The Structural Analysis of the Hindi and South-East Asian ...
Police and Community Led Structural Change: The Asian Century
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Transcript of Police and Community Led Structural Change: The Asian Century
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Police and Community Led Structural Change: The Asian
Century
Dr Nicholas ThomsonFirst International Conference on Law
Enforcement and Public Health14th November 2012
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Methodologies
• Root Cause Analysis
• Forming the coalition of the willing
• Mobilising around a common vision, mission and objective
• Implementing structural change
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Applying Community Lead Mobilisation for Structural Change
Examples of local and and national structural change initiatives
• Reducing Methamphetamine Use and its harms in Northern Thailand
• Criminal Justice Reform in the Context of Public Health in Thailand
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Root Cause Analysis
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ATS TRAFFICKING IN SE ASIA
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Shipping ports in the Golden Triangle
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ATS and Public Health
ATS has implications for……………………• STIs• HIV• Mental Health• Alcohol/Tobacco• Compulsory detention
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Duration of amphetamine use (yrs) and frequency alcohol use in last 30 days), Chiang Mai, Thailand, 2005
P < .0001
Celentano D D, Aramrattana A, Sutcliffe CG, et.al. (2008) Journal of Adolescent Medicine. 2(2):66-73.
High prevalence of depression (CES-D score >=22)Male = 31% Female = 45%
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THE PROCESS OF COMMUNITY MOBILIZATION
Stage 3-Ownership
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Community Mobilisation at the Local Level
A formation of a coalition of the willing at the district level
• Multisectoral actors from police, health, education, monks, youth networks, local government………plus a few change agents
• Facilitated by dedicated community research team
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Mobilising a Vision
• To reduce the harms associated with methamphetamine us among young people by rebalancing the approach from a law enforcement only approach to one that is underpinned by collaboration between law enforcement and public health…and an approach fundamentally underpinned by human rights
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Assessing the systems and structures
• Education System• Law Enforcement System• Health System• Economic and Vocation Systems• Peer Networks and Peer Norms• Community Understandings
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Fixing the system: Identifying Structural Change Objectives
• Young people suspected of drug possession are automatically expelled or suspended from school
• Solution: Ensure that young people considered “at risk” are supported to stay at school
• How to do it?
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Mobilising a working group
• Changing the school policing requires effort• Getting the right people engaged – Key Actors• Mobilising them through meetings with
experts, education ministry and curriculum advisors
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Systems Changed
Result: School policy changed, “at risk groups” kept at
school, curriculum around improved youth decision making implemented
Young people in Sankampaeng no longer expelled
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Capturing the data
Oct
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Graph I - Community Mobilization - SanKamPhaengData as of September 3, 2012
Community Action**
NEW Key Actors
SCOs Achieved
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Data capture heavy
• Healthy Coalition Questionnaire• Key Informant Interviews• Meeting notes• Working Group notes• Pre Post Structural Change Analysis• Ethnographic and Community perception
analysis………………..
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Justice Health Initiative
Similar approach to tackle another relevant system……..at a much higher level
• High Level Steering Committee of the Willing and Relevant
• Judges, lawyers, Office of Narcotic Control, Director of Health Centres,
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What does it all mean??
• Creating Partnerships at the Intersection of Law Enforcement and Public Health
• RE Enforcing Global Public Health and Security
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• Responding to HIV among Key Affected Populations and drug issues in general is a convenient fractal from which to explore the potential for LE and PH collaborations
• How do we internationalise best practices?
Towards Public Health Armies?
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Think about the potential for reshaping
• Operationalising the Intersection of Law Enforcement and Public Health Partnerships
• Collaborative Leadership and Vision
• Strong and vibrant civil societies
• Communication: Formal and Informal
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Towards a common language
• Intersection• Interface• Standard Operating Procedures• MOUs• Nexus• Joint Operations • Taskforces
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Creating public health armies?