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bringing the Global Alcohol Strategy to those who need it most

bringing the Global Alcohol Strategy to those who need it most. Dr Joanne Corrigall Richard Matzopoulos. Injury prevention workgroup: current activities. All injuries. Interpersonal violence & Road Traffic injuries. Largest contributors to injury BoD. Alcohol-related

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bringing the Global Alcohol Strategy to those who need it most

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  1. bringing the Global Alcohol Strategy to those who need it most Dr Joanne Corrigall Richard Matzopoulos

  2. Injury prevention workgroup: current activities All injuries Interpersonal violence & Road Traffic injuries Largest contributors to injury BoD Alcohol-related Interpersonal violence and road injuries Groundwork for broader interventions Largest contributing risk factor to injury BoD Vision: To reduce injuries in the Western Cape

  3. Who is dying from homicide? Men aged 20-39 >50% are alcohol positive Domestic violence?

  4. Inconsistency? More than 95% of studies show a positive association between alcohol and violence The only real inconsistency is the SIZE of the effect i.e. how big an influence does alcohol have on aggressive behaviour? Largest effects in populations with -high binge-drinking -high public drinking -violent societies -easy access to alcohol Foran & O’Leary 2008 Clinical Psychological Review 28(7) 1222-1234 SOUTH AFRICA

  5. Health burden from Alcohol (South Africa) Violence Violence Road Road Injuries Mental illness HIV, TB

  6. South Africans are big drinkers • South Africa 2nd highest rate of substance abuse & dependence in the world • Alcohol consumed per drinker per year +/- 18 litres : comparable to UK, Ukraine & Russia : top 4 heaviest drinkers in the world • Western Cape province- more drinkers, more binge drinkers • Trends: increase in alcohol consumption amongst youth

  7. Alcohol related violence • 10 times the global average of violence (men) • Western Cape: Highest homicide per capita in SA • Within Western Cape: 50% of alcohol-related injury deaths occur in 5 suburbs!!

  8. The “High 5” approach Violence is CONCENTRATED Approx. 50% of alcohol-related violence occurs in 5 areas Source: PIMMS (DoP analysis)

  9. The High 5 project High 5 A focus on 5 high risk areas to deliver intersectoral alcohol-related violence reduction interventions

  10. VPUU with Alcohol included Alcohol: Brief Interventions Counter-messaging Education Recreation Skills development ECD Mental Health Social Cohesion Urban upgrading Alcohol abuse prevention model a good fit with VPUU model Examples: ECD Conflict management Social cohesion Business development Alcohol: Implementation of Liquor Act Safer drinking environments Traffic calming Infrastructural improvements Urban upgrading Examples: Financial Models, Action Plans Governance, Capacity Building M&E Policy Examples: Street lights Creating local trading places Use of Public Buildings/Spaces Alcohol: Expand include alcohol

  11. MEETS bringing the Global Alcohol Strategy to those who need it most

  12. Need for campaign GENERAL PUBLIC, DRINKERS & INTERVENTION AGENTS • Scewed normative views of drinking • Bombardment of alcohol advertising & misinformation campaign • Poor knowledge of risks & how to avoid them • Poor knowledge of what the problem is & how to fix it • Need to gain support for policies/legislation/interventions : need community involvement PUBLIC MESSENGERS: Wrong messages being spread!

  13. BOOZA MYTHS • Drugs cause more violence than alcohol • Advertising has no effect on drinking • Alcoholics are the main problem • Educating people about the harms of alcohol is the answer • Restricting access to alcohol will make no difference BUSTED to the rescue!!

  14. Booza TV • EPISODE 1: THE CULTURE OF DRINKING • EPISODE 2: WHY WE DRINK ALCOHOL AND WHY WE ABUSE IT • EPISODE 3: ALCOHOL, THE MEDIA & ROAD INJURIES • EPISODE 4: ALCOHOL AND VIOLENCE • EPISODE 5: THE LIQUOR ACT • EPISODE 6: SOLUTIONS

  15. PLAY CLIP OF BOOZA TV

  16. Elsies River Pilot Project • Pilots Booza TV as a tool for social mobilisation for actions to reduce alcohol-related violence • 2 groups: Stakeholders & Binge Drinking Youth

  17. Pilot study results: Booza TV is effective in • challenging normative views about drinking; and • Establishing links between violence & drinking • successfully mobilised support for evidence-based interventions including the Liquor Act MOST notable effects amongst DRINKING YOUTH (opinion changes, fact uptake, possibility of changing current culture)

  18. Campaign 1. AIMS • Stimulate and inform public debate about alcohol what should be done about alcohol abuse • Increase knowledge about and promote action for safer drinking practices • Promote adoption of evidence-based alcohol abuse prevention interventions by government, non-governmental and community-based organizations • Maximize viewing/usage of Booza TV

  19. Thank You The Boozalution will be televised!

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