Scoping Response System Management of Alcohol's Harm to others in Lower Middle Income Countries
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Aims: As part of the WHO Harm from others' drinking project, Thailand, Sri Lanka, India, Chile, Nigeria and Vietnam undertook scoping studies to examine: which service agencies in low and middle income countries responded to people affected by others' drinking; how commonly key informants from these agencies indicated alcohol was part of the problems they managed; and whether any routine reporting systems collected information on alcohol's harm to others (AHTO) and the types and examples of harms experienced across the six countries. Methods: Researchers synthetised within country peer-review literature, reports, news and agency website information. Additionally, researchers interviewed key informants to investigate current structures, functions and practices of service agencies, and in particular their recording practices surrounding cases involving others' drinking. Results: 111 key informants agreed to participate from 91 purposively selected agencies from health, social protection, justice and police, and ‘other' sectors. National and provincial level data, as well as state-run and civil society agency data were collected. Diverse service response systems managed AHTO in the different countries. A large range in the percentage of all cases attributed to AHTO was identified. Case story examples from each country illustrate the different responses to, and the nature of, many severe problems experienced because of others' drinking. Conclusions: AHTO was a major issue for service systems in LMIC, and significantly contributed to their workload, yet, very few recording systems routinely collected AHTO data. Recommendations are outlined to improve AHTO data collection across multiple sectors and enable LMIC to better identify and respond to AHTO.
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Drinking of others as an external cause is usually not measured in health system classifications.
“Drinking of others as an external cause is usually not measured in health system classifications 332, so these impacts have to be estimated otherwise.”
From The relationship between different dimensions of alcohol use and the burden of disease—an update (2017) · cites this paper as [332]
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- Authors
- Laslett, A.-M. L., Waleewong, O., Obot, I., Benegal, V., Hettige, S., Florenzano, R., Hanh, H. T. M., Hanh, V. T. M., Rao, G. N., & Room, R.
- Affiliations
- La Trobe University (AU)
- The University of Melbourne (AU)
- University of Uyo (NG)
- National Institute of Mental Health and Neurosciences (IN)
- RMIT University (AU)
- Universidad del Desarrollo (CL)
- Health Strategy and Policy Institute Ministry of Health, Vietnam
- Health Strategy and Policy Institute (VN)
- Stockholm University (SE)
- Corresponding author
- Laslett, Anne-Marie Louise
- Obot, Isidore
- Benegal, Vivek
- Hettige, Siri
- Florenzano, Ramon
- Hanh, Vu Thi Minh
- Rao, Girish N
- Room, Robin
- ORCID
- Venue
- Nordic Studies on Alcohol and Drugs
- Publisher
- SAGE Publications
- Published
- 2016-12
- Volume
- 33
- Issue
- 5-6
- Pages
- 515-536
- ISSN
- 1455-0725 (ISSN-L)
- 1458-6126
- OpenAlex
- W2562933286
- Cited by
- 10
- References
- 40
- Citations by year
- 2025: 1 · 2024: 1 · 2020: 1 · 2018: 3 · 2017: 3 · 2016: 1
- FWCI
- 2.19
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Nordic Studies on Alcohol and Drugs (publishedVersion)
- RMIT Research Repository (RMIT University Library) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eSpace (Curtin University) (submittedVersion)
- Figshare (submittedVersion, cc-by-nc-nd)
- Figshare (submittedVersion, cc-by)
- La Trobe University
- Funders
- World Health Organization
- La Trobe University
- Thai Health Promotion Foundation
- Center for Alcohol Studies
- Foundation for Alcohol Research and Education
- Medical Research Council
- National Health and Medical Research Council (1090904, 1065610)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Health › Intimate Partner and Family Violence
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- low- and middle-income countries, health services
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