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VOL. 8, ISSUE 1 (2026)
Tobacco control financing and Tuberculosis burden: Policy coherence in Indonesia’s public health system
Authors
Halik Sidik, Evelyn B Valencia
Abstract
Tuberculosis remains one of the most significant public health challenges in Indonesia despite ongoing national and regional control efforts. At the same time, tobacco consumption remains highly prevalent and is increasingly recognized as a structural determinant that exacerbates tuberculosis risk, disease progression, and treatment outcomes. The coexistence of high tobacco use and a persistent tuberculosis burden raises important policy questions regarding the coherence between tobacco control financing and tuberculosis prevention strategies within decentralized health systems. Although tobacco taxation is widely acknowledged as an effective instrument for both public revenue generation and health risk reduction, empirical evidence examining how tobacco-related fiscal capacity contributes to tuberculosis control programs remains limited, particularly at the regional government level.This study investigates the relationship between tobacco control financing capacity and tuberculosis prevention outcomes within Indonesia’s regional public health system. The research employs a quantitative panel design using regional health financing data from district and municipal governments covering the period 2022–2025. The dataset integrates public expenditure data for AIDS, tuberculosis, and malaria programs with indicators of institutional governance capacity and regional health expenditure. Descriptive statistical analysis is used to examine trends in communicable disease financing, while panel regression models are applied to evaluate the relationship between tobacco-related fiscal capacity, governance conditions, and tuberculosis program integration.The findings indicate that regional financing for communicable disease programs increased substantially during the study period, with tuberculosis programs consistently receiving the largest share of funding. Total allocations for AIDS, tuberculosis, and malaria programs more than doubled between 2022 and 2025. Regression results further suggest that stronger tobacco control financing capacity is positively associated with improved tuberculosis prevention performance, particularly in regions characterized by stronger institutional governance and higher health expenditure commitments.These results emphasize the importance of strengthening policy coherence between tobacco control financing mechanisms and tuberculosis prevention strategies. Aligning tobacco taxation revenues with regional health financing frameworks can contribute to more sustainable tuberculosis control efforts in decentralized public health systems.
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Pages:228-233
How to cite this article:
Halik Sidik, Evelyn B Valencia "Tobacco control financing and Tuberculosis burden: Policy coherence in Indonesia’s public health system". International Journal of Social Science and Humanities, Vol 8, Issue 1, 2026, Pages 228-233
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