International Health Policy Program -Thailand Alcohol Industry and Alcohol Policy Development in sub-Saharan Africa Warisa Panichkriangkrai

International Health Policy Program -Thailand 2 MAIN ACTORS

International Health Policy Program -Thailand 3 We're one of the world's leading brewers, operating across six continents SABMiller = South African Breweries + Miller Brewing Company

International Health Policy Program -Thailand 4 We're one of the world's leading brewers, operating across six continents

International Health Policy Program -Thailand 5 Sponsored by: Anheuser-Busch InBev Asahi Breweries Bacardi-Martini Beam Global Spirits & Wine Brown-Forman Corporation Diageo Heineken Molson Coors Pernod Ricard SABMiller The mission of ICAP is: To promote understanding of the role of alcohol in society and help reduce the abuse of alcohol worldwide. To encourage dialogue and pursue partnerships involving the beverage alcohol industry, governments, the public health community, and others interested in alcohol policy.

International Health Policy Program -Thailand 6 AFRICA

International Health Policy Program -Thailand 7 WORKSHOP Senior representatives of government agencies NGOs Representatives of civil society groups 40% Industry representatives <20% NGO/civil society representatives

International Health Policy Program -Thailand 8 Experience from Uganda WHO report in 2005 MOH drafted alcohol report National Alcohol Policy In late 2006, ICAP sponsored 7 key persons to discuss alcohol policy in South Africa Alcohol industry funded a consultant to work with MOH to develop policy

International Health Policy Program -Thailand 9 Draft national alcohol policy…one size fits all Share the same source Same core of policy measures and some key formulations Same in wording, structure and page formatting differences Lesotho108 changes; 43.5% country name 24.1% substantive meaning 21.3% minor change in wording 11.1% paragraph sequence Malawi BotswanaDifferent in file format UgandaDifferent structure

International Health Policy Program -Thailand AreasActivities 1. Intoxicatio n - Increase public awareness - Personal responsibility 2. Public safety and amenity Drink driving Review Blood Alcohol Content limits for all drivers Alcohol-related interventions, treatment, and rehabilitation support 3. Health impacts Positive and negative health impacts 4. Patterns and availability Self-regulatory system by alcohol beverage industries 5. At-risk populations Individuals who are at increased risk for harm from drinking 6. Research 10 POLICY PRIORITY AREAS

International Health Policy Program -Thailand 11 WEAK POINTS Irrelevant with country context: ignore local concerns weak references: situation, alcohol-related trend not addressing country existing policies Not related with WHO recommendations: industry’s role Focusing on alcohol beverage industry self-regulation Individual approach > public health strategies

International Health Policy Program -Thailand 12 QUESTIONS How can alcohol industry involve with national alcohol policy development?  their approach?  responsibility?  benefits?  ……?

International Health Policy Program -Thailand 13 Bakke Ø. and Endal D. Alcohol policies out of context: Drinks industry supplanting government role in alcohol policies in Sub-Saharan Africa. Addiction 2010; 105: Rogers Kasirye. Alcohol policy development: experience of alcohol industry organized alcohol policy process in Uganda. World Health Organization. WHO Expert Committee on Problems Related to Alcohol Consumption, second report. WHO Technical Report Series no.944. Geneva: WHO; For More Information

International Health Policy Program -Thailand 14 THANK YOU