Alcohol situation, it

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Alcohol situation, its impacts and control
measures in Sri Lanka

• Pubudu Sumanasekara
• Executive Director
• Alcohol and Drug Information centre (ADIC)
• Sri Lanka
• 15.07.2009-Stop Drinking

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ADIC OUTREACH

• 23 OUT OF 25 DISTRICTS ARE COVERED USING
  VARIOUS MICHANISAMS.
• WORKING DIRECTLY
• WORKING THROUGH OTHER NGOO
• VARIOUS PROJECTS

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International Awards Received

• WHO AWARD

• IFNGO AWARD

• COMMONWEALTH AWARD

DURING THE YEAR 2001 ADIC(SRI LANKA) WAS INVITED
TO THE ALCOHOL POLICY STRATERGY ADVISORY
COMMITTEE OF THE WORLD HEALTH ORGANIZATION TO
REPREESENT THE SOUTH EAST ASIAN REGION.
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ADIC Programmes

• Social mobilization(School, Community and
  Media)
• Strategic intervention
• Policy Advocacy and Litigation
• Human Development and Innovative Intervention
• Research and Information
• Plantation
• Prevention of transmission of HIV/AIDS among
  drug users
• Finance and Accounts

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Problem

• Alcohol
• Rural communities spend 1/3rd of their family
  expenditure on alcohol (Mirisankotuwa Research).
• Estate sector spend half of their family
  expenditure spend on alcohol (ADIC Plantation
  Research).

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Health Indicators in Sri Lanka
Number of cases of hospitalization on Alcoholic
Psychosis , Alcohol Dependence and Alcohol
withdrawal (Excludes data
from private sector medical institutions)
Source Statistics of Ministry of health ,
Government of Sri Lanka
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Health Indicators in Sri Lanka
Hospitalization due to Chronic Liver Disease
(Excludes
data from private sector medical institutions)
NUMBERS
Source Statistics of Ministry of health ,
Government of Sri Lanka
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Other problems

• Violence
• Discipline
• Relationship
• Absenteeism
• Productivity
• Nutrition levels

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Alcohol Prevalence
Source Spot Survey 2008 December
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Alcohol Production
Source Excise reports
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Attitudes on Alcohol
Reasons for alcohol use
Reasons for not using alcohol
Source Spot Survey 2008 December
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• Major Health Risk Factors

Bangladesh, Bhutan, Democratic People's Republic
of Korea, India, Maldives, Myanmar, Nepal
Australia, Brunei Darussalam, Japan, New Zealand,
Singapore
Cambodia, China, Cook Islands, Fiji, Kiribati,
Lao People's Democratic Republic, Malaysia,
Marshall Islands, Micronesia (Federated States
of), Mongolia, Nauru, Niue, Palau, Papua New
Guinea, Philippines, Republic of Korea, Samoa,
Solomon Islands, Tonga, Tuvalu, Vanuatu, Viet Nam
Indonesia, Sri Lanka, Thailand
Source World Health Organization 2004
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Approach

• Moralistic ?
• Religious ?
• Scientific ?
• Do users really enjoy alcohol?
• Why youth start consuming alcohol while knowing
  the harm and unpleasantness

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• The highest number of smoking incidents in the
  past 12 years has been recorded in movies
  featuring the Indian super star Sharuk Khan.

• The second highest is noted in films featuring
  the South Indian superstar Ragini Kanth.

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The approach
Opinion makers and professionals
Media
Policy
Industry
Field level (communities)
Non - users
users
youth
women
children
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Approach cont.

• Reduce the attractiveness of the image alcohol
• Reducing unfair privileges attached to alcohol
  use
• Improving recognition of the real harm form
  alcohol use
• Counteracting the forces that promote increased
  consumption
• Encouraging quitting or reduction of use
• Formulation and implementation of effective
  policies local and beyond etc.

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Strategies to address alcohol problems

• Do not alienate users
• Mobilize every single structure in the community
• Develop expertise within the community and
  transfer ownership of the programme to the
  community through empowering people
• Include everyone in the community (sellers,
  users, non users, children, youth, women,
  political leaders) while using target group
  specific systems
• Integrate prevention activities in to the
  community agenda and daily life of the people
• Make prevention activities fun simple and
  attractive

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THANK YOU