1. From International to National: How to mobilize society to act responsibly toward the alcohol issue Sandra Radoš Krnel 1, Maja Zorko 1, Tanja Kamin 2, Vesna Kerstin Petrič 3 1 National Institute of Public Health, Slovenia 2 Faculty of Social Sciences, Univesity of Ljubljana, Slovenia 3 Ministry of Health, Slovenia

2. Social costs of alcohol Costs to society due to the alcohol are numerous and well documented In Slovenia: Tangible + intangible costs Lack of precise data on alcohol related financial burden – Work absenteeism and premature deaths 100 % alcohol attributable causes estimated to be 37 million euros.

3. Alcohol and Slovenia Registered consumption of pure alcohol per adult (aged 15 and more) in litres 15+ 199920002001200220032004200520062007 Slovenija* 10,6011,2412,9811,6011,2013,5010,2912,2011,00 Slovenija** 10,1811,3511,6611,8011,66---- EU15** 11,5411,3911,3811,3911,43---- EU** 11,1511,0411,0211,0511,11---- EUR-A** 11,4711,3411,3211,3111,36---- - no data * Institute for public health Slovenia (www.ivz-rs.si)www.ivz-rs.si ** European Health for All database (HFA-DB) 2007 (http://www.euro.who.int/HFADB)http://www.euro.who.int/HFADB

4. Challenges AP stakeholders (not clear who does what, how and how much, with what population and for what reasons) AP stakeholders know each other poorly (or not at all), bad connections Initiatives are dispersed across the various fields Everyone works on its own “garden” and does not see the whole Duplication of work (inefficient consumption of funds) It is hard to get information and data (legislation, research, projects, institutions) Public gets most information from sources close to alcohol industry (politics’ connection with industry) Stakeholders’ lack of knowledge on measures of AP and their efficiency, communication with public etc.

5. First step In 2006 Slovenia decided to take active role in the EU project Building Capacity – Strong support of MoH, high awareness of expert part of MoH about the problem and search for best solutions – Connection with the Slovenian presidency of EU in 2008 – Opportunity for EU networking and transfer of good practices Why? – Mobilisation on national level – Possible change of attitude towards alcohol – Political change? (easier implementation) – Inclusion and providing better information to professionals – Reduction of damage and expenses caused by excessive use of alcohol

6. Building Capacity - Implementing Coordinated Alcohol Policy in Europe The aims of the project: – to broaden the network base, bringing together a wide range of organizations, including NGOs, as well as research, information, consumer protection, transport, commercial communications, public health, health professionals, and partners addressing youth, mental health and accidents and injuries – to develop an inventory of country based experiences – to undertake economic and health impact assessment of policy options – to build capacity at country, regional and municipal levels for effective programme and policy implementation through conferences and advocacy training events

7. Initiative for MOSA project INFORMATION ABOUT (lack of information) THAT ALCOHOL IS A PROBLEM for individuals, society, state Review of research in the area of alcohol Review of selected indicators of health WHO?Review of actors in the area of alcohol in Slovenia WHAT?Review of the areas of work of actors HOW? Review of programmes of encouraging healthy lifestyle Review of preventive programmes Review of treatment programmes POLITICAL WILLLegal bases, political pledges… EXPERT PRESSURE Data on the burden of negative consequences of alcohol, e.g. illnesses, absenteeism, accidents, economic burden, etc.) Data on the cost effectiveness of measures and preventive programmes COMMUNITY PRESSURE Mobilizing the communities, changing the communal attitude towards hazardous behaviours Preconditions to design effective measures to tackle alcohol problem

8. Second step In 2008 the initiative for the transfer of ideas from BC to national level - project MOSA – mobilizing society for more responsible attitude towards alcohol in Slovenia: – to provide analytic screening of alcohol issue related activities – to build a network of various relevant stakeholders working with the alcohol issue in Slovenia and consequently – to lower the alcohol related social costs trough the mobilization of society

9. MOSA is Entity Network Tool MOSA has been developing databases with public access research projects prevention and promotion programs Actors working with the alcohol issue understanding of alcohol policy among the most relevant stakeholders MOSA

10. Interactive webpage

11. MOSA results Better use of the limited funds aimed for the alcohol issue in Slovenia Avoiding the duplication of research and activities (now it is easy to establish what has already been done and continue from there) Effect of synergy trough the connection of various institutions and stakeholders in the field of alcohol policy

12. Conclusions internationalnational societal costs of alcohol society mobilisation