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Final Narrative Report 1 | Page Final Narrative Report GRANT INFORMATION Project ID (ex: UNITEDSTATES-2-03) VIETNAM-RI1-06C Organization’s legal name HealthBridge Foundation of Canada, Vietnam Office Project Title Strengthening Implementation of Smoke Free in Restaurants in Hanoi Project Duration (# of months) 25 months Reporting Period (mm/dd/yy mm/dd/yy) 1 st Jan 2015 31 th Jan 2017 REPORT PREPARER Title (Dr / Ms / Mr) Ms Ms First Name Thi Hoang Anh Hanh Nguyen Family Name Pham Nguyen Position Country Director Project cum Media Officer Direct telephone 84-4-38 3511 9904 ext. 108 and 121 Mobile telephone 84-(904121292) Direct email [email protected] Skype ID (if applicable) 84-4-38 3511 9904 ext. 108 and 121 INSTRUCTIONS: 1. This report is due thirty days after the expiration of your project. Please note that the grant expiration date is listed on the first page of your grant agreement. 2. Information for this report should be cumulative please include any relevant information from the entirety of your project. 3. Please answer each question as completely as possible. Be sure to address the progress and completion of all activities included on the project workplan. If you require clarification on any question, please consult your TFK Program Officer.

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Page 1: Final Narrative Report - HealthBridge · 2017-07-27 · Final Narrative Report 3 | P a g e 3. On May 25, 2015, the Project Manager attended the launching workshop on implementation

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Final Narrative Report

GRANT INFORMATION

Project ID (ex: UNITEDSTATES-2-03) VIETNAM-RI1-06C

Organization’s legal name HealthBridge Foundation of Canada, Vietnam Office

Project Title Strengthening Implementation of Smoke Free in Restaurants

in Hanoi

Project Duration (# of months)

25 months

Reporting Period (mm/dd/yy – mm/dd/yy)

1st Jan 2015 – 31th Jan 2017

REPORT PREPARER

Title (Dr / Ms / Mr) Ms

Ms First Name

Thi Hoang Anh

Hanh Nguyen

Family Name Pham

Nguyen

Position Country Director

Project cum Media Officer

Direct telephone 84-4-38 3511 9904 ext. 108 and 121

Mobile telephone 84-(904121292)

Direct email [email protected]

Skype ID (if applicable) 84-4-38 3511 9904 ext. 108 and 121

INSTRUCTIONS:

1. This report is due thirty days after the expiration of your project. Please note that the

grant expiration date is listed on the first page of your grant agreement.

2. Information for this report should be cumulative – please include any relevant

information from the entirety of your project.

3. Please answer each question as completely as possible. Be sure to address the progress

and completion of all activities included on the project workplan. If you require

clarification on any question, please consult your TFK Program Officer.

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4. This report should be accompanied by an Final Financial Report. If you do not have a

CTFK Financial Report template, please contact your TFK Program Officer to secure

one.

5. Completed narrative and financial reports can be email directly to

[email protected].

Overall Project

1. Please list the major objectives of your project as they were set forth in original grant

agreement.

Objective 1: To improve the commitment of local authorities to the effective implementation

of SF law in restaurants of Hanoi.

Objective 2: To improve awareness among restaurant owners, managers, and staff members

for effective implementation of Smoke Free laws in restaurants of Hanoi.

Objective 3: To improve public support and demand for SF restaurants in Hanoi.

Objective 4: To strengthen enforcement of smoke free policy in public places.

2. Please list and describe all activities completed during the grant, including:

a. All completed activities which were included on the project workplan:

Objective 1: To improve the commitment of local authorities to the effective

implementation of SF law in restaurants of Hanoi.

Activity 1: Identify suitable members of the taskforce and invite their participation (None cost

activity)

1. Early February 2015, the project met the Department of Health (DOH), the focal point of the

Steering Committee (SC) of Hanoi People Committee (HNPC) in charge of Tobacco Control

(TC) law implementation, for discussing the implementation of smoke-free (SF) restaurants in

Hanoi. Following the discussion, the first meeting with the leader and staff of DOH in charge of

TC was scheduled.

2. In 9 April 2015, the first meeting with the leader and staff of DOH in charge of TC was held.

The objective of this meeting was identify members of the SF taskforce and provide comments

to DOH for finalizing the TC work plan of Hanoi before DOH submitted to the Tobacco Control

Fund for approval. At the meeting the project manager introduced the project and its workplan.

Secretary of Steering Committee and Centre for Research and Community Development

Services (CDS) also introduced their workplan for implementation of TC law in Hanoi. The

discussions were focused on the integrated workplan for implementation of TC law in Hanoi

which include the plan for smoke free restaurant implementation. SF taskforce was also

identified as secretariat of TC Steering Committee; they were from departments of health,

culture, sports and tourism, communication and media, public security, and father land front.

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3. On May 25, 2015, the Project Manager attended the launching workshop on implementation

of smoke free health settings in Hanoi. The participants were leaders of district health centers

and divisions who play key roles in monitoring and implementation of smoke free restaurants.

4. The Project Manager joined a monitoring trip organized by DOH/HNPC to Thanh Nhan

hospital and Giap Bat coach station in Hanoi. It was observed that implementation of smoke-free

restaurants was better in the coach station than in the hospital.

5. On June 8, 2015 the Project Manager attended a meeting with a secretary of the Steering

Committee of Hanoi People’s Committee. The purpose of the meeting was to finalize the

detailed collaborative workplan for TC implementation in Hanoi in 2015, including the

implementation of SF in restaurants in Hanoi.

Activity2: Organize and host regular meetings of the taskforce to develop a work plan; review

existing operating documents and propose action to be taken.

1. On May 14, 2015 with technical and financial support from the project, a meeting for the TC

law implementation taskforce was organized by the Department of Health as a focal point for the

TC Steering Committee of Hanoi People’s Committee. The objective of this meeting was to

review the TC implementation in 2014 and to introduce the workplan approved by Hanoi

People’s Committee for TC implementation in Hanoi in 2015, including the implementation of

SF in restaurants. 18 members of Secretariat of TC Steering Committee who were from

departments of health, culture, sports and tourism, communication and media, public security,

and father land front attended in the meeting. The Project Manager gave presentations on

implementation of the project workplan of smoke-free restaurants (SFR) in HN.

2. On June 2 and again on July 23 2015, the project team held two meetings with the secretary of

the Hanoi Steering Committee for TC to develop a detailed work plan for SFR implementation in

Hanoi.

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On Sept 21 2015, the DOH, as the standing body of the HNPC steering committee, approved and

signed the work plan No 4449/KH-SYT for implementing smoke-free restaurants and hotels in

Hanoi.

3. Toward World No Tobacco Day on 30 May, 2016 HB was invited to the Conference on the

review of tobacco control in 2015 and implementation of Hanoi’s tobacco control work plan in

2016 organized by Hanoi Health Department. About 70 people from HNPC steering committee,

Department of Health, Health divisions at district level, and journalists attended the conference.

The project manager gave presentations on the support for implementation of smoke free

restaurants in Hanoi from beginning of 2015 so far. The presentations included recommendations

to Hanoi People Committee for stronger involvement in and push up this process. Our partner,

Hoan Kiem Health division also gave presentations on sharing experience in implementing

smoke-free restaurant model in Hoan Kiem district.

Activity 3 Design and conduct two public polls.

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1. From April to May 2015, the project team coorperated with Vietnam Public Health

Association (VPHA) to conduct a public poll assessing support for implementation of SFRs in

Hanoi. The protocol and data collection tool were developed by VPHA with input from the

project team. In total, 195 restaurants were randomly selected from registered restaurants located

in Hai Ba Trung and Ba Dinh districts. Interviews were conducted with 195 restaurants owners/

managers/staff and 970 customers (5 customers from each restaurant). In-depth interviews were

also conducted with ten selected managers and representatives of authority in charge of SF

enforcement (health inspectors).

The study results showed that the implementation of smoke-free restaurants was on a small scale:

The proportion of restaurants implementing a ban of smoking or having separate areas for

smokers was just 25.6%. A significant proportion of restaurant managers did not know about the

ban of indoor smoking in restaurants. Only 54.4% of restaurant owners / managers knew about

the regulations on the indoor smoke-free policy. 80% of 195 interviewed restaurant

owners/managers and 82% of interviewed customers supported its implementation. The

obstacles for implementing the ban on indoor smoking in restaurants, from the point of view of

managers, were i) the worry about offending visitors (85.2%); ii) the fear of losing customers

(70.5%). According to the customers, the implementation of the ban on smoking in restaurants

would have minimum influence on their choice of service. The findings also indicated the

contradictory viewpoints of the law enforcement authorities and the public: while the public

wants the new law to be enforced, the law enforcers think that the enforcement can only be

implemented after public education.

2. From May to Sep 2016, the project coordinated with research team of Hanoi School of Public

Health to implement the second round of the public poll. The protocol and questionnaire of the

first poll were revised with more questions focused on the implementation and economic aspect

of SFR implementation. Interviews were carried out with 195 restaurant owners and 970 guests

who were selected randomly on the list of restaurants within these two districts.

The outcome results showed positive changes in implementing smoke-free restaurants: 44.1%

restaurants implementing smoke-free regulation (increased 19%); 82.6% of restaurant owners

knew about the Tobacco Control Law (increased 12.3%) and 69.2% of restaurant owners knew

about smoke-free regulation in restaurants (increased 14.8%). The proportion of restaurant

owners/managers supporting the implementation of smoke-free restaurant was increased from 80%

to 85.6%. The study outcome also shows that more than 90% of the restaurants, those are enforcing

this regulation have no change in number of guests and revenue, the revenue has even increased in

8.1% of restaurants and number of guests increased in 5.5% of restaurants. Challenges in the

enforcement of this regulation included: limitation and inconsistency in implementing full smoke-

free criteria, and lack of reminding people violating the regulation. The barriers for restaurants

where smoke-free regulation has not been implemented were the concern of losing guests (40.4%),

concern of dissatisfaction from guests (30.3%) and the compliance of guests (30.3%).

Results from the public polls were used for communication and advocacy for the implementation

of SFR.

Activity 4 Develop a communication package that includes information on the benefits of SFR

and best practices in implementing them.

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In July 2015, the project developed and printed two factsheets:

- One factsheet on implementing SFR that highlighted the need for and benefits of

implementing SFR, including points related to (i) the health, economic, and

environmental damages caused by smoking and SHS, (ii) gaining the support of

customers for smoke free restaurants, and (iii) the legislation and steps required to

implement SFR.

- One factsheet that highlighted the main findings of the first public poll which focused on

the current situation of SFR compliance, opinions and awareness of the customers and

restaurant owners/managers about implementing smoke-free restaurants, and challenges

faced in implementing smoke-free restaurants from the perspective of restaurant owners

and enforcement officers.

Besides, two additional factsheets on “Smoke-free places regulated by the Tobacco Control

Law and penalty regulations” and “Harms of second-hand smoke” – which were developed

by VINACOSH – were also reprinted.

These four factsheets were disseminated to district authorities in charge of SF implementation

and restaurant owners during training sessions and to media for communication.

Activity 5 Organize a multi-sectoral workshop for the authorities in charge of SF

implementation

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In 10 September 2015, the project team supported DOH (in its role as the standing body of the

TC HNPC steering committee) to organize a multi-sectoral workshop to reinforce the

commitment of local authorities to SFR. The workshop introduced provisions 11 & 12 of the TC

law, addressed the benefit of SFRs and best practices in implementing them, and provided the

draft SFR implementation work plan prepared by the standing body. During the workshop,

participants also discussed challenges and possible approaches for solving problems related to

implementing SFR. Representatives of NA CSA, MOH/VINACOSH, and WHO attended and

provided presentations. 78 participants attended from the HNPC steering committee, the

Department of Health, the Department of Trade and Industry, the Department of Culture-Sport-

Tourism, the People Committees and health divisions at the district level, the health

inspectorates, and journalists.

Activity 6: Conduct two media workshops to introduce the best practices, to share the results of

the public polls, and to encourage the media to support SFR.

In the first year of project, information on the implement SFR was not enough and diverse to

share to media, so the project plan was changed to integrate 1 media workshop in the second year

of the project. Beside, the media were also regularly invited to our training workshops for

restaurants/enforcers at the local level to access and disseminate information on the topic

(activity 5, activity 11).

In 16 Nov 2016, the project coordinated with Ministry of Information and Communication

(MOIC) to organize a media workshop to disseminate information on the situation of SFR and

experiences in implementing SFR. 130 participants from national and local newspapers, TV,

VOV participated in the workshop. A Vice Minister of MOIC attended and gave a speech to

open the workshop.

+ Content: The workshop shared information on the needs, benefits and international

experiences in implementing SFR (by HealthBridge), the legal provisions for implementing SFR

(by Vinacosh), experiences of local authorities in strengthening the implementation of SFR (by

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Head of Health division of Hoan Kiem and Hai Ba Trung districts), experience of restaurant

owners in implementing SFR (by 1 restaurant) and the results of SFR survey (by HealthBridge).

+ Communication: Information from the workshop was widely distributed in the mass media

following the event. There were 4 TV reportages, 1 radio reportage and about 80 print and online

articles that distributed information from the workshop (collected in 5 days after the workshop).

Activity 7: Publish 10 articles on the benefits of SFR and introduce good models for

implementing them.

In 2015, The project team collaborated with journalists from four newspapers (, Dan tri, Life and

Health, Urban Economics and Vietnam Law) to publish 8 articles on promoting the

implementation of smoke-free restaurant regulations.

(1) Article titled “Customers will no longer suffer from the smell of cigarette smoke while in

restaurants” published in Life and Health on December 17 2015;

(2) Article titled “Smoke-free Restaurant: Mutual Benefits” published in Urban Economics

Newspaper on December 21 2015;

(3) Article titled "Hanoi strengthen inspecting smoke-free restaurants" published in Urban

Economics Newspaper on December 31 2015;

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(4) Article titled “Building a smoke-free restaurant: making customers happy and satisfied”

published in Life and Health on December 22 2015;

(5) Article titled “To deploy an effective model of smoke-free restaurant: strict TC law

enforcement” published in Vietnam Law, Issue No. 358 dated December 24 2015.

(6) Article titled "Lungs of child patients and sad story about secondhand smoke" published

in Vietnam Law (online), dated December 24 2015(Payment for publishing two articles

on implementing SFR on Dan Tri Newspaper;

(7) Article titled "A fine of million for not hanging "no-smoking" signs in restaurant"

published in Dan Tri Newspaper on 10/12/2015;

(8) Article titled "High level of cigarette smoke pollution in restaurants" published in Dan

Tri Newspapwr on 31/01/2016.

In 2016, the project team collaborated with journalists from 8 newspapers (Dan tri, Urban

Economics, Vietnam Law, Social and Law, Dai Doan Ket, Infornet Culture, The People) to

publish 9 articles focused on promoting implementation of smoke-free restaurant regulation,

best-practice in implementing SFR. Result of public poll on public support to implement SFR,

experience of Health division (Hoan Kiem district) and some smoke-free restaurants were widely

distributed through these articles.

(1) Article titled “Reduce the harm of cigarettes by the model of smoke-free restaurants”

published on Infonet Newspaper on 28/5/2016.

(2) Article titled “Restaurants face difficulty when forbidding customers smoking inside”

published on Dan Tri Newspaper on 27/5/2016.

(3) Article titled “Using expediency of "Pretend to be injured" to implement smoke-free

restaurants. published on Infonet Newspaper on 27/05/2016.

(4) Article titled “World No Tobacco Day of 31.5: Smoke-free restaurants” published on

Cultural Newspaper on 30/5/2016.

(5) Article titled “Smoke will no longer freely fog the air in restaurants” published on

Vietnam Law Newspaper on 28/5/2016.

(6) Article titled “Widespread the model of smoke-free restaurants” published on Urban

economic Newspaper on 28/5/2016.

(7) Article titled “Smoke-free Restaurants model” published on Dai Doan Ket Newspaper on

28/5/2016.

(8) Article titled “Accept profit loss shortly to implement smoke-free restaurants” published

on Social and Law Newspaper on 31/5/2016.

(9) Article titled “Towards smoke-free restaurants: Needs advocate of community” published

on The People Newspaper on 28/5/2016.

In total, the project supported the publishing of 17 articles in 10 newspapers (including Vnexpress,

Dan tri, Life and Health, Urban Economics, Vietnam Law, Social and Law, Dai Doan Ket, Infornet

Culture, The People). Besides, alot of articles on SFR were published with the technical support of

the project by regularly sharing information and press releases on the implementation of SFR to the

online media network of HealthBridge (about 400 journalists in the network).

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Activity 8: Conduct two TV talk shows with health experts, a representative of the Vietnam

Consumer Association, and restaurant owners on the benefits of SF implementation.

The project provided financial and technical support for VTV to produce a TV talk show

focusing on the benefits, the needs and how to implement SFR. The program advisor, Dr. Pham

Thi Hoang Anh, participated in the talk show. This was aired in “Daily Life” program of VTV1

on 17h45 pm on 16 Nov 2016.

http://vtv.vn/video/cuoc-song-thuong-ngay-16-11-2016-185382.htm

On 1/12/2016, with technical support from the project, VTV1 produced the second talk show on

SFR. The talk show focused on the right of living in a smoke free environment, challenges and

experience/initiatives in implementing SFR. The talk show invited Ms. Phan Thi Hai from

Vinacosh to discuss on this issue. It was aired at 22h15 pm on “Today Issue” program on 1 Dec

2016.

https://www.youtube.com/watch?v=RtBSsUedxPE

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Activity 9: Produce two reportages on SFR restaurants, one at an early stage and one at a late

stage of the project.

The project provided technical and finacial support to VTV to develop two reportages on SFR.

The first TV reportage on the trend of expanding smoke-free restaurant models was

developed Oct 2016. The full version of the reportage (10 minutes) was aired in the “Hello

morning” news program, VTV 1 channel on 9 Oct 2016. And the short version (3 minutes) of

the reportage was aired in two “golden programs” of VTV that are 12h news program and

19h news program on the same day.

Links to the reportages:

+ 10 minutes reportage:

https://www.youtube.com/watch?v=Nvgg93swkHk&feature=youtu.be

+ 3 minutes reportage:

https://www.youtube.com/watch?v=HcPYP_5is9o

This is a very good reportage which highlighted the determination of restaurant owners in

implementing SFR; the way to implement; the high level of support of customers (of both

smokers and non-smoker); the plan for strengthening the enforcement of government

authorities, and international best practice/evidence on the business benefit of this model

(increase revenue, increase customers). The full version of the reportage has been pinned on

the main page of the website of Vinacosh, and the short version was used as training material

for restaurant managers/owners in two trainings of Hai Ba Trung district in Nov 2016.

The second reportage focused on experiences and initiatives in implementing SFR. The

reportage was aired in the “golden” time of VTV that is 19h news program on 1 Dec 2016.

The clip was also posted on the fan page of VTV; it attracted 2700 views and a lot of

comments supported the model of SFR which was introduced in the reportage.

https://www.youtube.com/watch?v=AayqwgIVTz8&t=14s

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Objective 2: To improve awareness among restaurant owners, managers, and staff

members for effective implementation of Smoke Free laws in restaurants of Hanoi.

Activity 10: Revise/Develop “How To…” guidelines.

The guideline was published in July and disseminated through the multi-sectoral workshop in

September, as well as during the training workshops for restaurant owners/managers. The

contents of the guideline include topics on the harms of smoking and second-hand smoking, the

benefits of implementing smoke-free restaurants, regulations on implementing smoke-free

restaurants, information on the current TC legislation, the obligations of restaurant

owner/managers, step-by-step implementation procedures, and answers to misconceptions

regarding the implementation of SFR.

Activity 11: Conduct two TOT trainings for restaurant owners, managers, and staff on how to

implement SFR.

In order to develop an agenda for TOT trainings on implementing SFR which is both appropriate

and realistic for restaurant owners/managers, on 27 November 2015, the project team invited

representatives of 10 smoke-free restaurants in Hanoi and representatives of the Hanoi health

department and CDS to participate in a small meeting. Participants discussed the agenda for the

TOT workshops, identified support mechanisms for implementing SFR in Hanoi, and discussed

ideas about sample SFR signs. They shared their lessons regarding advantages, obstacles,

reasons why they decided to implement SF, and their own experiences in the practice of SFR

implementation. The restaurants also suggested that local government had been directly

influential and more powerful to them rather than the Health Department.

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From Dec 2015 to Nov 2015, a series of TOT training for restaurants owners/managers/staffs in

collaboration with local government of four districts of Hanoi (Hoan Kiem, Dong Da, Hai Ba

Trung, Cau Giay) were organized instead of 2 TOT training as set forth in the original plan as the

unanticipated opportunities arose and because of following reasons: (1) these districts are in the

geographical center of Hanoi and attract the tourists and foreigners. They are also located in old

and inner parts of Hanoi, and the most populous areas, and contain many restaurants; (2) the

leaders of PCs and Health Divisions are interested in tobacco control in general and smoke-free

restaurants in particular. They expressed their political will to develop a very clear, detailed, and

feasible work plan for building smoke-free models in their districts; (3) This training model

saved resources because most used existing facilities of local government (meeting room,

projectors, etc) and used available human resources (presentation made by staff of Health

Division and non-cost speaker from HBV, WHO).

1. In 4 December 2015, the project team discussed with the Hoan Kiem Health Division on the

plan to implement and enforce SF in restaurants in Hoan Kiem district- the old center district of

Hanoi which has a high population density and many restaurants. Following the discussion, the

plan for two training workshops: one for officials at the commune level who are responsible for

monitoring the enforcement of the TC law, and one for restaurant owners and managers located

in Hoan Kiem district, were scheduled. The plan for monitoring and supervising SFR

implementation was also discussed and included in the work plan of the Hoan Kiem Health

Division for 2016.

In 22 December 2015, the project supported the Hoan Kiem People’s Committee (PC) and

Health Division to organize a training workshop for restaurant owners in Hoan Kiem districts. 20

restaurant managers/owners and 5 journalists attended. The topics addressed included tobacco

and SHS harms, the benefits of SF environment, international experiences in implementing SFR,

guidelines for SFR implementation and legal regulations related to SF implementation.

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Presentations were made by WHO, HealthBridge and Vietnam Tobacco Control

Fund/VINACOSH. The plans for Implementing Smoke Free Restaurants in the areas were also

introduced by Hanoi Health Department and Hoan Kiem Health Division. Many experiences and

lessons learnt during the process of implementing SF restaurants were shared by owners and

managers of restaurants located in Hoan Kiem district. In particular, they noted that providing

education and communication training for restaurant staff on how to implement SFR, combined

with having visible NO SMOKING signs in the restaurants, were the most important and

effective tools in implementing SFR.

Smoke-free signs displayed at the training workshop

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In 23 December 2015, a training workshop on the implementation and enforcement of smoke-

free restaurants for enforcers in Hoan Kiem was organized. 40 participants from leaders of the

PC, members of the tobacco control steering committee of Hoan Kiem district, staff in the health

division, and the leaders of PCs and health sections of eighteen communes in Hoan Kiem

attended. The training also focused on tobacco and SHS harms, the benefits of a SF environment,

Tobacco Control Law and under law documents and guidelines for SFR enforcement. WHO,

HealthBridge and Vietnam Tobacco Control Fund/VINACOSH, and Hanoi Health Department

also attended and made presentation in the workshop. Comments made by the leaders of the

commune PCs focused on the difficulties they faced in implementing SFRs, such as how to

implement SFR if licenses to sell cigarettes in restaurants are provided legally by another

authority, how to control the selling of shisha, e-cigarettes, etc. They also requested that the

district standing committee of tobacco control issue a template that restaurants could use to

indicate their commitment to SFR implementation, as this seems to be an effective tool for

implementing SFR.

In 27 May 2016, on the occasion of World No Tobacco Day (WNTD), the project supported

Hoan Kiem People Committee (PC) and Health Division to organize the conference on SFR

implementation in Hoan Kiem to share experiences and lessons of SFR, increase the awareness

and commitment of leaders of district and ward governments, owners and managers of

restaurants, and enhance the support of media. 200 people participated in the conference

including 100 from restaurants, 2 from Hanoi TC steering committee, 64 health staffs, leaders of

Hoan Kiem people’s committee and 18 wards, 4 representatives of tobacco control working

group (TCWG) and 30 journalists. At the conference, Leader of Hoan Kiem PC attended and

gave strong direction on the need for implementing smoke-free environment and the efforts of

Hoan Kiem District in promoting implementation of smoke-free restaurants. Representatives of

Hoan Kiem Health Division, leaders of PC of Hang Buom and HangTrong wards shared

information on tobacco control activities and results of implementation of the smoke free

restaurant model in Hoan Kiem’s wards. The project manager read the congratulation letter of

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Pamela Sumner Coffey, Vice-President, Global Operations, the Campaign for Tobacco-Free

Kids to all participants and shared issues and concerns in implementing SFR, international

evidences on the benefits of smoke-free restaurant, and answered misperceptions related to the

implementation of SFR.

The conference included a session on discussion and sharing experiences in implementing SFR

among restaurants. Managers of 4 restaurants in Hoan Kiem district (Sen restaurant, A Gia

restaurant, Hue Cuisine restaurant, Runam Cafe) and 1 restaurant in Dong Da District (Gia

Khanh Hotpot restaurant) shared valuable experiences in implementing SFR including how to

remind customers about SF law violations and the benefits on the business that they gained. The

restaurant managers also called governments at all levels and community to join hands with the

restaurant to build smoke-free restaurant environment.

At the end of the conference, representative of the Hoan Kiem Tobacco Control Steering

Committee directed 18 wards of Hoan Kiem to sign the commitment of SFR implementation

with restaurants and hotels in localities.

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Information of the conference was widely distributed in the media following the event. There

were 20 articles in local and central newspapers, 1 TV reportage on VTC1 channel (in Vietnam

online forum, broadcasted on 27/05/2016 at 18h30), two TV news on People TV and Vietnam

News Agency TV, 1 radio reportage on VOV1 channel (in Friends with Vietnam Program, aired

30/05/2016 at 14h20). The main content was around the issue of enforcement, the support of the

community, lessons learned of the restaurants and gained benefits.

2. On 8 and 28 April, 2016 the project supported the Hai Ba Trung People’s Committee

(HBTPC) and Health Division to organize two trainings for restaurant’s owners and managers on

the SFR implementation. 94 restaurants owners and managers participated in two trainings.

There was also participation of 45 officials of HBTPC and health division. The content of the

trainings included presentations on smoking and SHS harms that was presented by the head of

HBT Health Division, guideline to implement SFR implementation by HBV, and Hanoi

workplan on implementation of smoke free restaurants by Hanoi Health Department. There was

also a session of sharing experiences and lessons of SFR implementation by restaurant owners

and managers located in this district. 03 good examples of SFR implementation were invited to

the trainings and shared their lessons and experiences during SFR implementation. The

restaurant owners and managers recommended that related authorities in SFR enforcement such

as health, culture, tourism and market inspectors should undertake their responsibilities and

duties in a more comprehensive way.

From Oct-Dec 2016, the project provided financial and technical support to Hai Ba Trung (HBT)

Health Division to strengthen the SF implementation in two wards of HBT district. The activities

included trainings for enforcers of district and ward levels and owners/managers and staffs,

communication through loudspeaker system, organizing monitoring trips to restaurants in two

wards.

In Oct 2016, HB supported HBT district’s 300 communication packages (including

factsheets, guideline book and SF signs) and presentation package (including video on

tobacco harms, video on best practice and powerpoint presentation).

On 1 Nov 2016, the first training for enforcers of district and ward levels was organized by

HBT Health Division. There were more than 50 participants from district and ward

interdisciplinary inspection teams (including policemen, market management, health staffs)

and TC steering committee of HBT district. All of participants showed support for

strengthening the implementation of SFR in two wards.

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On 3 Nov 2016, HBT Health Division organized a training for restaurant owners and

managers in two wards (Le Dai Hanh and Bui Thi Xuan) on SFR implementation. There

were 150 restaurant staff/managers who participated in the training. 100% of restaurants

participating in the training signed the commitment to implement SFR.

From Oct to Dec 2016, news about regulations related to implementation of SFR, the benefits

of implementing SFR, etc. were broadcasted on HBT district loudspeakers system and

commune loudspeakers system of two wards (2-4 times per week).

In Dec 2016, interdisciplinary inspection teams of two wards (Le Dai Hanh and Bui Thi

Xuan) were established. The wards’ interdisciplinary inspection teams conducted a

monitoring trip to 35 restaurants in two wards. Results: 31/35 monitored restaurants hang

smoke-free sign, 34/35 monitored restaurants have no smoking signs, no ashtrays, no sales of

cigarettes in the area of restaurants; especially there were 5 restaurants with strict handling of

staff smoking behavior (sign commitment with staff, off 1 staff because of smoking

violation, etc). The inspection team also penalized 5 restaurants with the total fine is

17.500.000 VNĐ because of not hanging smoke-free sign and displayed cigarette in the area

of restaurant. This is the best practice of an effective and simple model of local enforcement.

According to the record and assessment of Le Dai Hanh and Bui Thi Xuan district’ authority,

there was a significant change in the compliance of restaurants in the area with SF regulation:

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98/98 restaurants signed the commitment to implement SF; since 10/2016 to 12/2016: the

number of restaurants that hanged SF sign increased from 49/98 to 94/98; the number of those

that displayed ashtrays reduced from 86/98 to 2/98; sell cigarettes reduced from 3/98 to 1/98; no

tobacco advertisement and promotion in restaurant. The model of managing and implementing

SFR by local authorities in two wards is expected to expand for the remaining 18 wards in HBT

district by the Health Division of HBT.

3. On 14 April and 18 May, 2016 the project supported Dong Da People Committee and Health

Division in organizing two training workshops for 110 restaurants and 11 officials. Training

content included the presentations on harms of smoking and SHS by head of Dong Da health

division, guidelines on SFR implementation by HBV and a session on lessons and experience

exchanged by restaurant owners and managers. After training 89 restaurants signed the

commitments on smoke free restaurant implementation with Dong Da health division.

4. On June 16, 2016 the project manager worked with health division of Cau Giay district where

the number of restaurants is huge to find out the possibilities for cooperation and collaboration in

implementing SFRs in this area. The leader of Cau Giay Health Division strongly supported to

strengthen the implemention of SFRs in the district. Following the discussion, the plan for 03

trainings and monitoring trips were scheduled.

On 21 July, the project supported Cau Giay Health division to organize a training on

implementation of SFRs for the staff of health division and People Committee of this area. There

were about 120 participants.

On 03 and 4 August the project supported Cau giay Health division to organize two trainings on

implementation of SFRs for the owners/managers of restaurants of this area. The content of

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trainings included the presentations on smoking and SHS harms that was presented by Dr.

Nguyen Tuan Lam from WHO, guidelines to implement SFR from HBV and the session on

lessons and experience exchanged by restaurant owners and managers in the district. There were

about 140 restaurant managers/staffs who participated in the trainings. Of those, 107 restaurants

signed the commitment with the Health Division to implement smoke-free restaurants.

Activity 12: Design and disseminate samples SFR signs.

1. Project produced smoke-free signs: 6000 stickers, 1000 plastics signs, 1000 iron signs.

Samples of these signs were distributed to restaurants at TOT training workshops of Hoan Kiem,

Hai Ba Trung, Dong Da and Cau Giay districts.

2. The project also designed and printed 200 umbrellas with the sign of SFR, logos of Campaign

for Tobacco Free Kids (CTFK) and HealthBridge (HB) to be used as a gift for participants at the

multi-sectoral workshop and the TOT trainings for restaurant owners/managers in order to

widely disseminate smoke-free restaurants regulations and signs.

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Objective 3: To improve public support and demand for SF restaurants in Hanoi.

Activity 13: Develop/adopt and implement one TV and one radio spot on the benefits of smoke-

free restaurant implementation, using results from public opinion polls

TV spot:

In April 2015, the project team worked with CDS and VINACOSH to revise the TVC on smoke-

free restaurants which was previously used in CDS’s smoke-free city in Hai Phong project. The

main content of the TVC addresses the harms of smoking and regulations on smoke-free

restaurants. The TVC was aired on VTV1 and VTV2 between 15 September to 18 October 2015.

Link of the TVC: https://www.youtube.com/watch?v=sewPczeqerA

In 2016, it was realized that the revised TVC on smoke-free restaurant which was aired in 2015

(above) is too old, has low quality of sound and images; and some scenes of the TVC were

removed and edited by VTV as VTV did not allow to broadcast terrifying images.

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Consequently, the project team requested and received the approval of TFK to develop a new

TV spot on SFR. Funds to develop the TV spot were deducted from the remaining budget of

Activity 8- Conduct two TV talk shows (In Activity 8: two talk shows had been conducted, but

the project provided financial support for one and only technical support for the second talk

show- see activity 8).

Under the collaboration with VTV, two clips were developed:

+ Clip 1 focused on anti smoking behavior in restaurants, informed about SFR regulation

Link of the clip: https://www.youtube.com/watch?v=UvrefD5pjJE&feature=youtu.be

Firm script: What will happen to our living environment if our air is poisoned by cigarette

smoke. Take action, lets turn living environment around us to become better. Strictly enforce

TC laws, No smoking in restaurants and in public places.

+ Clip 2 using visual style, emphasizes the dangers of secondhand smoke and calls for people to

stop smoking and stop harming others by smoking cigarettes in restaurants.

Link of the clip: https://www.youtube.com/watch?v=7incd2k_svo&feature=youtu.be

Firm script: Cigarette smoke is not only your own enemy, it is also the killer that harms your

relatives, your friends, your lover and those who live with you. Restaurants are not the place

to smoke cigarettes as it harms others. Stop it.

The first clip was aired on VTV1 and VTV3 between 5 Jan 2017 to 24 Jan 2017. The second clip

was shared to Vietnam Public Health Association to publish on their tobacco control fanpage

named “Vn0khoithuoc”.

Radio spot:

- In Dec 2015, the project provided technical and financial support for VOV1 to develop

and air one minute radio spot on implementing smoke-free restaurants. The radio spot

was aired on VOV1 channel, two times per day (before 12h news and 18h news) from 15

December 2015 to 15 January 2016.

- In Sept 2016, the project coorperated with VOV transportation channel that is the most

attracted radio channel now in Vietnam, to develop a 30 second radio spot on smoke-free

restaurants. The radio spot was aired between 12 Sept to 30 Sept on VOV transportation

channel, two times per day in the morning and afternoon “golden” time slots.

- In Jan 2017, the 30 second radio spot on smoke-free restaurants was re-aired on VOV

transportation channel, two times per day in morning and afternoon “golden” time slots

since 5/1/2017 to 25/1/2017.

Radio reportage:

- Reportage 1 introduced the model of smoke-free restaurants and supports of customer for

the model. It was aired on the programme The Appointment on VOV1 at 17.00 on

December 18, and was rebroadcasted three times on the programme Culture and

Entertainment at 9.15, 14.05 and 16.15 on December 22: (From the 35th minute)

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http://vov1.vov.vn/diem-hen-17h/tinh-trang-chong-nguoi-thi-hanh-cong-vu-dien-bien-

ngay-cang-nghiem-trong-cho-th-c49-22424.aspx

- Reportage 2 named “HealthBridge supports SFR implementation” was aired on the

programme Friends with Vietnam at 14.20 on 28 December and re-aired at the same time

on 31 December (from the 5th minute) : http://vov1.vov.vn/ban-be-voi-viet-nam/ho-tro-

cua-to-chuc-heathbridge-canada-tai-viet-nam-trong-viec-thuc-hien-nha-han-c35-

22608.aspx

Radio passage

- After meeting with the Hanoi Department of Health/DOH about implementing smoke-

free activities, the project team developed a radio passage on implementing smoke-free

restaurants to support the DOH in communication on SFR.

- The CD of radio passage were distributed to Hanoi Department of Health, Hoan Kiem

Health Division and Hai Ba Trung Health Division to broadcast through the loudspeaker

system.

Activity 14: Conduct media surveillance and feedback

Media coverage on tobacco and tobacco control has been reviewed and collected on a daily

basis. The collected articles have likewise been circulated to the tobacco control network daily.

From 1 Jan 2016 to 31 Dec 2016, there were: 1676 articles, of which: Online: 1342, Print: 334.

By specific topic: Tobacco control: 451, Tobacco tax: 44; Smoke free: 300; Tobacco harm: 298;

Graphic Health warning: 21; TI general: 131; Smuggling: 400; Tobacco Advertisement: 14;

CSR, Sponsorship: 17.

Figure: Media coverage on tobacco and tobacco control from Jan to Dec 2016

Objective 4: To strengthen enforcement of smoke free policy in public places.

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Activity 15: Support the drafting, revision, and finalization of instructions

1. On April 2, 2015, the project director and manager met with the Director of the

Administration Police Department (APD) of Ministry of Ministry of Public Security (MPS)

for discussing possible collaboration in capacity building for police officers on smoke-free

enforcement. He requested MOH to send the MPS an official letter (dispatch) requesting the

assignment of APD as the focal point for enforcement of TC law.

Based on the proposal of HealthBridge, the dispatch letter No. 4000/BYT-KCB requested for

authorizing the Administration Policy Department (APD) of Ministry of Public Security

(MPS) as focal point for enforcement of TC law was prepared by VINACOSH and signed by

Vice Minister of MOH and sent to MPS on June 11, 2015.

2. On September 2015, the project team supported and participated in a meeting organized by

the Advisory Staff Division of the Administration Police Department (APD) of the Ministry

of Public Security (MPS) to discuss the organization of TOT training for TC law

enforcement. The discussion included the training agenda, workshop content, participants,

venue and timing, and the type of coordination and cooperation required. The issue of who

will give presentations in these TOT trainings was also discussed in detail. The decision was

taken that one TOT training would be held on October 2 for Southern provinces and the other

would be held on October 9 for Northern provinces.

3. On October 13 2015, the APD organized a meeting to discuss monitoring trips on TC law

enforcement in some Northern provinces. Hanoi and Hai Phong were selected for

monitoring.

Activity 16: Support three TOT training on SF enforcement for Public Security forces at the

regional level in year 1: 01 in Hanoi, 01 in Da Nang, 01 in Ho Chi Minh City; and 01 follow up

workshop in year 2 in Hanoi.

As discussed with the Administration Police Department (APD) of Ministry of Ministry of

Public Security (MPS) for cooperation plan, the project plan was changed to support APD to

organize two trainings for Public Security forces at the regional level in Hanoi and HCM city and

some monitoring trips to strengthen the enforcement of smoke-free policy in public places.

On October 2 and 14 2015, the project team supported the APD to organize two TOT trainings

for administration police forces in Ho Chi Minh and Hanoi City. About 350 police officers

participated. The presentations on the harms of smoking and SHS, TC law, and Decree No.176

on the punishment of violations in the health sector were given by Dr. Pham Hoang Anh,

Director of the HealthBridge Vietnam office and Ph.D Nguyen Huy Quang, the director of the

Legislation Department of MOH. The leader of APD chaired the trainings and requested local

APDs to implement and enforce the TC law and its regulations in an effective manner. He also

requested local APDs to strengthen the monitoring of TC law implementation in hospitality

places on a regular basis.

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On October 26 and 27, the project team participated in the monitoring trip to Hanoi organized by

the APD. The team monitored the enforcement of TC law in Hanoi police offices and public

places, including SF implementation in hotels and guesthouses. It also made a monitoring visit to

Hanoi railway station (Central Station) and a Bus station.

On November 26, the project team participated in monitoring in Hai Phong, which is the city

implementing smoke-free restaurants. The monitoring team visited hotels that have bars and

karaoke.

Some findings were drawn from the monitoring as follows:

- The compliance of SFR regulations of restaurants and hotels is still not good, even in those

restaurants where staff were trained and instructed on how to implement SF;

- Knowledge and awareness among the police – who act as an enforcement agency – about TC

law and their enforcement responsibilities are weak.

Monitoring Hanoi Station, 27 October 2015

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b. All completed activities which were not included on the project workplan, if any:

(1). The project team provided comments on the Outline of Research on Current Situation of

Quitting in Vietnam conducted by VINACOSH.

(2). The project director was invited by the Ministry of Information and Communication to give

presentations on “Tobacco related harms and the role of the media in the prevention and control

of tobacco harms” for journalists from the North (workshop in September in Da Nang city) and

from the South (workshop in November in Ho Chi Minh city).

(3). In order to widely disseminate the results of the public poll and to enhance public awareness

on smoke-free restaurants, the project team developed a poster on the current situation of and

public support for implementing smoke-free restaurants in Hanoi. The poster was displayed at

the workshop on the implementation of tobacco control law (organized by VPHA) in Hanoi on 2

October.

(4). The project team coordinated with VPHA to promote communication on SFR on social

media (Facebook: Vn0khoithuoc) in December. News items on the benefits of SFR were

developed and communication materials on SFR (factsheets, TV spot, newspapers, etc) were

shared for posting by VPHA on Facebook.

(5)- The project support model of “monitoring trip” of local authority at district level

On Mar 15 and 16, 2016 the tobacco control steering committee and health division of Hai

Ba Trung district organized a monitoring trip on the smoke-free restaurants (SFR)

implementation of 30 restaurants in this district with the project technical and financial

support. About 40% among monitored restaurants implemented SF in a spontaneous manner

as they perceived that harms and dangers of smoking and second hand smoke (SHS) affected

people’s health. They have “no smoking” signs, no ashtrays, no sales of cigarette in the area

of restaurants. However, most of restaurants’ staff lacks skills for dealing with indoor

smoking customers. About 30% of restaurants do not implement SFR, they accept sales of

cigarette in their restaurants.

Xinh Hong Kong Café and Restaurant

12 Thi Sach, Hai Ba Trung, Hanoi

Restaurant’s Rules for Staff of Xinh Hong

Kong Café and Restaurant included an article

of ban of smoking in the restaurant.

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Restaurant Mishagy, 97 Lo

Duc, Hai Ba Trung, Hanoi

Restaurant “Banh Trang Thit

Heo”, 106 Yet Keu, Hai Ba

Trung, Hanooi

Restaurant Bo To Quan, 29

Thai Phien, Hai Ba Trung,

Hanoi

On 27, 28 and 29 September, 2016 the local government of Hai Ba Trung organized the

monitoring trip on SFR at 20 restaurants in this area, the project manager and media officer

participated in the trip. About 75% of monitored restaurants have been implementing SF; this

figure is higher than the number of restaurants which were monitored in March 2016 (about

50% at that time in this area).

On Oct-Nov 2016, the project supported the tobacco control steering committee and health

division of Cau Giay district to organize a monitoring trip on smoke-free restaurants (SFR)

implementation. The interdisciplinary inspection team was established by the Cau Giay

People Committee which included 7 members from Health Division, Health Center, Market

Management Department, Cultural and Information Department, and Environmental Police

Office. 15 restaurants in this district were monitored. Almost all restaurants had been trained

and signed commitments with the local authority to implement SFR had hung smoke free

sign, displayed no ashtrays, and had no selling of cigarettes. However, the difficulty that was

shared is that restaurant staffs lack skills for dealing with customers when they smoke in the

restaurants. Some restaurants had not implemented SFR yet because they didn’t know about

the regulations and didn’t join the training. But all of them had signed the commitment to

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implement SFR and hanged the smoke-free sign right when they were reminded by the

inspection team.

(6). In Oct 2016, the project supported 100 communication packages on implementing SFR

(factsheets and guideline) and 300 SF signs for Health Division of Tay Ho district as proposed

by Tay Ho Health Divison and Vinacosh. Tay Ho is one of two inner city districts that received

the support from Vinacosh to strengthen the implementation of SFR since Oct 2016.

(7). Promoted the collection of SFR: The project coordinated with a famous page on reviewing

and introducing restaurants in Vietnam (Foody.vn) for creating a collection of SFR on their page.

Aim of this SFR collection is introducing and encouraging best-practices in SF restaurants.

At this time, four collections were created, including:

+ A collection of top 10 delicious and smoke-free restaurantshttp://www.foody.vn/bo-suu-

tap/nguyenvan10793/10-quan-ngon-khong-khoi-thuoc-

4927146?utm_source=Top+bo+suu+tap&utm_medium=cpc&utm_campaign=10+quan+ngo

n+khong+khoi+thuoc

+ A collection of SFR in Hai Ba Trung districts

http://www.foody.vn/bo-suu-tap/nguyenvan10793/tat-tan-tat-nhung-quan-an-khong-khoi-

thuoc-quanh-khu-hai-ba-trung-4929830

+ A collection of SFR in Dong Da districts

http://www.foody.vn/bo-suu-tap/duonganhtuantn63/list-nha-hang-dep-do-an-ngon-khong-

khoi-thuoc-tai-quan-dong-da-4927635

+A collection of SFR in Hoan Kiem districts

- http://www.foody.vn/bo-suu-tap/duongphuong_11/nhung-quan-an-khong-mui-thuoc-la-

quanh-khu-vuc-hoan-kiem-4927145

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3. Please list and explain any changes to the major objectives that occurred during your project

implementation.

No change has been made

4. What changes did you make to the activities set forth in your original project workplan and

why? Please address all activities listed in the project workplan that were not completed.

All activities completed

5. Please describe the impact your project had on the passage and/or implementation of tobacco

control policies in the area in which you worked (city, country, region, etc.).

The project played a catalyst role in pushing the implementation of SF policy in restaurants.

Under project supported, 600 restaurants in 4 districts in Hanoi have been trained on SFR

implementation, 400 restaurants signed the commitment with local authorities to be smoke

free, a number of monitoring visits of local authorities had been deployed effectively in 2

districts. Between two rounds of a survey of the project in 2015 and 2016, the rate of

restaurants going smoke-free increased from 25.1% to 44.1%. The knowledge and support

from customers and restaurant owners on SFR policy also increased significantly. Analyzing

the “success” and “fail” experience we found that the key factors of success are the political

commitment of local government, a straightforward and effective mechanism of enforcement

at district level, and know-how of well trained managers. Lessons of success from SFR

implementation in these four districts enabled us to expand this model to overall Hanoi and

other areas.

The media has become much more interested in smoke-free restaurant issues. This was

reflected in the broad and well-placed national and local media coverage of the issue

following project activities. The media not only supported the implementation by raising

awareness of legal regulations and the benefit and guideline to implementation, but also

pointed out the support of the community and introduced the well-performing smoke-free

restaurants to create the demand and encourage restaurants to be smoke-free.

6. What impact did the grant have on your organization’s capacity? (i.e.- staff, infrastructure,

processes, technical expertise, etc.)

During the implementation of the project, staff skills and expertise were improved as follows:

- Enhanced reputation of HB in tobacco control among agencies active in tobacco control

and local authorities.

- Increased knowledge among staff on international and national tobacco control issues.

- Improved coordinating skills in working with government agencies and different

organisations.

- Improved media relations skills.

- Improved communication skills, including presentation skills.

- Improved relationships and partnerships with government agencies and civil society.

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7. What were the greatest challenges or constraints you faced while developing and

implementing this project?

- Smoking in public places is still highly accepted by the public.

- Violations of TC law are still common in indoor public places. There is a lack of concern

and political will among leaders at HNPC, Hanoi Health Department.

- Bureaucracy in planning and implementing the TC work plan (Hanoi Health Department)

negatively influenced the implementation of some project activities.

- There is low awareness on tobacco control law and SFR implementation of restaurants’

owners and manager, and concerns about the impact on business (income/revenue,

decrease of customers, etc.) when implementing SFR is rather common among

restaurants’ owners.

- Concern of the possible negative impact of SF implementation on business is still

common among restaurant owners.

- Hanoi is a mega tourism city which has a huge number of restaurants/food service

businesses (according to report of Health Division of HBT and HK district, there were

2900 restaurants and hotels in HBT district and 3000 restaurants and hotels in Hoan Kiem

district, it was estimated that there were 2000 restaurants/inner district of Hanoi while

Hanoi consisted of 12 inner districts and 16 suburban districts).

8. What unanticipated opportunities arose during the project?

Working with Hoan Kiem Health Division helped the project team to identify the focal

point for implementing SFRs in Hanoi. We found that at the district level the political

will for SFR is very strong and clear. The local authorities also have a strong and direct

influence on the compliance of restaurants/food businesses in their areas. Lessons of

success from SFR implementation in Hoan Kiem district enabled us to expand this model

to Hai Ba Trung, Dong Da and Cau Giay districts of Hanoi during the project period.

9. Do you feel that your project represented the most effective approach to tackling the problem

at hand? With the benefit of hindsight, what, if anything, would you do differently?

Yes, our project represented the most effective approach to tackling the problems through

supporting the local authority at the district level to strengthen their management role in

training, monitoring, enforcing, and communicating on SFR implementation. This was

identified as a straightforward and effective mechanism of SFR enforcement.

10. What new partnerships or collaborations were created or have you entered into as a result of

the project? How will these collaborations continue?

The partnership and collaborations with Hanoi Department of Health and Administration

Police Department (APD) of Ministry of Public Security (MPS) were maintained and the

good relationship with local authorities at the district level and restaurant owners was

created as a result of the project, and these collaborations will be continued in future

projects on the issue of SF policy implementation.

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Budget

11. What changes did you make to the budget during this project?

None

12. What did you learn that will benefit your next project budgeting process?

Well designed financial and workplan sheets helped us in planning, budgeting and

monitoring the project activities.

While the project budget, objectives and strategies should remained unchanged

throughout the project, activities might need to be revised or changed due to the actual

situation at the time of implementation or due to new opportunities/needs that arise.

Authorization for revising activities and reallocating budget between lines would be

useful and make the project more efficient.

13. What new staff members were employed through this grant that were not listed on the

original budget? What original staff members were no longer on the project at its

conclusion?

In Nov 2016, the project manager left the position. No new staff have been recruited

through this grant that were not listed on the original budget.

14. During this reporting period, were any funds spend to support or oppose candidates for

elected office? If yes, what amount of grant funds was used?

No

Moving Forward

15. How do you intend to sustain and build upon the outcomes of this project? What new

lines of activity or inquiry will you pursue as a result of this work?

Restaurants and bars are the most challenging public settings where smoke-free

regulations need to be implemented following the requirement of TC law in Vietnam.

Under this project we have successfully supported the Hanoi health department and local

authorities of four central, most populated districts of Hanoi city to implement and

enforce it in their locality. Some successful impacts and changes have been observed but

these efforts and successes need to be strengthened. Furthermore, Hanoi has 11 urban

districts where SF restaurants need to be implemented to make a model for other settings

and other provinces.

One lesson learned from the project is that the intervention should not just go horizontally

but also vertically. From this project and some previous projects we found that, in many

cases, the authority at grass route level is more dynamic, more efficient and less

bureaucratic than that of higher levels. They also understand the challenges and

opportunities better. From the project, we have learned that without working directly with

local authority, supporting their initiative, the project would have difficulty reaching the

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impact that it deserves. In the coming project, we plan to adopt the successful model and

its lessons learned to the rest of Hanoi city

TFK Grants Program Feedback

16. How would you improve upon the grant negotiation process?

We would like to have chance to discuss (might be through skype) and share what we

plan to do with the experts for those activities that we proposed but the reviewer may

initially disagree.

17. If a site visit occurred during your project, how would you have changed its format,

agenda, etc.?

I think what we have done is good enough.

18. How would you describe your interactions with your TFK program officer, grants

administrator and/or finance compliance officer?

Smooth and timely

19. What additional feedback do you have on the overall management of, and services

provided through, your grant?

None

APPENDICES:

In addition to the final narrative and financial reports, please submit the following documents:

1. Copies of *all* materials produced under this project (including reports, fact sheets,

advertisements, etc.) regardless of language. Please also send any related newspaper

articles, videos, photos, etc.

2. Copy of the organization’s latest audited financial statements including: auditor’s letter,

organization financial statements and accompanying notes, and auditor’s management

letter.