Reducing Harm Through Evidence‐Based Alcohol Policies: Challenges and Options

In: World medical & health policy, Band 11, Heft 3, S. 248-269

Abstract

This article examines challenges in implementing and sustaining effective alcohol policies and proposes several strategies to counter them. A narrative review was undertaken of recent publications that document challenges in implementing alcohol policies in various contexts. MEDLINE/PubMed were searched for publications in English between 2011 and 2018. Twenty‐five keywords and 25 scholar names were used in the search. From 1,169 hits, 168 full research papers and commentaries were examined. Eight main groups of challenges were identified: interventions of inadequate dose, support, scope, or fidelity; confounding impacts from alcohol industries and other sectors; uneven implementation or inadequate enforcement; popular policies are largely ineffective and effective policies unpopular; policy decision‐making focusing on short‐range perspectives and skewed to favor commercial interests; low awareness of alcohol as a health risk; challenges in getting information on relevant interventions, local data, and insider information; and insufficient capacity or training to implement a policy. Several strategies are offered to counter these challenges: provide evidence to policymakers: conduct assessment and pilot studies; provide enhanced training on alcohol issues and policy implementation; develop allies; promote strong leadership; use media advocacy; engage voices of those impacted by flawed policies; and promote a comprehensive approach.