How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?
description
Transcript of How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?
![Page 1: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/1.jpg)
How can integration of the alcohol perspective
strengthen existing HIV/AIDS
strategies?Dag Endal
FORUT Norwegian Campaign for Development and Solidarity
ADD Project Coordinator(Alcohol, Drugs and Development)
![Page 2: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/2.jpg)
A shift in approach:
Alcohol problems as only a backdrop when designing HIV/AIDS interventions
![Page 3: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/3.jpg)
A shift in approach:
Alcohol problems as only a backdrop when designing HIV/AIDS interventions
To see alcohol consumption as an integral part of the HIV/AIDS problem – and then address also this factor in intervetions
![Page 4: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/4.jpg)
Three categories of possible links between alcohol and HIV/AIDS:> Alcohol use increasing the risk
for HIV infection
> Alcohol boosting the development of the disease, once you are infected
> Alcohol reducing the effects of (medical) treatment
![Page 5: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/5.jpg)
Basic 1:The level of alcohol
consumption and the drinking habits in a population are not
constant. They change over time
and between nations and groups
![Page 6: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/6.jpg)
Basic 2:The level of alcohol
problems can be regulated through interventions by
governments and by society as a whole
![Page 7: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/7.jpg)
Assumption:Reduction of alcohol consumption and change of drinking patterns can contribute to * reduction in HIV incidence rates* slower development from HIV to AIDS for the infected* increased effectivity of ARV
treatment
![Page 8: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/8.jpg)
Alcohol policy advocacy as part of HIV/AIDS
prevention strategies?
![Page 9: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/9.jpg)
Recorded consumption 2003
1,44 litres pure alcohol
per person aged 15+
WHO Global Status Report on Alcohol
2004
![Page 10: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/10.jpg)
![Page 11: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/11.jpg)
Distribution of consumption:
Beer 78,0%Wine 0,5%Spirits 21,5%
![Page 12: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/12.jpg)
Carlsberg samlebåndRecorded alcohol
![Page 13: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/13.jpg)
Unrecorded
alcohol
![Page 14: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/14.jpg)
Total alcohol consumptionWHO Region Africa E:(litres per person aged 15+)
Recorded 3,8 (54%)Unrecorded 3,3 (46%)
![Page 15: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/15.jpg)
![Page 16: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/16.jpg)
![Page 17: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/17.jpg)
Risk
group
![Page 18: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/18.jpg)
Risk places
![Page 19: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/19.jpg)
EMERGING MARKETS!
![Page 20: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/20.jpg)
Challenges in AIDS prevention: * Keep general alcohol consumption low;* Maintain Malawian women as a group of non-drinkers;* Stimulate male non-drinkers to maintain their position;* Target men who have risky drinking patterns;* Target drinking places
![Page 21: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/21.jpg)
Add the alcohol perspective to
existing HIV/AIDS strategies, not replace these
strategies
![Page 22: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/22.jpg)
Gender dimensions and drinking habits• More men drink than women• Men drink more often than women• Men drink larger quantities than women• It is more accepted that men drink than women• Men create more problems when drunk
A universal picture…with a few exceptions and local variations
![Page 23: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/23.jpg)
The story of Chimwemwe:Chimwemwe says that her husband is a very jealous man, and he drinks alcohol every day. When he drinks he almost always beats her; 'A week cannot pass without beating me'.
He spends much of the family's income on alcohol, money Chimwemwe feels could be used on much more useful things. Every night Moses comes home drunk, and he urinates and vomits in the bed, and when she tells him to go outside he beats her.
She does not like to sleep with her husband when he is drunk, because he stinks, he behaves badly, and she is afraid that he has been cheating on her with other women who may be HIV positive. If she refuses to have sex with him, he forces her.
![Page 24: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/24.jpg)
THE KEY to understanding the
problem and taking efficient action
1. Construction of masculinity2. The symbolic, social
meaning of drinking3. Privileges attached to
drinking
![Page 25: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/25.jpg)
Construction of masculinity
Drinking and drunken behaviour
= masculinity
”Being able to hold one’s drink
and to drink heavily is a sign of masculinity”
![Page 26: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/26.jpg)
Address privileges attached to drinking:• Permission to break rules and
social conventions;• Excuse for rude and violent
behaviour;• Acceptance by other people to
behave badly;• Explanation or excuse for bad
performance.
![Page 27: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/27.jpg)
Myth-busting:
A critical loook at existing conventional wisdom on the effects of alcohol
(strength, attractiveness, virility, intelligence etc)
Communicate basic facts on the real effects of alcohol
![Page 28: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/28.jpg)
Gender transformative programs for HIV/AIDS prevention:
Address also drinking habits as an integral part of the masculine identity
![Page 29: How can integration of the alcohol perspective strengthen existing HIV/AIDS strategies?](https://reader035.fdocuments.in/reader035/viewer/2022081603/568142a8550346895daee7bb/html5/thumbnails/29.jpg)
This problem has to be adressed* by men;* by working with men;* by working for men.