to those who need it most Dr Joanne Corrigall Richard Matzopoulos Injury prevention workgroup current activities Vision To reduce injuries in the Western Cape All injuries Interpersonal violence amp ID: 928421
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Slide1
bringing the Global Alcohol Strategy to those who need it most
Dr Joanne CorrigallRichard Matzopoulos
Slide2Injury prevention workgroup: current activities
Vision: To reduce injuries in the Western Cape
All 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
Slide3Who is dying from homicide?
Men aged 20-39
>50% are alcohol
positive
Domestic violence?
Slide4Inconsistency?
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 AFRICA
Foran & O’Leary 2008
Clinical Psychological
Review
28(7) 1222-1234
Slide5Health burden from Alcohol (South Africa)
Violence
Road
Violence
Mental illness
Road
Injuries
HIV, TB
Slide6South 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 worldWestern Cape province- more drinkers, more binge drinkers
Trends: increase in alcohol consumption amongst youth
Slide7Alcohol 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!!
Slide8Suburbs
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” approach
Violence is CONCENTRATED
Approx. 50% of
alcohol-related
violence occurs
in 5 areas
Slide9The High 5 project
High 5
A focus on 5 high risk areas to deliver intersectoral alcohol-related violence reduction interventions
Slide10VPUU with Alcohol included
Examples:
ECD
Conflict management
Social cohesionBusiness development
Examples:Street lightsCreating local trading placesUse of Public Buildings/Spaces
Examples:
Financial Models, Action Plans
Governance, Capacity Building
M&E
Policy
Alcohol:
Brief Interventions
Counter-messaging
EducationRecreationSkills developmentECDMental Health
Social CohesionUrban upgradingAlcohol:
Implementation of Liquor ActSafer drinking environmentsTraffic calmingInfrastructural improvements
Urban upgrading
Alcohol:
Expand include alcohol
Alcohol abuse prevention model a good fit with VPUU model
Slide11MEETS
bringing the Global Alcohol Strategy
to those who need it most
Slide12Need for campaign
GENERAL PUBLIC, DRINKERS & INTERVENTION AGENTSScewed normative views of drinking
Bombardment of alcohol advertising & misinformation campaignPoor knowledge of risks & how to avoid themPoor knowledge of what the problem is & how to fix itNeed to gain support for policies/legislation/interventions : need community involvement
PUBLIC MESSENGERS: Wrong messages being spread!
Slide13BOOZA MYTHS Drugs cause more violence than alcohol
Advertising 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!!
Slide14Booza TV
EPISODE 1: THE CULTURE OF DRINKING
EPISODE 2: WHY WE DRINK ALCOHOL AND WHY WE ABUSE ITEPISODE 3: ALCOHOL, THE MEDIA & ROAD INJURIESEPISODE 4: ALCOHOL AND VIOLENCEEPISODE 5: THE LIQUOR ACT
EPISODE 6: SOLUTIONS
Slide15PLAY CLIP OF BOOZA TV
Slide16Elsies River Pilot Project
Pilots Booza TV as a tool for social mobilisation for actions to reduce alcohol-related violence2 groups: Stakeholders & Binge Drinking Youth
Slide17Pilot study results:
Booza TV is effective in
challenging normative views about drinking; and Establishing links between violence & drinkingsuccessfully 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)
Slide18Campaign
1. AIMSStimulate and inform public debate about alcohol what should be done about alcohol abuse
Increase knowledge about and promote action for safer drinking practicesPromote adoption of evidence-based alcohol abuse prevention interventions by government, non-governmental and community-based organizations
Maximize viewing/usage of Booza TV
Slide19Thank You
The Boozalution will be televised!