Post on 25-Feb-2016
description
bringing the Global Alcohol Strategy
to those who need it mostDr Joanne Corrigall
Richard Matzopoulos
Injury prevention workgroup: current
activitiesVision: To reduce injuries in the
Western CapeAll injuries
Interpersonal violence &Road Traffic injuries
Alcohol-related Interpersonal violence
and road injuries
Largest contributors to injury BoD
Largest contributing risk factor to
injury BoD
Groundwork for broader interventions
22078 45 54
686
1672 1681
1430
1038
763
535
334236
138241
0
200
400
600
800
1000
1200
1400
1600
1800
Age group
Number of cases
Source: Medical Research Council of South Africa. 2009. A profile of fatal Injuries in South Africa 2008: Annual Report for South Africa based on the
National Injury Mortality Surveillance System (NIMSS).
Who is dying from homicide?
Men aged 20-39
>50% are alcoholpositive
Domestic violence?
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
SOUTH AFRICAForan & O’Leary 2008 Clinical Psychological
Review 28(7) 1222-1234
Health burden from Alcohol (South Africa)
Violence
Road
39%
4%6%7%
6%
6%
14%18%
ViolenceNeuropsychiatricRoad injuriesOther injuriesFASOtherCardiovascularSuicide
Violence
Mental illness
Road Injuries
HIV, TB
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
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!!
Suburbs Zero Positive Unknown Total
Khayelitsha 313 (15%) 527 (21%) 303 (8%) 1143 (13%)
Gugulethu 97 (5%) 169 (7%) 143 (4%) 409 (5%)
Nyanga 121 (6%) 161 (7%) 149 (4%) 431 (5%)
Kraaifontein 73 (3%) 124 (5) 92 (2%) 289 (3%)
Philippi 110 (5%) 125 (5%) 143 (4%) 378 (4%)
. . . . .
Total 2135 (100%) 2460 (100%) 3902 (100%) 8497 (100%)
Source: PIMMS (DoP analysis)
The “High 5” approachViolence is CONCENTRATED
Approx. 50% of alcohol-related violence occurs in 5 areas
The High 5 project
High 5A focus on 5 high risk areas to deliver intersectoral alcohol-related violence reduction interventions
VPUU with Alcohol included
Examples:ECDConflict managementSocial cohesionBusiness development
Examples:Street lightsCreating local trading placesUse of Public Buildings/Spaces
Examples:Financial Models, Action PlansGovernance, Capacity BuildingM&EPolicy
Alcohol:Brief InterventionsCounter-messagingEducationRecreationSkills developmentECDMental HealthSocial CohesionUrban upgrading
Alcohol:Implementation of Liquor ActSafer drinking environmentsTraffic calmingInfrastructural improvementsUrban upgrading
Alcohol:Expand include alcohol
Alcohol abuse prevention model a good fit with VPUU model
MEETS
bringing the Global Alcohol Strategy to those who need it most
Need for campaignGENERAL 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!
BOOZA MYTHS Drugs cause more violence than
alcoholAdvertising has no effect on drinkingAlcoholics are the main problemEducating people about the harms of
alcohol is the answerRestricting access to alcohol will make
no difference
BUSTED
to the rescue!!
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
PLAY CLIP OF BOOZA TV
Elsies River Pilot ProjectPilots Booza TV as a tool for social
mobilisation for actions to reduce alcohol-related violence
2 groups: Stakeholders & Binge Drinking Youth
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)
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
Thank You
The Boozalution will be televised!