideal on the
implementation of the policy.
6. The Future Researchers- The future results of this study will serve as a
reference material for the future researchers who wanted to replicate the study
at hand.
1.6 Definition of terms
Age-consist of male and female ages 18 years old- 45 years old.
Effectiveness- degree to which to a law avid by the citizens of the country.
Implementation- execution of something that is planned by law enforcer which result

to positive or negative result.
Multisectoral approach- consist of many sectors such as tricycle drivers, street

vendors, traffic enforcer, Philippine National Police, and teachers.
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Dissemination-distribution of information’s on a law such as R.A 9211.
Smokers- the respondents of this study.
Health policy- refers to a decisions of a health worker on implementing guidelines

about smoking.
Republic Act 9211-also known as the Tobacco Regulation Act of 2003, is a collection
of law regulating smoking in public places, tobacco advertising, promotion and
sponsorship, and sales restrictions, among other requirements.
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Chapter II
REVIEW OF RELATED LITERATURE
Republic Act No. 9211, also known as the Tobacco Regulation Act of 2003,
is an omnibus law regulating smoking in public places, tobacco advertising,
promotion and sponsorship, and sales restrictions, among other requirements. The
Inter-Agency Tobacco-Committee issued Implementing Rules and Regulations of the
Tobacco Regulation Act of 2003. The Committee’s Implementing Rules and
Regulations are comprehensive and cover a broad range of topics on tobacco control.
In addition to the advertising, promotion and sponsorship provisions in Rep. Act No.
9211 and the Implementing Rules and Regulations, the Consumer Act of the
Philippines (Rep. Act No. 7394) addresses false, deceptive, or misleading advertising
in general.
A. Dangers of Smoking
Tobacco product is defined as any manufactured product made of leaf tobacco
that is used for smoking, sucking, chewing, or snuffing (WHO FCTC, 2005). There
are three types of tobacco preparation. The first one is the roll of tobacco which is
smoked. Cigarette is the best example of this. The second type is pipe like water
pipes. The third is the oral preparation which is chewed, held in mouth or placed in
nose. Examples are snuff, snus, betel and quid (WHO, 2006). Tobacco contains
nicotine and many carcinogens. Hence, it is an addictive plant (WHO, 2006).
Scientific evidences show that the consumption and exposure to tobacco
smoke cause these three: (1) Death, (2) Disease, and (3) Disability. Aside from this, it
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has been found out that there is a time interval between the exposure to smoking and
the start of tobacco-related diseases (WHO FCTC, 2005).
Smoking indeed causes pre-mature deaths. Around half of the continuing
cigarette smokers, which are approximately 650 million people, who are still alive
will sooner orlater die from tobacco-related disease if they still smoke. Right now, the
higher burden of tobacco-related diseases and deaths is fast shifting to developing
countries (WHO, 2006).
Cigarettes are considered to be among the most deadly and addictive products
made by men. If the users will smoke cigarettes according to the intention of the
cigarettes manufacturers, cigarette smoking can kill half of its users (WHO, 2006).
On the other hand, it’s not only the tobacco consumers who are susceptible to
its negative effects. The second-hand tobacco smoke which is also known as passive
smoking has exposed millions of people including half of the world’s children to the
negative effects of tobacco consumption. Evidences link second-hand smoking to the
increased risk of cardiovascular diseases, lung cancer and other cancer, asthma and
other respiratory diseases, ear infection and sudden infant death syndrome in children.
The above mentioned diseases are but a few of second-hand smoking’s harmful
effects (WHO, 2006).
The tobacco epidemic is rising rapidly hence the regulation of tobacco
products is critical. All tobacco products can cause disease and death aside from the
fact that they are harmful and addictive (WHO, 2006).
Tobacco consumption has harmful effects to smokers and non-smokers. It is harmful
to children causing them to have respiratory problems and other health problems
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(USDHHS, 2000). Annually, secondhand smoke causes an estimated 3000 lung
cancer deaths and 62,000 coronary heart disease deaths in California (NCI, 1999).
All tobacco products are dangerous and addictive. Government effort should
be made to discourage the use of tobacco in any forms as well as to raise awareness
about itsharmful and deadly effects (WHO, 2006). However, in order to maintain
profit, tobacco companies continue to develop new products. These companies cover
the tobacco products’ harmful effects by portraying tobacco products as attractive and
less harmful (WHO, 2006).
B. Exposure and Recall to Anti-Smoking Advertisements
According to the study of Terry-Mcelrath (2005), all anti-smoking advertisements
were not alike in their characteristics, their thematic content, the level to which they
engage youth, or how youth were likely to respond. Advocates attempting to develop
increasingly successful anti-smoking campaigns should consider the characteristics of
proposed ads. The use of personal testimonials or visceral negative executions or both
that include themes of health effects may increase the likelihood that fewer youth
would smoke in the future. Message content format and approach must be considered
to have a successful anti-smoking campaign. Personal and real life testimonials could
be helpful to get the attention of the intended audience. These would serve as
evidences of the hazards imposed by smoking and would serve as warning to the
public of the smoking dangers.
The Philippines is part of the WHO FCTC. The Republic Act of 9211(RA 9211) or
the Tobacco Regulation Act of 2003 has been made but poorly implemented. In 2007,
the National Tobacco Prevention Control Program (Administrative Order 2001-004)
has been established by the Department of Health (DOH). In 2008, a total ban of
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tobacco advertising in mass media except point of sale advertisement was
implemented (WHO,
2006).
2.0 Constitutional Bases
The Article II or known as the Declaration of State Policies and Principles of the
1987Constitution, Section 15 states that, “The State shall protect and promote the
right to health of the people and instill health consciousness among them”. Through
this virtue, the protection of the health of the Filipino people is a mandate of the
government. The Civil Service Commission is a constitutionally created commission
that is given the power to cover the whole bureaucracy. This is seen in the Article IX,
section 2, paragraph 1 which states that, “The civil service embraces all branches,
subdivisions, instrumentalities and agencies of the Government, including
government-owned or controlled corporations with original charters. “This provision
clearly sets forth that the CSC have the authority to regulate the government agencies.
Hence, the commission is given the right to ensure the quality of the work
environment for the workforce. (CIVIL SERVICE COMMISION MEMORANDUM
CIRCULAR NO. 17, SERIES 0F 2009)
2.1 Statutory Bases
2.1.1RA 8749 otherwise known as the Clean Air Act of 1999
This law was enacted in June 23, 1999 and took effect on July 17, 1999. This
is promulgated to reduce the amount of smoke emitted by vehicles and cigarette
smoking which is a factor of air pollution. Section 24 of this act states that, “Smoking
inside a public building or an enclosed public place including public vehicles and
other means of transport or in any enclosed area outside of one's private residence,
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private place of work or any duly designated smoking area is hereby prohibited under
this Act.” (RA 8749, CLEAN AIR ACT OF 1999)
2.1.2 RA 9211 otherwise known as the Tobacco Regulation Act of 2003
SECTION 5. Smoking Ban in Public Places.
Smoking shall be absolutely prohibited inthe following public places: Centers
of youth activity such as playschools, preparatory schools, elementaryschools,
high schools, colleges and universities, youth hostels and recreationalfacilities
for persons under eighteen (18) years old; Elevators and stairwells; Locations
in which fire hazards are present, including gas stations and storage areas for
flammable liquids, gas, explosives or combustible materials’. Within the
buildings and premises of public and private hospitals, medical, dental, and
optical clinics, health centers, nursing homes, dispensaries and laboratories’.
Public conveyances and public facilities including airport and ship terminals
andtrain and bus stations, restaurants and conference halls, except for separate
smokingareas; and Food preparation areas.
SECTION 6. Designated Smoking and Non-smoking Areas.
In all enclosed places that general public, private workplaces and other places
not covered under the preceding section, where smoking may expose a person
other than the smoker to tobacco smoke, the owner, proprietor, operator,
possessor, manager or administrator of such places shall establish smoking
and non-smoking areas. Such areas may include a designated smoking area
within the building, which may be in an open space or separate area with
proper. (RA 9211, TOBACCO REGULATION ACT OF 2003).
2.1.3 RA 8749 otherwise known as the Clean Air Act of 1999

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This law was enacted in June 23, 1999 and took effect on July 17, 1999. This
is promulgated to reduce the amount of smoke emitted by vehicles and
cigarette smoking which is a factor of air pollution. Section 24 of this act
states that, Smoking inside a public building or an enclosed public place
including public vehicles and other means of transport or in any enclosed area
outside of one's private residence, private place of work or any duly
designated smoking are a is hereby prohibited under this Act.
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Chapter III
RESEARCH METHODOLOGY
This chapter deals with the discussion on the research design utilized in this study. It
contains a discussion of the research instrument that is utilized in collecting data for
interpretation and analysis.
3.1 Research Design
The study employs a descriptive method using a survey technique for the
collection of data in the effectiveness on the implementation of RA 9211
Lamitan City, multi-sectoral approach.
3.2 Research Environment
The research study was conducted in Lamitan City Basilan, Bangsamoro
Autonomous Region in Muslim Mindanao, utilized the multi-sectoral
approach to determine the effectiveness on the implementation of the RA 9211
to all smokers in different sectors: such as tricycle drivers, street vendors,
traffic enforcer, PNP and teachers.
3.3 Respondent
The respondents were smokers in all different sectors: such as tricycle drivers,
street vendors, traffic enforcer, PNP and teachers of Lamitan City, Basilan.
Convenience sampling was used to gather the respondent for the study, those
who were present at the area during the time of the study was conducted were
utilize as respondent of the study.
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3.4 The Research Instrument
The questionnaire method was used to determine the effectiveness on the
implementation of RA 9211 in Lamitan City a multisectoral approach.
Questionnaires were given to the respondents to evaluate their Knowledge and
awareness on the effectiveness on the implementation of RA 9211. The
questionnaires were categorized according to level of awareness and
effectivity of the law.
3.5 Data Gathering Procedure
The research study was centered at the health education on the concept of RA
9211 and its effectiveness on the smokers. And its influences on the health of
smokers, Lamitan City Basilan. Convenience sampling method was used in
this study. A 15 items survey questionnaire was given to the respondent to
evaluate their knowledge and awareness on the effectiveness in the
implementation or RA 9211.
3.6 Statistical Treatment
The research studies utilized the descriptive statistic which was used to
determine the effectiveness on the implementation of RA 9211 in Lamitan
City a multisectoral approach. Percentage and frequency method were also
utilized in this study.
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Chapter IV
FINDING, ANALYSIS AND INTERPRETING
This chapter presents the data gathered the result of the statistical analysis done and
interpretation of findings.
1. What is the demographic profile of the respondents in terms of age, gender,

civil status, educational attainment, and ethnic group.
Table 1
Age profile of the Respondents
Age Bracket Frequency Percentage
18-25 years old 17 36.96%
26-35 years old 10 21.74%
36-45 years old 19 41.30%
Total 46 100%
Table 1. Presents the profile of the respondent in terms of age. Under the age ranging
36-45 years old got the highest frequency of 19 and a percentage of 41.30%, this
implies that most of the respondents who are smoking were of this age.
Table 2
Gender Profile of the Respondent
Gender Frequency Percentage

Male 44 95.65%
Female 2 4.34%
Total 46 100%
Table 2. Present the gender of the respondent. Male got the highest frequency 44 and
a percentage of 95.65% while female got the lowest, this implies that most of the
respondent who smokes were mostly male.
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Table 3
Civil status of the Respondent
Civil status Frequency Percentage

Married 32 69.57%
Single 13 28.26%
Widow 1 2.17%
Total 46 100%
Table 3. Present the civil status of the respondents married got the highest frequency
of 32 and a percentage of 69.57% while widow got the lowest, which implies that
respondents who smoke were mostly married.
Table 4
Educational attainment of the respondent
Educational Attainment Frequency Percentage
Elementary Level 2 4.35%
Table 4. Elementary Graduate 3 6.52% Shows the

educational attainment of
High School Level 13 28.26%
the respondent,
High School Graduate 9 19.57%
most of the respondent
College Level 5 10.87%
were College graduate with
College Graduate 14 30.43%
frequency 14 and
Total 46 100%
percentage 30.43% it is
followed by high school
level with frequency of 13 and percentage of 28.26%. Elementary level got the lowest
frequency of 2 and percentage of 4.35%, this implies that smokers were mostly
college graduate and less are from elementary level.
Table 5
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Ethnicity of the Respondents
Tribe Frequency Percentage

BISAYA 8 17.39%
TAUSUG 15 32.61%
CHAVACANO 5 10.87%
YAKAN 20 43.48%
SAMAL 1 2.17%
Total 46 100%
Table 5. Present the profile of the respondents in terms of ethnic. Most of the
respondents were from Yakan tribe with frequency of 20 and percentage of 43.48%,
this implies that most of the population are from the Yakan tribe.
Table 6
Profession Multi Sectoral
Sector Educational attainment
A. Tricycle driver
1-male BSIT- graduate
B. Street vendor
2-male BScrim.- graduate
C. Teacher
1-female BSN- graduate
1-male BS-HRM- graduate
2-male BSED/BEED- graduate
D. Traffic enforcer
1-male BScim.- graduate
E. Philippine National Police
1-female BScrim.-graduate
5-male BScrim.-graduate
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Table 7
Total respondents; multi sectoral approach
Sector Frequency Rate

Tricycle driver 19 41.30%
Street vendor 10 21.73%
Traffic enforcer 7 15.21%
Philippine National Police 6 13.04%
Teacher 4 8.69%
Total 46 100%
Table7. present the total respondent in multi sectoral approach. Most of the
respondent were from tricycle drivers with frequency of 19 and percentage of 41.30%,
this implies that respondent who smoke were mostly tricycle drivers.
2.What is the level of awareness of all smoker such as tricycle drivers, street
vendors, traffic enforcers, policeman, and teachers in the following guidelines of
R.A 9211?
Table 8
Level of Awareness
Level of Awareness 4 3 2 1 Mean Verbal

Never Rarely Often Always Description
How frequent do you 0 14 20 12 2.04 OFTEN
smoke cigarettes?
smoke daily?
How often do you hear 23 8 6 9 2.98 RARELY
about Tobacco RA
9211?
How frequent do you 20 11 8 7 2.96 RARELY
19
hear about the
implementation of RA
9211?
How frequent do you 12 15 12 7 2.70 RARELY
see or hear about anti
Tobacco law in media?
How frequent have you 8 17 15 6 2.59 RARELY
experience that
warning signs can
reduce your smoking
habit?
hear that smoking is
dangerous to your
health?
hear about the harmful
effect of smoking?
Did anyone ever told 9 6 14 17 2.15 OFTEN
you that smoking in
public is prohibited?
see any warning
pictures on tobacco
products?
OVERALL MEAN 2.21 OFTEN
Legend
Question no.1-2 stick of cigarettes
Never 4- (does not smoke)
Rarely 3- (1 to 2 sticks a day)
Often 2- (1 pack a day)
Always 1- (2 packs a day)
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Question no.3-10: smoking R.A 9211
Never:
Rarely:
Often: } aware but ignore said information
Always:
Table 8. Shows the level of awareness of smokers or respondent on the RA 921. With
an overall mean of 2.21 with verbal description often it implies that smokers are often
aware about the tobacco RA. 9211.
3. How effective RA. 9211 in government agencies in Lamitan City, Basilan?
Table 9
Effectivity of the law
Effective of LAW 5 4 3 2 1 Mean Verbal

Question Strongly Agre Not Disagre Strongly Description
agree e sure e disagree
No smoking sign 13 19 10 2 2 3.85 Agree
Smoking is 20 19 5 0 2 4.20 Agree
dangerous to your
health
Implementation of 26 14 5 0 1 4.40 Agree
smoking sign
No smoking in public 29 9 4 2 2 4.33 Agree
place
In favor in 32 10 3 0 1 4.57 Strongly
implementation of RA
Agree
9211
OVERALL 4.27 Agree
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MEAN
Table 9. Shows the effectivity of the law in Lamitan City, Basilan. With an overall
mean of 4.27 it is clearly stated that respondents agree that RA 9211 has been
effectively implemented in government agencies in the City of Lamitan, Basilan.
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CHAPTER V
SUMMARY CONCLUSSION AND RECOMMENDATION
This chapter contains the summary and recommendation of this research.
5.1 Summary of Findings
The study sought to find answer to the following question:
1. Under the age ranging 36-45 years old got the highest frequency of 19 and a
percentage of 41.30% this implies that most of the respondents were of this age who
are smoking. Most of the respondent are Male who got the highest frequency 44 and a
percentage of 95.65% while female got the lowest. This implies that most of the
respondent who smokes were mostly male. Married respondent got the highest
frequency of 32 and a percentage of 69.57% while widow got the lowest, this implies
that respondents who smoke were mostly married. Most of the respondent were
College graduate with frequency 14 and percentage 30.43% it is followed by high
school level with frequency of 13 and percentage of 28.26%. Elementary level got the
lowest frequency of 2 and percentage of 4.35%, this implies that smokers were mostly
college graduate and less are from elementary level. Most of the respondents were
from the Yakan tribe with frequency of 20 and percentage of 43.48%. This implies
that most of the population are from the Yakan tribe.
2. The level of awareness of smokers or respondent on the RA 921. With an overall

mean of 2.21 with verbal description often it implies that smokers are often aware
about the Tobacco RA. 9211.
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3. With an overall mean of 4.27 it is clearly stated that respondents agree that RA
9211 has been effectively implemented in government agencies in the City of
Lamitan, Basilan.
5.2 Conclusion
1. Based on the statistical treatment used in computation of the demographic status of

the respondent, it has been shown that most of the smokers are male ages 36-45 years
old, married, college graduate and from the Yakan tribe.
2. Based on the statistical treatment utilized by the researcher on the level of

awareness of the respondent in following the guidelines of R.A 9211 it has been
implicated verbally that they are aware about the guidelines of Tabacco regulation act
of 2003 which is RA 9211 but some are ignored the said Law.
3. Based on the statistical analysis utilized by the researcher in the effectivity of RA

9211 in government agencies it is evidently specified that the respondent agree that
the tobacco regulation act of 2003 which is RA 9211 has been effectively
implemented in government agencies in Lamitan City, Basilan.
5.3 Recommendations
The Following are recommendation for this study:
To the Local Government Unit and Philippine National Police of Lamitan City.
They must initiate seminars and symposiums for ages 36-45 years old Male
responded on Republic act 9211 or also known as the tobacco regulation act of
2003 which include the policies and health hazard of smoking.
To the City Health Office, they must conduct health education to the different
sectors by promoting and protecting their health from the hazards of smoking.
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The local government unit should create an agency or task force for monitoring
the implementation of RA 9211 as well as giving penalty to the violators.
Law enforcer should implement this R.A 9211 in Lamitan City.
The Future Researchers- The results of this study will serve as a reference
material for the future researchers who wanted to replicate the study at hand.
Include Muslim organizations to conduct symposium or include awareness of
R.A 9211
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BIBLIOGRAPHY
Aguillon, Joyce & Romano, Precious, April 2012; A Study on the Effects Anti-
Smoking.
Civil Service Commission Memorandum Circular No. 17, Series of 2009
Inter-Agency Committee-Tobacco Memorandum Circular No. 1, Series of 2004
International Agency for Research on Cancer (IARC).
Philippine Global Adult Tobacco Survey 2009, Country Report, March 16, 2010
RA 8749, Clean Air Act of 1999
RA 9211, Tobacco Regulation Act of 2003
Tobacco Control, Volume 13. Evaluating the effectiveness of smoke free policies
WHO Framework Convention on Tobacco Control
26
APPENDIX A
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P. Cuevas Street, Lamitan City, Basilan or visit us at www.furigay.edu.ph
December 28, 2019
Hon. Rosita U. Furigay

Mayor
Lamitan City, Basilan 7302
Dear Madam,
Assalam Alaykum Warahmatullahi wal Barakatu!
We the Fourth year BS NURSING Students of Hardam Furigay Colleges Foundation

Incorporated are conducting a research study entitled “EFFECTIVENESS ON THE
IMPLEMENTATION OF RA 9211 IN LAMITAN CITY, MULTI-SECTORAL
APPROACH”, for the completion of our course requirement in Nursing Research,
the objective of this study are:
1. Include demographic profile of smokers such as
a. Age – 18 years old – 35 years old
b. Gender – Male and female ,
c. Civil status- married or single
d. Educational attainment
e. Ethnic group- Bisaya, Tausug, Chavacano, Yakan, Samal
2. Determine the level of awareness of all smoker such as tricycle drivers, street
vendors, traffic enforcers, policeman, and teachers in the following guidelines of
R.A 9211.
3. Determine the effectiveness in the implementation of the RA 9211 of
government agencies in Lamitan City, Basilan.
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In relation, the researchers have chosen the differet sectors in Lamitan City as a
respondent were they will conduct their research study, we will rest assured their
responses will be kept as confidential.
Truly yours,
ESTRADA ROAIMAR S.
BSN IV
Noted by:
GLORIE GRACE L. CARABOT RN, MPA
NURSING RESEARCH INSTRUCTOR
HFCFI LAMITAN CITY, BASILAN
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APPENDIX B
30
QUESTIONNAIRE’S
Part I. Respondents Profile

Name (optional): __________________________
Age: ___________________________
Gender: _______________
Civil Status: ___________________
Sector: ___________________
Educational Attainment (Check One)
___Elementary Level ___High School Level ___College Level
___Elementary Graduate ___High School Graduate ___College Graduate
Ethnic Group (Check One)
___ Bisaya ___Chavacano ___Samal
___Tausug ___Yakan ___Other
Part II. Questionaire based on the Concept on Effectiveness on the
Implementation of RA 9211 (Tobacco Regulation Act of 2003) in Lamitan City,
Multi Sectoral Approach.
Instruction: This questionnaire is all about the concept on Effectiveness on the
Implementation of RA 9211 in Lamitan City, Multi Sectoral Approach. There are 15
questions provided to the respondent for them to answer.
Tagalog instruction: Ang tanong na ito ay tungkol sa konsepto

ngepektibosaimplementasyon ng RA 9211 sa Lamitan City, multi sectoral approach.
Mayroong 15 mga katanungan na ibinigay sa respondent para sa kanila upang
sagutin.
Instruction: Encircle the letter of your choice or answer.

Tagalog Instruction: Bilugan ang mga sagot.
Test 1 Awareness of the law

1. How frequent do you smoke cigarettes?
Translation: Gaano ka kadalas manigarilyo?
a. Never
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b. Rarely
c. Often
d. Always
2. How frequent do you smoke daily?
Translation: Gaano ka kadalas manigarilyo araw-araw?
a. Never
b. Rarely
c. Often
d. Always
3. How often do you hear about Tobacco RA 9211?
Translation: Gaano mo kadalas narininig ang tungkol sa RA 9211?
a. Never
b. Rarely
c. Often
d. Always
4. How frequent do you hear about the implementation of RA 9211 laid down by
government can educate the public adequately?
Translation: Gaano mo kadalas naririnig ang tungkol sa pagsasakatuparan ng
RA 9211 na inilatag ng gobyerno na maaaring turuan ang publiko ng sapat na
kaalaman?
a. Never
b. Rarely
c. Often
d. Always
5. How frequent do you see or hear about anti-Tobacco law in media message?
Translation: Gaano mo kadalas nakikita o naririnig ang tungkol sa batas na
Anti-Tobacco sa midya?
a. Never
b. Rarely
c. Often
d. Always
6. How frequent have you experienced that warning signs can reduce your
smoking habit?
Translation: Gaano mo kadalas naranasan na ang warning signs ay
nakakapagbawas sa kinaugaliang paninigarilyo?
a. Never
b. Rarely
c. Often
d. Always
7. How frequent do you hear that smoking is dangerous to your health?
Translation: Gaano mo kadalas naririnig na ang paninigarilyo ay delikado sa
iyong kalusugan?
a. Never
b. Rarely
c. Often
32
d. Always
8. How frequent do you hear about the harmful effect of smoking?
Translation: Gaano mo kadalas naririnig ang tungkol sa masamang epekto ng
paninigarilyo?
a. Never
b. Rarely
c. Often
d. Always
9. Did anyone ever told you that smoking in public is prohibited?
Translation: Mayroon na ba nakapagsabi sayo na bawal manigarilyo sa
pambublikong lugar?
a. Never
b. Rarely
c. Often
d. Always
10. How frequent do you see any warning pictures on tobacco products?
Translation: Gaano mo kadalas nakikita ang mga warning pictures sa kaha ng
sigarilyo?
a. Never
b. Rarely
c. Often
d. Always
Test 2 Effectivity of the law
1. Do you agree that warning signs refrain you from smoking intake?
Translation: Sang-ayon ka ba na ang warning signs ay pinipigilan kang
manigarilyo?
a. Strongly agree
b. Agree
c. Not sure
d. Disagree
e. Strongly disagree
2. How do you agree with the statement that the smoking is dangerous to your
health?
Translation: Gaano ka kasang-ayon sa pahayag na ang paninigarilyo ay
delikado sa iyong kalusugan?
a. Strongly agree
b. Agree
c. Not sure
d. Disagree
3. How do you agree that smoking signage should be implemented here in
Lamitan City?
Translation: Gaano ka kasang-ayon na ang smoking signage ay dapat
maisakatuparan dito sa Lamitan City?
33
a. Strongly agree
b. Agree
c. Not sure
d. Disagree
4. How do you agree that it is best not to smoke in public place?
Translation: Gaano ka kassang-ayon na mas mabuting hindi manigarilyo sa
pampublikong lugar?
a. Strongly agree
b. Agree
c. Not sure
d. Disagree
5. How are you infavor in implementation the RA 9211 here in Lamitan City?
Translation: Gaano ka kapabor sa pagsasakatuparan ng RA 9211 dito sa
Lamitan City ?
a. Strongly agree
b. Agree
c. Not sure
d. Disagree
34
APPENDIX C
35
ROAIMAR
SULOG
ESTRADA
Birthday: April 27, 1999
Barangay: TumakidLamitan City Basilan
Mobile No. 09978444568
[email protected]
PERSONAL INFORMATION:
Age: 20 Civil Status: Single
Citizenship: Filipino Religion: Islam
Father: Rolando R. Estrada Occupation: Farmer
Mother: Satra S. Estrada Occupation: OFW
Incase of emergency, please notify: Rolando R. Estrada
09263702774
EDUCATIONAL ATTAINMENT:
PRIMARY/ELEMENTARY: Tumakid Elementary School
S.Y. 2010-2011
SECONDARY: BegangNatinal High School
S.Y. 2014-2015
TERTIARY: Bachelor of Science in Nursing

HardamFurigay Colleges Foundation
Incorporated
P. Cuevas St. Lamitan City
April 2020
TRAININGS AND SEMINARS:
Advocacy on Sexually Transmitted Infection (HIV – AIDS)

July 14, 2018
36
Hostel Function Room, Lamitan City.
Progestin – only Subdermal Implants (PSI)

July 14, 2018
Leadership Training and Team Building

September 06, 07, 08, 2019
HardamFurigay Colleges, Lamitan City.
Leardership Management
November 27, 2018
HardamFurigay Colleges Gymnasium, Lamitan City
Basic Life Support and First Aid

February 22,23, 2020
HardamFurigay Colleges, Isabela City.
HealthCare Services NCII

February 29, 2020
CHARACTER REFERENCE:
GLORIE GRACE L. CARABOT, RN, MPA, MAN
Department Head of College of Allied Medical Sciences

37
Hardam Furigay Colleges Foundation incorporated
+639xx-xxx-xxxx
ANGELIE T. AGANG, RN, MPA, LPT
Clinical instructor
+639xx-xxx-xxxx
BINHALID H. DAMIL, RN, RM, MAN,
Clinical instructor
+639xx-xxx-xxxx
SARHA
ALIH
ADIL
38
Birthday: march 18, 1994
Barangay: Maganda, Lamitan City
Mobile No. 09358600819
[email protected]
Father: Hji. Sa-ad H. Adil Occupation: Farmer
Mother: Satra A. Adil Occupation: House wife
Incase of emergency: Satra A. Adil
09066543026
PRIMARY/ELEMENTARY: Jose Rizal Elementary School
Aguinaldo St.
S.Y. 2006-2007
SECONDARY: LamitanNatinal High School
LimookLamitan City
S.Y. 2010-2011
Incorporated
April 2020

July 14, 2018

July 14, 2018
39
September 06, 07, 08, 2019
November 27, 2018


February 29, 2020
+639xx-xxx-xxxx
Clinical instructor
40
+639xx-xxx-xxxx
BINHALID H. DAMIL, RN, RM, MAN,
Clinical instructor
+639xx-xxx-xxxx
ALIA
ANYAMAN
ALIH
Birthday: June 09, 1999
Barangay: Macalang Al-barka
Mobile No. 09481156079
41
Father: AkramAlih Occupation: OFW
Mother: Rima Alih Occupation:
(decease)
Incase of emergency: Marwan Alih
PRIMARY/ELEMENTARY: Danapah Elementary School
Parangbasak Al-barka Basilan
S.Y. 2010-2011
SECONDARY: SinulatanNatinal High School
SinulatanTuburan
S.Y. 2014-2015
Incorporated
April 2021

July 14, 2018

July 14, 2018
November 27, 2018

42
+639xx-xxx-xxxx
Clinical instructor
+639xx-xxx-xxxx
BINHALID DAMIL, RN, RM, MAN,
Clinical instructor
+639xx-xxx-xxxx
43
NURYAM
ABANTO
AMARUL
Birthday: December 13, 1998
Barangay: ParangbasakLamitan City
Mobile No. 09071768134
Father: AbsarulAmarul Occupation: Farmer
Mother: MaylinAmarul Occupation: House wife
Incase of emergency: MaylinAmarul
PRIMARY/ELEMENTARY: Parangbasak Central blementary School
ParangbasakLamitan City
S.Y. 2010-2011
SECONDARY: ParangbasakNatinal High School
parangasak
S.Y. 2014-2015
Incorporated
44
April 2021

July 14, 2018

July 14, 2018
November 27, 2018

45
+639xx-xxx-xxxx
Clinical instructor
+639xx-xxx-xxxx
Clinical instructor
+639xx-xxx-xxxx
46
SARAH
A.
JAINUDDIN
Birthday: January 25, 1994
Barangay: MamburingTuburan
Mobile No. 09305912768
Father: MaksudJainuddin Occupation: Farmer
Mother: SunainaJainuddin Occupation: OFW
Incase of emergency: AyingKasim
PRIMARY/ELEMENTARY: Mamburing Elementary School
MamburingTuburan
S.Y. 2006-20007
SECONDARY: Claret School of Lamitan
Rizal Avenue Lamitan City BAsilan
S.Y. 2014-2015
Incorporated
April 2020

47
September 06, 07, 08, 2019


February 29, 2020
48
+639xx-xxx-xxxx
Clinical instructor
+639xx-xxx-xxxx
Clinical instructor
+639xx-xxx-xxxx
AMEERA AYESHA
W.
SAJI
49
Birthday: December 28, 1995
Barangay: MatatagLamkitan City
Mobile No. 0935569582
Age: 24 Civil Status:
Citizenship: Filipino Religion:
Father: ArasadSaji Occupation: Vendor
Mother: NurcianaSaji Occupation: Vendor
Incase of emergency: NurcianaSaji
EDUCATIONAL ATTAINMENT
PRIMARY/ELEMENTARY: San Roque lementary School
Barangay. San Roque Zamboanga City
S.Y. 2008-2009
SECONDARY: LamitanNatinal High School
LimookLamitan City
S.Y. 2014-2015
Incorporated
April 2020


February 29, 2020
50
+639xx-xxx-xxxx
Clinical instructor
+639xx-xxx-xxxx
Clinical instructor
+639xx-xxx-xxxx
REFERENCES
1. Aguillon, Joyce & Romano, Precious, April 2012; A Study on the Effects Anti-
Smoking.
2. Civil Service Commission Memorandum Circular No. 17, Series of 2009
3. Inter-Agency Committee-Tobacco Memorandum Circular No. 1, Series of 2004
4. International Agency for Research on Cancer (IARC).
5. Philippine Global Adult Tobacco Survey 2009, Country Report, March 16, 2010
6. RA 8749, Clean Air Act of 1999
51
7. RA 9211, Tobacco Regulation Act of 2003
8. Tobacco Control, Volume 13. Evaluating the effectiveness of smoke free policies
9. WHO Framework Convention on Tobacco Control
52

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CHAPTER 1

1.1 Background of the Study

heart failure, stroke, chronic obstructive pulmonary disease, peripheral vascular

disease and many cancers (WHO, 2009).

actual smoking; second-hand smoking which maybe the indirect exposure or

considering the persons in the place.

With these risks or effects of smoking being speculated, the international

authorities, specifically the WHO, promulgated the Framework Convention on

mortality due to the use and consumption of tobacco.

following places: “Centers of youth activity such as playschools, preparatory

schools, elementary schools, high schools, colleges and universities, youth

smoke, the owner, proprietor, possessor, manager or administrator of such places

amounts of secondhand smoke exposure can be harmful to people’s health and

that opening a window or using ventilation, air conditioning, or a fan cannot

eliminate secondhand smoke exposure. 2. Secondhand smoke causes lung cancer,

respiratory effects. 3.Second hand smoke, which has a higher concentration of

toxic chemicals than smoke inhaled by smokers, is a known human carcinogen

and an occupational carcinogen containing formaldehyde, benzene, vinyl

chloride, arsenic, ammonia, and hydrogen cyanide.

implementation of the RA 9211 to increase the awareness of the smokers.

Input Process Output

Republic Act Effectiveness of

Figure 1. Shows the Effectiveness on the Implementation of RA 9211 In

dependent variables are the effectiveness of implementation and the intervening

variables are the demographic profile, dissemination of information, health education.

This study aims to determine the effectiveness of the implementation of

RA 9211 in Lamitan City, Multi-sectoral approach, specifically, this study

1. Include demographic profile of smokers such as

a. Age – 18 years old – 35 years old

b. Gender – Male and female ,

c. Civil status- married or single

e. Ethnic group- Bisaya, Tausug, Chavacano, Yakan, Samal

vendors, traffic enforcers, PNP, and teachers in the following guidelines of

3. How effective RA 9211 in government agencies in Lamitan City, Basilan?

1.4 Scope of Delimitation

The study assessed the effectiveness on the implementation of RA 9211 in

effectiveness on the implementation of RA 9211 such as governance characteristics

government employees will also be incorporated to the study

implementers of RA 9211 on how effective and efficient the implementation

government agencies to establish strong health policy on the prohibition of

4. Employees- This study will give opportunity to the smoker employees’ to

know the importance of health policies being set forth by government

5. Institutional academe- It is hoped that through this study, significant

information will be added to the mere knowledge on the course of

implementation and enforcement of the RA 9211. The information that will be

implementation of the policy.

1.6 Definition of terms

Age-consist of male and female ages 18 years old- 45 years old.

Effectiveness- degree to which to a law avid by the citizens of the country.

Implementation- execution of something that is planned by law enforcer which result

Multisectoral approach- consist of many sectors such as tricycle drivers, street

Smokers- the respondents of this study.

Health policy- refers to a decisions of a health worker on implementing guidelines

REVIEW OF RELATED LITERATURE

is an omnibus law regulating smoking in public places, tobacco advertising,

Inter-Agency Tobacco-Committee issued Implementing Rules and Regulations of the

Tobacco Regulation Act of 2003. The Committee’s Implementing Rules and

Tobacco product is defined as any manufactured product made of leaf tobacco

nicotine and many carcinogens. Hence, it is an addictive plant (WHO, 2006).

Scientific evidences show that the consumption and exposure to tobacco

the start of tobacco-related diseases (WHO FCTC, 2005).

Smoking indeed causes pre-mature deaths. Around half of the continuing