Royal Government of Bhutan National Policy and Strategic Framework To
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Royal Government of Bhutan National Policy and Strategic Framework To Reduce Harmful Use of Alcohol 2015-2020 (The document is approved by the 90th session of the Lhengye Zhungtshog held on December 2, 2015) (FINAL APPROVED COPY) Contents FOREWORD ...............................................................................................................................6 ACKNOWLEDGEMENTS .........................................................................................................7 ABBREVIATIONS .....................................................................................................................9 SECTION I: BACKGROUND ..................................................................................................10 1. Introduction ...........................................................................................................................10 2. Alcohol-related situations in Bhutan .....................................................................................10 Prevalence and consumption pattern .................................................................................. 10 Availability and accessibility ................................................................................................. 10 Alcohol related harms ........................................................................................................... 11 Costs and economic implications ......................................................................................... 12 SECTION II: THE LEGAL & POLICY FRAMEWORK ........................................................13 2.1 Legal Instruments and existing policies ...............................................................................13 2.2 Current practices and compliance with alcohol rules .........................................................14 2.3 The guiding principles .........................................................................................................14 SECTION III: GOALS AND STRATEGIES............................................................................15 3.1 VISION ..................................................................................................................................15 3.2 MISSION ...............................................................................................................................15 3.3 OBJECTIVES ..........................................................................................................................15 3.5 STRATEGIES ..........................................................................................................................15 3.5.1 Area 1: Leadership, awareness and commitment ....................................................... 15 3.5.2 Area 2: Health Service response .................................................................................. 16 3.5.3 Area 3: Community Response ...................................................................................... 16 3.5.4 Area 4: Drink-driving policies and countermeasures .................................................. 17 3.5.5 Area 5: Regulating physical availability and quality of alcohol .................................... 17 3.5.6 Area 6: Regulating alcohol promotion and advertising ............................................... 18 3.5.7 Area 7: Taxation and Pricing Policies ........................................................................... 18 3.5.8 Area 8: Reducing the negative consequences of drinking and alcohol intoxication ... 19 3.5.9 Area 9: Reducing health impacts from illicit alcohol and informally produced alcohol ............................................................................................................................................... 19 3.5.10 Area 10: Monitoring and surveillance ....................................................................... 19 SECTION IV: ACTIONS AND ACTVITIES ...........................................................................21 4.1 Government.........................................................................................................................21 4.3 Local Government ..........................................................................................................21 4.4 Health Sector ..................................................................................................................22 Page | 2 4.4 Ministry of Economic Affairs...............................................................................................23 4.5 Ministry of Finance .........................................................................................................24 4.7 Bhutan Information Communication & Media Authority (BICMA) ..................................24 4.8 Road Safety and Transport Authority.................................................................................25 Key activities ..............................................................................................................................25 4.9 Ministry of Education ..........................................................................................................25 4.10 Academic Institutions (Schools, Colleges, Training Institutes) ........................................26 4.11 Bhutan Narcotic Control Agency ......................................................................................26 4.12 Ministry of Agriculture and Forest ...................................................................................26 4.13 Religious Bodies ................................................................................................................27 4.14 Civil Societies .....................................................................................................................27 4.15 Mass Media Organizations ...............................................................................................27 Actions: Comply with BICMA “Rules on content” and “film guidelines” by not printing, advertising or glamorizing scenes that promote alcohol use or may be used as a tool to protect commercial interest at the cost of public health and advocate on harms related to alcohol use .................................................................................................................................27 4.16 Alcohol Industries .......................................................................................................28 4.17 National Statistics Bureau ..........................................................................................28 SECTION V: IMPLEMENTATION FRAMEWORK ..............................................................29 5.1 National Alcohol Harm Reduction Committee (NAHRC) .....................................................30 5.2 Dzongkhag and Dungkhag Alcohol Harm Reduction Committee ........................................30 5.3 Gewog Alcohol Harm Reduction Committee .......................................................................30 5.4 Thromde Alcohol Harm Reduction Committee ...................................................................30 5.6 Mechanism and key implementation milestones ...............................................................30 5.6 Performance audits ..............................................................................................................32 SECTION VI: INDICATORS ..........................................................................................................33 REFERENCES: ..............................................................................................................................35 Annexure 1: LIST OF NOTIFICATIONS AND RELATED ALCOHOL POLICIES ...............................36 Annexure 2: DEFINITIONS .........................................................................................................37 Page | 3 Annexure 3: Number of alcohol outlets in 2014 ......................................................................38 Annexure 4: Meetings and consultations ................................................................................39 Page | 4 Page | 5 FOREWORD Consuming and offering alcohol is deeply rooted in the Bhutanese culture and tradition, yet alcohol use is causally linked to more than 200 medical conditions, youth crime, domestic violence, and road traffic injury. The adverse health and economic consequences of excessive alcohol use to individuals, families and society are well documented. For example, our Ministry of Health data show that alcoholic liver disease is the leading cause of death in Bhutan’s health facilities. The prevalence of alcohol consumption is increasing and poses a serious threat to our collective wellbeing. Fortunately there is a range of policy strategies shown to be effective in reducing alcohol- related harm in populations. These include making alcohol less affordable and accessible, and deterring drink-driving. Reducing alcohol consumption and related harm will require a concerted whole-of-government approach, including substantial improvement in the implementation of existing alcohol regulations in all 20 Dzongkhags. Approaches defined in this strategic framework provide opportunity for all stakeholders to exercise their responsibility and contribute to reducing the burden of alcohol. Towards this end, the Royal Government of Bhutan is pleased to endorse the National Strategic Framework to Reduce Harmful Use of Alcohol (2015-2020). I am hopeful that we