Following a decision at the World Health Organisation 146th Executive Board WHO started a two-year process to “accelerate action to reduce the harmful use of alcohol” . This includes a consultation towards an action plan 2022-2030 for the global strategy to reduce the harmful use of alcohol; development of a technical report on the harmful use of alcohol related to cross-border alcohol marketing; a call for more resources to be made available; and a review of the Global strategy in 2030. And updated timeline for the process is available on the WHO website here.
Civil society has an important role to play in contributing to consultations and communicating with decision makers about what such an accelerated action will entail. GAPA and its global network will participate actively in the two-year process and beyond. For the overall process GAPA issued the “GAPA Principles for Advocacy 2020 – 2022” (pdf, 20 June 2020).
In November 2020, WHO issued a ‘Working document for development of an action plan to strengthen implementation of the Global Strategy to Reduce the Harmful Use of Alcohol’ and started an online consultation until 13 December (extended deadline). For this consultation GAPA and Vital Strategies have issued a joint statement underlining three key points to strengthen the draft Plan. GAPA has also issued some key advocacy points for the consultation and made the following submission.
Joint statement from GAPA and Vital Strategies regarding WHO consultation on the development of an action plan to strengthen implementation of the Global Strategy to Reduce the Harmful Use of Alcohol.
On 16 November WHO released a Working document for development of an action plan to strengthen implementation of the Global Strategy to Reduce the Harmful Use of Alcohol. The document is open for consultation until 6 December. Without a clear Action Plan, the Global Strategy will remain unrealized and the health and economic harms of alcohol consumption will remain high and continue to be an obstacle to achieving the Sustainable Development Goals. The following are three key points to strengthen the draft Plan, agreed by Global Alcohol Policy Alliance and Vital Strategies and offered for consideration for your own submissions.
Role of economic operators:
In the current document the “economic operators” – i.e., alcohol industry entities (producers, distributors, retailers, etc) – are listed as stakeholders in equal standing alongside civil society and other UN organisations. This is inappropriate, given their inherent conflict of interest and long record of influence undermining effective alcohol policies, including in low- and middle-income countries (LMICs). The alcohol industry should, instead, be addressed in a separate section with due regard to conflict of interest toward safeguarding public health.
More regular reporting on implementation:
We are concerned about the lack of specific time intervals for review and reporting of the implementation of the Action Plan. Given the importance of intergovernmental collaboration to reduce alcohol harm, we recommend that the Director-General be requested to report to the World Health Assembly biennially on the progress of implementing the Global Action Plan. This should include any challenges faced by Member States and the nature and extent of collaboration between UN agencies.
Prior to the review of the SDGs and Action Plan in 2030, a progress report and recommendations for the way forward for reducing alcohol harm through alcohol policy should be submitted to the WHO governing bodies by 2028 at the latest to ensure there is no further delay to proportionately addressing any persistent barriers to progress identified through the course of the Action Plan.
Focus on best buys/SAFER
The numerous and sometimes overlapping recommendations in the draft document tend to obscure a focus on the most cost-effective policies to reduce alcohol-related harms. The Action Plan should be strongly framed around every country implementing the 5 most effective, science-based interventions, as articulated in the SAFER guidance: Strengthening restrictions on alcohol availability; Advancing and enforcing drink driving counter measures; Facilitating access to screening, brief interventions, and treatment; Enforcing bans or comprehensive restrictions on alcohol advertising sponsorship, and promotion; and raising prices on alcohol through excise taxes and pricing policies. The monitoring indicators should include specific metrics of SAFER implementation, and countries’ reporting of the implementation of SAFER policies should be facilitated, especially in LMICs, which currently lack adequate resources and are subject to interference from commercial interests.