The burden of alcohol consumption in the african region
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The Burden of Alcohol consumption in the African Region. By Dr F. Zawaira WHO Representative. Harmful use of alcohol.

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The burden of alcohol consumption in the african region

The Burden of Alcohol consumption in the AfricanRegion

By Dr F. Zawaira

WHO Representative

Harmful use of alcohol
Harmful use of alcohol

  • A pattern of drinking that causes or contributes to “physical or psychological harm, including impaired judgment or dysfunctional behaviour which may lead to disability or have adverse consequences for interpersonal relationships” WHO ICD-10 classification of mental and behavioural disorders.

The african context
The African context

  • Highest alcohol consumption per drinker

  • 30% female: 55% male are drinkers

  • 2.2% of deaths attributable to alcohol

  • Uganda highest per capita consumption in the world

  • Alcohol production and consumption an integral part of the culture and the economy

  • Local brews cheap and readily available

Alcohol and young people
Alcohol and young people

  • Binge drinking> 5drinks per occasion

  • Decreasing age of onset

  • 42.3% of Zambians aged 13-15 consume alcohol and 42.8% have been drunk (GSHS 2004)

  • Namibia 32.8 and 31.8%

  • Poverty, urbanization & socio-economic changes

  • Drink for fun, social reasons, peer pressure

Alcohol and women
Alcohol and women

  • Rates of consumption increasing

  • In Zambia ratio of female : male adolescents heavy consumption 50.2 : 44.1% (GSHS 2004)

  • South Africa weekday “risky drinkers” 8.7 : 6.9%

  • Weekend “risky drinkers” 32.0 : 32.3%

Harmful patterns of drinking
Harmful patterns of drinking

  • In 2006 STEPS survey among those who had drunk in the past 12 months:

  • 23.7% had engaged in harmful patterns of drinking in Mozambique and Ivory Coast

  • 60% in Algeria

Risk factors for harmful use
Risk Factors for harmful use

  • Urbanization

  • Aggressive marketing

  • Weak cultural controls

  • Stress

  • Financial and family problems

  • Conditions of work

  • Availability of alcohol

Costs of alcohol consumption
Costs of alcohol consumption

  • High risk sexual behaviour and infection with STIs including HIV

  • Traumatic injury and death due to RTAs caused by drink driving

  • Absenteeism and Unemployment

  • 25-30% of general hospital admissions alcohol related

Costs of alcohol consumption1
Costs of alcohol consumption

  • More than 50% of mental hospital admissions in Lesotho, Mauritius and Swaziland—alcohol dependence and delirium tremens

  • Crime

  • Violence, especially against women

  • Chronic liver disease including cancers

  • Blindness and death caused by home brews recorded in East Africa

Costs of alcohol consumption2
Costs of alcohol consumption

  • Fetal alcohol syndrome: 19-103 per 1000 births in South Africa compared to 0.05-2.0 in the USA

  • Neglect and abuse of children leading to emotional, physical and educational problems

  • Worsening of poverty

Issues challenges in the region
Issues & Challenges in the region

  • Difficulty in quantifying consumption between industrial beverages and home brews

  • Communal drinking and consumption of illicit brews with unknown alcohol levels

  • No regular systematic surveillance and recording systems for production, consumption and quantifying health and social consequences –Southern African Epidemiology Network on Drug Use (SENDU)

Issues challenges in the region1
Issues & Challenges in the region

  • Lack of counseling, primary care intervention and specialized treatment centers in the Region. Where treatment centers exist as in SA, women are not accessing them due to stigma or domestic responsibilities

  • Africa is targeted for marketing alcohol and tobacco especially to young people due to weak regulatory systems

Issues challenges in the region2
Issues & Challenges in the region

  • Lack of data from health facilities

  • Public health problems caused by harmful use of alcohol are considerable and multi dimensional

  • Low budgetary allocations in the absence of comprehensive policies

Policy processes
Policy processes

  • WHO STEPS surveys undertaken by a number of countries…Malawi scheduled for next year

  • Global school health surveys undertaken and still ongoing including in Malawi

  • Technical consultation meeting—Brazzaville 2006

  • Regional committee in 2007 doc AFR/RC57/14 presented: Situation analysis and perspectives

Policy processes1
Policy processes

  • Member States requested for support to develop policies and plans to combat harmful use of alcohol

  • RC in 2008 doc AFR/RC58/3: Actions to reduce harmful use of Alcohol tabled

  • Regional office was requested to submit a Regional Strategy for consideration by the Regional committee in 2009

  • African Region Member states during the WHA this year requested for development of a Global strategy to be submitted in 2010

Strategies and policy options to reduce alcohol related harm
Strategies and policy options to reduce alcohol related harm

  • Raising awareness and political commitment

  • Strengthen Health-sector response

  • Community action to reduce the harmful use of alcohol

  • Enact/Enforce drink-driving policies and countermeasures

  • Regulating the availability and sale of alcohol

  • Addressing marketing of alcoholic beverages

  • Pricing and taxing policies

  • Harm reduction

  • Reducing the public health impact of illegally and informally produced alcohol

  • Improve surveillance

In conclusion
In Conclusion harm

  • We all have a role to reduce harmful effects of alcohol in our societies.

  • On behalf of WHO we stand ready to give the required assistance to our Member States

Thank you! harm

Zikomo kwambiri!!