ALCOHOL POLICY SCORING Assessing the level of implementation of the WHO Global strategy to reduce the harmful use of alcohol in the Region of the Americas. ALCOHOL POLICY SCORING Assessing the level of implementation of the WHO Global strategy to reduce the harmful use of alcohol in the Region of the Americas. Noncommunicable Diseases and Mental Health Washington, D.C. 2018 Also published in Spanish Calificación de las políticas en materia de alcohol. Evaluación del nivel de ejecución de la Estrategia Mundial de la OMS para reducir el uso nocivo del alcohol en la Región de las Américas ISBN: 978-92-75-32045-7 Alcohol Policy Scoring: Assessing the level of implementation of the WHO Global strategy to reduce the harmful use of alcohol in the Region of the Americas ISBN: 978-92-75-12045-3 © Pan American Health Organization 2018 All rights reserved. Publications of the Pan American Health Organization are available on the PAHO websitewww.paho.org ( ). 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Alcohol policy scoring: Assessing the level of implementation of the iii WHO Global strategy to reduce the harmful use of alcohol in the Region of the Americas Table of Contents Foreword ........................................................................................................................................................ vi Acknowledgments ........................................................................................................................................ vii List of acronyms .......................................................................................................................................... viii Part I: Implementation status in the Americas of the WHO Global strategy to reduce the Availability of harmful use of alcohol ........................................................................................................................... 1 Pricing policies alcohol Global and regional context of alcohol policy ........................................................................................ 1 Table 1: The Global strategy to reduce the harmful use of alcohol—areas for policy options and interventions ............................................................................................................................................................2 Aims of the composite indicators .............................................................................................................. 3 Methods ............................................................................................................................................................ 3 Data sources ..................................................................................................................................................................3 Construction of the scoring scheme .......................................................................................................................3 Figure 1: Three-step process for creating summary indicators and composite indicators .................4 Drink-driving Marketing of Figure 2: Ten composite indicators ...................................................................................................................5 policies & alcoholic Table 2: Composite and summary indicators .................................................................................................6 countermeasures beverages Generation of scores ...................................................................................................................................................7 Scoring scheme ..............................................................................................................................................................7 Figure 3: Number of Member States participating in each action area ....................................................8 Table 3: Overview of scoring scheme for the composite indicators ........................................................9 Results.............................................................................................................................................................11 Regional Scores and rankings.................................................................................................................................. 11 Figure 4: Distribution of composite indicators ............................................................................................ 12 Geographic distribution of scores for the most cost-effective policies ...................................................... 13 Leadership, Health services’ Figure 5: Maps of composite indicator scores for “best buys,” by country ......................................... 14 awareness response Geographic distribution of scores for the other policy areas ........................................................................ 17 & commitment Figure 6: Maps of composite indicator scores by country for other policy areas .............................. 18 Discussion ......................................................................................................................................................21 Summary of findings .................................................................................................................................................. 21 Figure 7: Mean-scaled scores (0–100) for the WHO Americas and European Regions .................. 22 Robustness of the composite indicators.............................................................................................................. 23 Strengths and limitations of the composite indicators ..................................................................................... 24 Table 4: Strengths and limitations of the composite indicators .............................................................. 26 Future work ................................................................................................................................................................ 27 Conclusion .....................................................................................................................................................27 References .....................................................................................................................................................28 Alcohol policy scoring: Assessing the level of implementation of the iv WHO Global strategy to reduce the harmful use of alcohol in the Region of the Americas Part II: Alcohol policy implementation—country profiles ...................................................... 31 Composite indicator–scaled scores (0–100) for Member States of the Americas, 2016 ...........31 Antigua and Barbuda ................................................................................................................................................. 31 Argentina ...................................................................................................................................................................... 32 Bahamas ........................................................................................................................................................................ 32 Barbados ...................................................................................................................................................................... 33 Belize ............................................................................................................................................................................. 33 Brazil 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