Executive Summary STAKEHOLDER ENGAGEMENT, PLANNING AND COMMITMENT CAPACITY BUILDING AND PROJECT DEVELOPMENT SITUATION ASSESSMENT INTERVENTIONS SUMMARY

Transcription

1 SUMMARY DRINK DRIVING INITIATIVE Executive Summary According to the World Report on Road Traffic Injury Prevention, issued by the World Health Organization (WHO) and the World Bank, drink driving is a leading contributor to road crashes in most countries. There is particular concern about drink driving among young people. Furthermore, the WHO adopted the Global Strategy to Reduce the Harmful Use of Alcohol in May of The issues raised by the World Report and the WHO s Global Strategy informed the Global Actions on Harmful Drinking, a program of actions implemented by the International Center for Alcohol Policies (ICAP) on behalf of the world s leading beverage alcohol producers during the time frame. The companies sponsoring Global Actions on Harmful Drinking launched three critical initiatives to address the harmful use of alcohol: Self-Regulation, Drink Driving and Noncommercial Alcohol. In late 2012, 13 CEOs from the world s largest beverage alcohol producers announced that they would build on long-standing efforts to reduce harmful drinking by implementing the Beer, Wine and Spirits Producers Commitments over five years ( ). The Commitments represent a pledge to implement targeted efforts focusing on five broad areas, one of which is to reduce drink driving by continuing to support the six Global Actions programs in China, Vietnam, Colombia, Mexico, Russia and Nigeria. Each of these country programs has a dedicated coordinator building local engagement and reporting progress and lessons learned that help to inform future efforts. The implementation plan for the drink driving initiative followed a staged approach that provides a model around which each country can mold specific action plans. SITUATION ASSESSMENT Each country program began with an assessment to look at the current drink driving situation in the country. The assessments were conducted by local consultants and were based on the Situation Assessment Guidelines developed for ICAP by Marvis Johnson, a global road safety expert. The reports provided an overview of current data, stakeholders and their roles, programs already being implemented to address the issue and legislation and enforcement. The reports helped shape how our team would design each country s interventions. Many of these country assessments were published in the academic journal Traffic Injury Prevention March 2012 (volume 13, issue 2). STAKEHOLDER ENGAGEMENT, PLANNING AND COMMITMENT Considerable local time and effort went into finding the right stakeholders. While all countries rely on collaboration among industry, government, law enforcement and NGOs, some unexpected stakeholders, like labor and trade unions in Nigeria, offered invaluable insights as well. It was important to gain commitments from local stakeholders in the form of signed memorandums of understanding that pledged their support. CAPACITY BUILDING AND PROJECT DEVELOPMENT According to the World Report, many low- and middle-income countries need to supplement their capacity and their resources required to develop and implement effective road safety programs. A characteristic of effective programs is continual investment in the development of local professionals who can design, implement and evaluate programs based on international best practices. In 2013, each of the Global Actions countries held capacity building workshops to provide both technical and practical knowledge and skills to local practitioners. In the enforcement area, law enforcement officials received on-site learning and immediate feedback from leading experts. Capacity building is imperative to the program s success it builds local expertise, leading to a sustainable network of local officials who can institutionalize the capacity and manage future road safety impovements. INTERVENTIONS Following the capacity building, local stakeholders created intervention programs to adapt global best practices to the needs of their communities. This flexibility is the model s strength. Below are three intervention themes offering a sample of the broader activity: Public Awareness Campaigns. The media is a key tool in changing public perception. Global Actions coordinators leveraged media attention

2 to both raise awareness about the dangers of drink driving and to deter drivers. In Vietnam, capacity building focused on developing communication skills. In the province of Nghe An, local officials and law enforcement raised awareness by hosting community participatory events attended by thousands of residents. There was also distribution of materials that carried the Don t Drink and Drive campaign slogan. In Colombia, media were not only alerted to law enforcement checkpoints, but were on the scene as officers administered Breathalyzer tests. The effort drew attention to both the importance of and the state s commitment to drink driving enforcement. At the most publicized checkpoint, officers impounded the cars of three drivers who tested positive for legal intoxication. Law Enforcement Interventions. In China, ICAP worked with local stakeholders to design a two-part workshop featuring Ray Shuey, the former deputy police commissioner of Victoria in Australia. Shuey trained more than 40 police officers from 13 cities. This training went beyond the classroom as attendees conducted nighttime field exercises including sobriety checkpoints. Our team in Mexico leveraged expertise from local and international experts for capacity building workshops. To highlight the success of public-private partnerships, law enforcement expert and ICAP consultant William Georges shared experiences from the New York STOP DWI program, emphasizing the importance of police integrity. SUCCESS BY THE NUMBERS CHINA 150-PLUS ATTENDEES at capacity building workshops The Jiangsu CDC and Traffic Management Bureau organized workshops in 7 CITIES OF JIANGSU PROVINCE in 2013 COLOMBIA MORE THAN 500 government officials and law enforcement officers were trained through the initiative 2013 surveys conducted in Chía showed a 75% RETAINED- KNOWLEDGE RATE from workshop attendees in 2012 MEXICO More than 100 POLICE OFFICERS attended workshops New trainers conducted more than 350 WORKSHOPS attended by more than 11,000 ATTENDEES NIGERIA 2 CAPACITY BUILDING WORKSHOPS were held in both Lagos and Abuja, training more than 50 OFFICIALS 1.4% of tanker drivers tested positive for alcohol and 0.8% of drivers were over the legal limit down significantly from 11% and 5%, respectively, in 2012 RUSSIA 20 DRIVING SCHOOLS have been chosen for 2014 student training VIETNAM 3,000 MEMBERS of the armed forces participated in two local actions to promote Don t Drink and Drive ICAP operated in 7 CITIES AND PROVINCES: Hanoi, Thanh Hoa, Nghe An, Da Nang, Khanh Hoa, Dac Lac and HCMC Targeting Specific Drivers. In two countries, our interventions took aim at specific subsets of drivers. These took two forms: working with driving schools and educating commercial drivers. In Nigeria, the initiative took a unique approach to reach commercial drivers a high-risk group who are critical to the local economy. In interventions at the country s central port, we intercepted and educated truck drivers whose tankers carry refined oil products destined for every part of the country. In Russia, our efforts focused on driving schools, starting with building the infrastructure to properly create training modules. The focus was purposeful, aligning with an active government focus on drinking and driving, and we look forward to building on this work in SUSTAINABLE PROJECT MANAGEMENT Monitoring and Evaluation. Building and maintaining an evidence base not only helps monitor the success level of various interventions, but informs year-over-year program improvements. Every country team is conducting surveys and working to effectively monitor and evaluate its local projects. The drink driving initiative is also being independently evaluated by Channel Research, a global evaluation consultancy. Sustainable Infrastructure. Our model has been designed for short-term guided adaptation and for long-term empowerment of local officials to carry on the work independently. Two countries are already showing signs of this transition to local ownership. Last year in China officials in Nanjing, Jiangsu, took over the capacity building and funding of both workshops and law enforcement checkpoints, using donated Breathalyzers. In the state of Puebla, Mexico, the System for Integral Family Development of Puebla (DIF) and Secretary of Public Education (SEP) have increased their level of involvement in the project. With their commitment, the program will have trainers to conduct workshops in the 217 municipalities across the state. CONCLUSION The 2013 drink driving country reports provide an overview of the progress that has been made in the six drink driving focus countries. Project implementation continues into 2014 and underscores our commitment to working on the drink driving issue.

3 CHINA 2013 DRINK DRIVING INITIATIVE Initial Success Leads to Sustainable Action In May of 2010, the World Health Organization (WHO) adopted the Global Strategy to Reduce the Harmful Use of Alcohol. In response, the International Center for Alcohol Policies (ICAP), on behalf of the world s leading beverage alcohol producers, developed Global Actions on Harmful Drinking to be implemented in the time frame. The Drink Driving Initiative was one of those actions; it focused on capacity building and training, implementation of projects at the local level and monitoring, evaluation and dissemination of global best practices. In 2012, 13 CEOs from the world s largest alcohol producers demonstrated a united pledge by the industry by signing the Beer, Wine and Spirits Producers Commitments, which build on long-standing efforts to reduce harmful drinking. The Commitments will implement targeted efforts that focus on five broad areas over five years, one of which is to reduce drinking and driving. As part of the signatory companies implementation of the Commitments, we continue to coordinate work on the drink driving initiative in China one of six countries targeted for its global actions. This report describes that progress and our ongoing efforts to reduce harmful use of alcohol by Chinese drivers. Our work in China began in 2010, with an agenda that called for close collaboration with governments and communities in Xi an and Nanjing. These pilots were expanded in 2013, leading to further work in Xi an, extending the projects from Nanjing to include all the province of Jiangsu (targeting approximately 1 percent of the world s population) and enabling new pilots in Wuhan and Shenyang. Through frequent, widespread workshops and targeted publicity campaigns, we have helped to improve enforcement and engage the Chinese public about the perils of alcohol misuse. CAPACITY BUILDING At a two-day conference in Xiamen in April, more than 50 officials from varying levels of government, plus representatives from domestic and international beverage companies, gathered to discuss the drink driving initiative. Hosted by the Xiamen Center for Disease Prevention and Control (CDC), the meeting showcased the impressive outcomes that drink driving prevention can produce: a significant reduction in the rate of drink driving among intercepted drivers, from 1.6 percent to 0.7 percent in Nanjing, and 2012 pre- and post-intervention survey results showing an increased public awareness of drinking and driving. There was also evidence of a more positive attitude toward the control measures in Nanjing and Xi an. The summit described how the improvements were brought about through increased local capacity in the form of teaching and training local practitioners in global best practices, newly created partnerships and increased law enforcement, followed by thorough evaluations. The results provided motivation for further work, according to attendees such as Dr. Mao Qun an, the director of the Chinese Center for Health Education (CCHE), an agency of the Ministry of Health. I m glad the CCHE can contribute to the project, and I look forward to opportunities for continuing collaboration, he said. Other officials described an edifying and energizing experience at Xiamen. We have learned a lot from the international experts and from other partners, said Li Youqing, the deputy of Nanjing Traffic Management Bureau. We will definitely support the next phase of the project and hope the project can introduce more international best practices to Nanjing. SHARING GLOBAL BEST PRACTICES In our work with local officials, we provide vital support, backed by many years of experience and informed by a global perspective on best practices in alcohol policy. In the Chinese pilot cities, law enforcement and other officials reaped the benefits of that experience and perspective in the form of targeted, pragmatic capacity building workshops featuring international experts such as Ray Taylor, Kathy Stewart and Ian Newman. In Jiangsu, for instance, we worked with local stakeholders to design a two-and-a-half-day workshop for local law enforcement, highlighted by an address on best practices by Ray Shuey, the former deputy police commissioner of Victoria, Australia, and a renowned expert on drink driving enforcement. The training took attendees beyond the classroom through two nighttime field exercises where they trained to safely and effectively conduct sobriety checkpoints. In addition to the focus on law enforcement, our local government partner dedicated significant resources to educating Chinese young people a vital effort, as they will soon make up the majority of the country s drivers. In Xi an, a pilot program placed educational material in driver training classrooms. The youth focus also led us to Wuhan, home to more than 30 colleges and a million college students. The need is acute: Surveys showed that 80 percent of students drank alcohol and 18 percent held driver s licenses. To ensure authenticity and engagement, our Wuhan team will train a group of 1,000 graduate students using a newly created guide for teaching responsible behaviors and explaining the harmful effects of drink driving. In December, the Tongji Medical College completed that responsible drinking manual.

4 THE JIANGSU CDC AND TRAFFIC MANAGEMENT BUREAU ORGANIZED WORKSHOPS IN 7 CITIES OF JIANGSU PROVINCE IN 2013 SUSTAINABLE LOCAL INFRASTRUCTURE For our work to have a lasting impact, it s crucial to train and empower those who can carry on that work independently and through official local channels. Our country coordinator in China, James Yu, has been working since 2011 to identify and engage local officials who would embrace our goals and commit to executing them. In Jiangsu province, oversight has already begun to shift to local officials. Our success in Xi an and Nanjing also helped secure a powerful commitment from the Chinese government. In July, the Chinese Center for Disease Control and Prevention s (China CDC) Office of Epidemiology signed a memorandum of understanding with us to expand the scope of prior work. The agency s 2013 efforts would include interventions in Shenyang (Liaoning province) along with expanded efforts across Jiangsu. The China CDC also committed to several specific efforts, including developing a capacity building tool kit containing key teaching content along with survey tools and evaluation methods all created to increase engagement with the process. CONCLUSION Three years of sustained efforts in China began to pay dividends in 2013 in the form of increased awareness, more effective enforcement and reduced occurrence of drink driving. Our programs have led to the formation of a task force on drink driving, a public discourse on the dangers of irresponsible drinking and signed commitments to stronger prevention by several government agencies. This momentum promises to build in 2014 as local governments continue to embrace drink driving prevention and enforcement. Further, data on completed and ongoing programs will become available this year, indicating which efforts have been most effective and helping us steer future programs toward even greater success. BY THE NUMBERS The partnerships with local agencies have allowed local practitioners to identify, design, implement and evaluate programs on a world-class level saw many signs of progress. Here are a few highlights: 150-PLUS ATTENDEES at capacity building workshops 40 POLICE OFFICERS from 13 CITIES attended a drink driving workshop in Nanjing More than 35 POLICE OFFICERS attended a workshop in Shenyang City The Jiangsu CDC and Traffic Management Bureau organized workshops in 7 CITIES OF JIANGSU PROVINCE in 2013

5 COLOMBIA 2013 DRINK DRIVING INITIATIVE Expanded Efforts Yield Early Results In May of 2010, the World Health Organization (WHO) adopted the Global Strategy to Reduce the Harmful Use of Alcohol. In response, the International Center for Alcohol Policies (ICAP), on behalf of the world s leading beverage alcohol producers, developed Global Actions on Harmful Drinking to be implemented in the time frame. The Drink Driving Initiative was one of those actions; it focused on capacity building and training, implementation of projects at the local level and monitoring, evaluation and dissemination of global best practices. In 2012, 13 CEOs from the world s largest alcohol producers demonstrated a united pledge by the industry by signing the Beer, Wine and Spirits Producers Commitments, which build on long-standing efforts to reduce harmful drinking. The Commitments will implement targeted efforts that focus on five broad areas over five years, one of which is to reduce drinking and driving. As part of the signatory companies implementation of the Commitments, we continue to coordinate work on the drink driving initiative in Colombia one of six countries targeted for its global actions. This report describes that progress and our ongoing efforts to reduce harmful use of alcohol by Colombian drivers. Drink driving is the third leading cause of traffic accidents in Colombia. A 2012 evaluation of six cities revealed that the first steps toward curtailing drink driving are to create a baseline of knowledge and to coordinate interested and relevant stakeholders. In 2013, we expanded our efforts from Chía and Quibdó, where we had focused our previous years work, to Valle del Cauca and its capi- tal city, Calí. Calí is the third largest city in Colombia. It is surrounded by a number of other, midsized cities. The greater Calí region has the vehicle infrastructure sufficient to support heavy car and motorcycle traffic. The area also has a uniquely vibrant nightlife environment. MAKING DRINK DRIVING PREVENTION A PRIORITY Work in Valle del Cauca began with approaching new stakeholders. The success of the project would require assembling a coalition of interest groups and officials who had rarely worked together in the past. In 2013, we convened a forum of officials from 10 cities and social responsibility professionals from the beverage alcohol industry to discuss actions they could take together to reduce drink driving. With that group acting in solidarity, the Calí metropolitan area took center stage. Calí s increasingly active nightlife had recently caught the attention of surrounding cities. Some have changed their laws to allow the service of alcohol in taverns into the early morning hours, some as late as 7:00 a.m. Coupled with a high volume of car and motorcycle traffic, the new rules posed a serious threat of creating a dangerous drink driving environment. In response, the forum stakeholders collaborated with local police and government officials to create a program that would both raise public awareness about the dangers of drink driving and step up enforcement of drink driving laws. That program became known as Proyecto Patrullero (Project Patrolman).

6 IN CHÍA, SURVEYS SHOWED A 75% RETAINED-KNOWLEDGE RATE FROM WORKSHOPS HELD IN 2012 PROYECTO PATRULLERO (PROJECT PATROLMAN) The stakeholders centered the public awareness part of the program on a simple catchphrase: No conducción bajo los efectos del alcohol ( No Driving Under the Influence of Alcohol ). Meanwhile, on the enforcement side, the stakeholders turned to officials in Calí s suburbs. In May, officials in Yumbo and Palmira signed our memorandums of understanding bolstering their law enforcement efforts. In August, Candelaria and Jamundí signed on. Across the region, local government officials attended two-day workshops to sharpen their knowledge of alcohol issues, its effects on the body and the myths and facts about alcohol intake. They reviewed data on national consumption and legislation. Country coordinator Mario Lleras led an overview of data on Colombian consumption and legislation. As part of workshops that focused specifically on law enforcement, Carlos Arturo Carvajal, an international expert on drugs and alcohol and a current advisor to the Ministry of Health, led classroom training on alcohol basics. Another Colombian expert on drink driving, lawyer Salwa Maria, led the legal side of the discussion. That discussion was especially active, as alcohol-related legal sanctions in Colombia are changing rapidly. The training continued beyond the classroom, with attendees learning how Breathalyzer equipment can be used at drink driving checkpoints. John Sullivan, a Buffalo, N.Y.-based expert in conducting drink driving inspections, explained how local officers could set up a checkpoint safely. Sullivan monitored and scored their performances, providing feedback and recommendations for future operations. In August, two new elements were added to law enforcement workshops held in Menga, Yumbo. First, attendees got extra information on basic alcohol facts and current Colombian alcohol-related legal sanctions. Second, they set up an active checkpoint with the media present. The attendees fined two drivers who tested positive for second-degree intoxication. They impounded those drivers cars, plus another vehicle belonging to a third driver whose blood alcohol content reading was particularly high. This practical exercise provided valuable lessons not just to the officers in attendance but the entire community at large: Law enforcement can be a powerful deterrent; checkpoints simplify the task of enforcing the traffic code; and the punishments for drinking and driving are real. BY THE NUMBERS During 2013 the initiative showed tremendous progress in greater Calí, with active participation across the whole region. Here are a few highlights: MORE THAN 500 government officials and law enforcement officers were trained through the initiative In Chía, surveys showed a 75% RETAINED-KNOWLEDGE rate from workshops held in 2012 In every area where interventions took place, a marked increase in knowledge was noted in surveys: Yumbo 50%, La Candelaria 38%, Palmira 40%, Jamundí 30%, Calí 16% 23 MEDIA MENTIONS highlighted initiatives 4 CHECKPOINTS were conducted in three districts CONCLUSION The No conducción bajo los efectos del alcohol ( No Driving Under the Influence of Alcohol ) program arrived at the right time. Currently in Colombia the rapidly changing legal sanctions have drawn heavy public attention. In this environment, we have an extraordinary opportunity: We can position the project as a resource, manage new legal requirements, continue with capacity building and bolster law enforcement. We helped raised awareness and built on previous successes in Our activities drew growing interest from cities across the region. While more than 10 cities expressed interest in participating, the project team chose three additional cities for expansion in 2014: Neiva, Cartagena and Tunja. In all areas, enhanced enforcement will continue to be at the heart of our initiatives.

7 MEXICO 2013 DRINK DRIVING INITIATIVE Expanding Towards Zero Deaths From Drink Driving in Puebla In May of 2010, the World Health Organization (WHO) adopted the Global Strategy to Reduce the Harmful Use of Alcohol. In response, the International Center for Alcohol Policies (ICAP), on behalf of the world s leading beverage alcohol producers, developed Global Actions on Harmful Drinking to be implemented in the time frame. The Drink Driving Initiative was one of those actions; it focused on capacity building and training, implementation of projects at the local level and monitoring, evaluation and dissemination of global best practices. In 2012, 13 CEOs from the world s largest alcohol producers demonstrated a united pledge by the industry by signing the Beer, Wine and Spirits Producers Commitments, which build on long-standing efforts to reduce harmful drinking. The Commitments will implement targeted efforts that focus on five broad areas over five years, one of which is to reduce drinking and driving. As part of the signatory companies implementation of the Commitments, we continue to coordinate work on the drink driving initiative in Mexico one of six countries targeted for its global actions. This report describes that progress and our ongoing efforts to reduce harmful use of alcohol by Mexican drivers. The 2013 activity in Mexico took its shape from the insights contained in a 2012 survey conducted in the Puebla metropolitan area. It showed that 71 percent of the year-old target population consumed alcohol, and that a high percentage of underage respondents used the family car to attend parties and were driving without a license or permission. Private parties were the preferred location for underage drinkers, according to the survey. Based on these findings, we began a program to curtail drink driving, especially among young adults in the Puebla metropolitan area. inception the education program has focused on young people. We also took aim at influencing parents in We held workshops for the parents of teenagers aimed at raising their awareness of the dangers of drinking and driving. Approximately 1,300 parents attended the workshops throughout the year. INSTITUTIONALIZING CERO MUERTES POR ALCOHOL Y VOLANTE EN PUEBLA ( TOWARDS ZERO DEATHS FROM DRINK DRIVING IN PUEBLA ) Institutional engagement solidified in early 2013 with a signed agreement between ICAP and the System for Integral Family Development of Puebla (DIF), pledging a yearlong dedication to drink driving reduction. We also secured similar commitments from the Secretary of Public Education (SEP) and the Secretary General of Government (SGG), and the agencies raised their involvement levels from collaboration to project ownership. Meanwhile, we also conducted capacity building workshops for government officials, sharing alcohol data and global best practices in intervention. We took this capacity building to another level in 2013, expanding our reach by increasing the number of trainers in our cadre to 190. In November, one such trainer workshop included officials A FOCUS ON EDUCATION Our youth outreach efforts started on college campuses in Puebla. Puebla is the fourth largest city in Mexico and is second only to Mexico City in terms of the number of education institutions. In 2013, we conducted eight train-the-trainer workshops aimed at developing a cadre of trainers who could in turn educate university students on the perils of drink driving through two-hour workshops. Six of the trainthe-trainer workshops were delivered to teachers from the Ministry of Education, one was held for officials from the DIF System for Integral Family Development of Puebla and another was attended by members of the Puebla police and students from the Benemérita Universidad Autónoma de Puebla (BUAP) and Universidad de las Americas Puebla (UDLAP). Indeed, the trainers emerged from the trainings and went on to conduct more than 150 such workshops at Puebla colleges. Since

8 TRAIN-THE-TRAINER WORKSHOPS EDUCATE PEOPLE ON THE PERILS OF DRINK DRIVING 11,000+ New trainers conducted WORKSHOPS, attended by more than 11,000 from 21 regional outposts of the Puebla state system, preparing trainers to reach citizens in each of the state s 217 municipalities. The Towards Zero Deaths from Drink Driving in Puebla campaign has received several mentions in the local media and has been broadcast on Mexico s two most watched TV stations. ENHANCING LAW ENFORCEMENT An area of focus for the programming in Mexico has revolved around engaging and building capacity with law enforcement. The 2013 elections brought a change in leadership and personnel through all levels of Puebla law enforcement. Despite this transition, we steadfastly maintained our relationship with the director of road safety of Puebla, ensuring an ongoing commitment to prioritizing drink driving issues. Law enforcement workshops also continued through 2013, with an agenda that included a discussion on global best practices with ICAP consultant and law enforcement expert William Georges, who used the example of a New York state program called STOP DWI to show success of public-private partnerships and to emphasize the need for police integrity. Trainees continued to conduct checkpoints in the field using Breathalyzers. As country coordinator Mariana Guerra Rendon points out, the checkpoints are useful both for intercepting drink driving behavior and for building a baseline data set. ICAP is also working with law enforcement to improve data collection and analysis of checkpoint, arrest and crash data, she says. More timely and accurate data will assist in future drink driving prevention. BY THE NUMBERS Our work in Mexico is having a meaningful, growing impact. The value of train-the-trainer shows clearly in the number of people touched by our 2013 efforts. Here are the highlights: 1,000-PLUS VEHICLES were stopped at sobriety checkpoints 8 train-the-trainer capacity building courses resulted in 190 NEW TRAINERS New trainers conducted more than 350 WORKSHOPS, attended by more than 11,000 ATTENDEES Attendees knowledge of drink driving issues increased by 70%, according to post-workshop evaluations More than 100 POLICE OFFICERS attended workshops CONCLUSION Permanent improvement has begun to take hold in Puebla. The Puebla DIF has committed to expanding the program beyond the Puebla metropolitan area in Capacity building activities will also continue, and we anticipate an increase in law enforcement activity as newly elected officials begin to engage with the program. In 2014 we plan to work with local stakeholders to launch a safe taxi program and encourage responsible service in entertainment districts, and intend to expand our efforts in working with the police. We look forward to adding focus on the enhanced enforcement aspect of the program in 2014, says law enforcement expert William Georges. We look forward to expanding our partnership with the Puebla police and increasing enhanced enforcement activities.

9 NIGERIA 2013 DRINK DRIVING INITIATIVE A Year of Influence In May of 2010, the World Health Organization (WHO) adopted the Global Strategy to Reduce the Harmful Use of Alcohol. In response, the International Center for Alcohol Policies (ICAP), on behalf of the world s leading beverage alcohol producers, developed Global Actions on Harmful Drinking to be implemented in the time frame. The Drink Driving Initiative was one of those actions; it focused on capacity building and training, implementation of projects at the local level and monitoring, evaluation and dissemination of global best practices. In 2012, 13 CEOs from the world s largest alcohol producers demonstrated a united pledge by the industry by signing the Beer, Wine and Spirits Producers Commitments, which build on long-standing efforts to reduce harmful drinking. The Commitments will implement targeted efforts that focus on five broad areas over five years, one of which is to reduce drinking and driving. As part of the signatory companies implementation of the Commitments, we continue to coordinate work on the drink driving initiative in Nigeria one of six countries the organization targeted for its global actions. This report describes that progress and our ongoing efforts to reduce the harmful use of alcohol in Nigeria, particularly by commercial drivers. Our 2013 agenda took its shape from the work done in previous years. Starting in 2010, we conducted a situation assessment to understand the drink driving situation in Nigeria and identify a clear way forward. Research by the WHO showed that Nigeria has one of the highest traffic fatality rates in Africa; the annual rate of 33.7 traffic fatalities per 100,000 inhabitants means that more than one of every four Nigerian deaths occurs on the road. The work to change those statistics began in 2012, with a unique community activation strategy aimed at reaching a high-risk subset of drivers. TARGETING THE DRIVERS WHO DRIVE NIGERIA S ECONOMY In Nigeria, approximately 80 percent of freight moves by road, making truck driving a critical part of the Nigerian economy. Additionally, results from the situation assessment found that many commercial drivers consumed alcohol and other psychoactive substances before embarking on their journeys. Given those realities, the 2013 agenda focused on educating and influencing these high-risk drivers in two prominent locations. Working in close conjunction with the Federal Road Safety Corps (FRSC), we identified two high-risk areas for 2013 activity the Apapa region of Lagos and the Abuja Lokoja road. An intervention in the port of Apapa afforded the opportunity to intercept and influence truck drivers whose tankers carry refined oil products destined for every part of the country. The second locale, the road between the capital city of Abuja and the city of Lokoja, was chosen for its high volume of traffic a density of vehicles that strains the road infrastructure. A POWERFUL COLLABORATION In order to reach and influence commercial drivers, it was crucial to assemble and activate the right stakeholders. While FRSC has been our primary collaborator since the project began, 2013 saw work with additional stakeholders such as academic and nongovernmental organizations (NGO). However, this project had a unique need to reach groups that were influential to commerce: trade unions. In Apapa, we aligned with the Strap and Safe Child Initiative (SSCI), an NGO founded in April 2009 with the purpose of reducing the incidence

10 of road traffic injuries among children that has evolved over the years to address other critical issues in road safety, and the National Union of Petroleum and Natural Gas Workers (NUPENG). Together, we executed a three-week education initiative that centered on changing behavior and attitudes regarding drink driving by distributing educational materials about its dangers. NUPENG provided key insights on location and times to conduct outreach while SSCI made use of volunteers who provided information, education and communication materials to drivers in petroleum depots and tanker rest stops across Apapa. Bola Edwards, the Strap and Safe Child Initiative executive director, attested to the project s impact. We see the enthusiasm that greeted our intervention this year as a testimonial to how important our work is to this all-important sector of our economy, she said. In Abuja, we assembled a broad coalition to reach fleet bus drivers who use the Abuja Lokoja road. The group included FRSC, the BY THE NUMBERS Nigeria interventions in 2013 showed early successes that built on insights drawn from the earlier situation assessment and 2012 capacity building efforts. Here are some highlights: 2 CAPACITY-BUILDING WORKSHOPS held in both Lagos and Abuja, training more than 50 OFFICIALS 4 ENFORCEMENT SESSIONS followed by four checkpoints, training more than 40 FRSC OFFICIALS 4 BREATHALYZERS recalibrated and donated to the FRSC 1.4% of tanker drivers tested positive for alcohol and 0.8% of drivers were over the legal limit down significantly from 11% and 5%, respectively, in 2012 PERCENTAGE OF DRIVERS TESTED POSITIVE FOR ALCOHOL % % In % of tanker drivers tested positive for alcohol and 0.8% of drivers were over the legal limit. In 2012 out of the 11% tested positve 5% were over the legal limit. National Union of Road Transport Workers and the NGOs Save the Accident Victims of Kogi State (SAVIKS) and Prompt Assistance to Victims of Road Traffic Accidents (PATVORA). The effort kicked off with a two-day workshop attended by 25 officials, including the Abuja Sector Command of FRSC. Professor Iyiola Oni, a consultant to FRSC and the Lagos State Government, addressed road-safety issues, focusing on strategies to improve outcomes. Law-enforcement sessions followed, including field checkpoints along Abuja Lokoja road that demonstrated the effectiveness of donated Breathalyzers. The checkpoints allowed FRSC to evaluate alcohol consumption among drivers, while volunteers from PATVORA conducted surveys. CONCLUSION Momentum is building. Early survey results show fewer drivers with alcohol in their systems. The right stakeholders are in place and committed to the plan, as country coordinator Lanre Onigbogi notes. I am always impressed with the continuous determination of our partners, he says. NGOs are taking notice. Partners seem to be more enthusiastic than ever. In 2014, we hope to continue work with FRSC to expand the project to reach all six geopolitical zones. With the expansion of the initiative, the project aims to demonstrate that consistent enhanced enforcement efforts using Breathalyzers will strengthen the traffic code through actionable enforcement that, in turn, can reduce drink driving. We will also focus on building the capacity of our NGO partners so that they may be able to design, implement and evaluate their own programs to reduce drinking and driving.

11 RUSSIA 2013 DRINK DRIVING INITIATIVE Supporting Federal Road-Safety Strategy In May of 2010, the World Health Organization (WHO) adopted the Global Strategy to Reduce the Harmful Use of Alcohol. In response, the International Center for Alcohol Policies (ICAP), on behalf of the world s leading beverage alcohol producers, developed Global Actions on Harmful Drinking to be implemented in the time frame. The Drink Driving Initiative was one of those actions; it focused on capacity building and training, implementation of projects at the local level and monitoring, evaluation and dissemination of global best practices. In 2012, 13 CEOs from the world s largest alcohol producers demonstrated a united pledge by the industry by signing the Beer, Wine and Spirits Producers Commitments, which build on long-standing efforts to reduce harmful drinking. The Commitments will implement targeted efforts that focus on five broad areas over five years, one of which is to reduce drinking and driving. As part of the signatory companies implementation of the Commitments, we continue to coordinate work on the drink driving initiative in Russia one of six countries targeted for its global actions. This report describes that progress and our ongoing efforts to reduce harmful use of alcohol by Russian drivers. In 2013, we continued our work in Russia, where the need is acute, with both anecdotal evidence and experts pointing to a high incidence of alcohol-related traffic fatalities. Initial steps in phase one ( ) involved working with a local consultancy, who conducted training workshops for the staffs of bars and restaurants to educate them on the dangers of harmful drinking, so they would help curb drink driving by influencing patrons. With that groundwork in place, our first Russia country coordinator, Margarita Plotnikova, joined the team midyear and immediately set to work steering the project in a new direction, focused on capacity building and collaboration with local officials. A MODEL APPROACH FOR RUSSIAN ROAD SAFETY IN COMMUNITIES Russia saw a flurry of drink driving legislative and administrative activity in In addition to its Improvement of Road Safety initiative, the federal government also implemented 50 policy changes around road safety in July 2013, including tough new fines and punishments for drink driving offenders. The new policies include many basic rules, such as requiring professional training in order to obtain a driving license for scooters, and changes to the traffic rules curriculum at Russian driving schools. The current regional road safety plan includes measures, such as sobriety checkpoints, aimed at preventing drink driving offenses. In this ripe environment, we stepped in to engage officials and key stakeholders with local, regional and national perspectives to cre-

12 20 DRIVING SCHOOLS HAVE BEEN CHOSEN FOR 2014 STUDENT TRAINING ate project plans aimed at targeting young, novice drivers. Approved by the governor and federal inspector of the Smolensk region at the meeting of the Public Chamber under the regional office of the Ministry of Internal Affairs, the initiative is intended to become a model that can be replicated across the region and eventually in other regions across Russia. Collaboration with the regional road police is an essential part of this educational intervention. As the program develops and begins to share outcomes, federal and private sector officials in Smolensk will be watching in hopes the program can become a model for other Russian regions. EDUCATING NOVICE DRIVERS In collaboration with Smolensk University and the Public Chamber under the regional department of the Ministry of Internal Affairs, we began outreach to driving schools in 2013, focusing on novice drivers. In Smolensk, where 67 driving schools issued 17,000 new licenses, we sought to create a training module that could become a standard part of required Russian driver training courses. By the end of the year, a first draft of the training module had come together and survey materials were finalized to execute a baseline survey evaluation in early In November, a public education Auto Sobriety program kicked off, with commitments from the Public Chamber and Smolensk Humanitarian University, which each signed our memorandum of understanding. Working with local partners in December, we identified 20 of the region s 67 driving schools to serve as participants in the project: 10 for introducing the new module and 10 for a control group on the module research. CONCLUSION In 2013, our Russia project pivoted smartly to complement a very visible government drink driving program. The project gained early recognition with coverage on Smolensk TV. At a press conference encouraging local officials to engage on drink driving issues, our project was recognized as a successful example of public-private partnership by Nikolay Chuklinov, a representative of the Russian Federal Road Safety Program. In 2014, we will deploy best practices learned from our work in China, Mexico and Vietnam. The capacity building stage will ramp up as we bring in international experts to share their knowledge and experience with Russian officials. A professional trainer from Moscow will provide a train-the-trainer course to 10 selected driving schools in February 2014; those schools will in turn begin using the newly developed drink driving training module. Gathering evidence and reporting progress to all levels of government will remain a key to successful intervention. Additionally, our team is preparing to launch new communications efforts aimed at raising public awareness in 2014 and beyond.

13 VIETNAM 2013 DRINK DRIVING INITIATIVE The Building Blocks for Success In May of 2010, the World Health Organization (WHO) adopted the Global Strategy to Reduce the Harmful Use of Alcohol. In response, the International Center for Alcohol Policies (ICAP), on behalf of the world s leading beverage alcohol producers, developed Global Actions on Harmful Drinking to be implemented in the time frame. The Drink Driving Initiative was one of those actions; it focused on capacity building and training, local project implementation and monitoring, evaluation and dissemination of global best practices. In 2012, 13 CEOs from the world s largest alcohol producers demonstrated a united pledge by the industry by signing the Beer, Wine and Spirits Producers Commitments, which build on long-standing efforts to reduce harmful drinking. The Commitments will implement targeted efforts that focus on five broad areas over five years, one of which is to reduce drinking and driving. As part of the signatory companies implementation of the Commitments, we continue to coordinate work on the drink driving initiative in Vietnam one of six countries targeted for its global actions. This report describes that progress and our ongoing efforts to reduce harmful use of alcohol by Vietnamese motorbike riders and drivers. Our work in Vietnam began in 2010, with a situation assessment that identified the most serious challenges and the most promising interventions. The results pointed toward a need for stricter drink driving enforcement and heightened public awareness of drink driving as a safety problem. Our team spent the next two years working in Da Nang identifying the right stakeholders and building capacity among local practitioners and law enforcement. The team then conducted pilot interventions in Da Nang, where subsequent survey results showed a higher public awareness of the drink driving issue and other positive results. Those results shaped the 2013 intervention programs. PUBLIC AWARENESS & ENFORCEMENT Public awareness and enforcement remained our primary focus in 2013, as intervention work expanded from Da Nang to Thanh Hoa and Nghe An provinces. Capacity building began with workshops for local officials, who were coached to promote road safety through a heavy emphasis on communication skills and media training. The workshop content grew out of global best practices, adapted to suit Vietnamese culture with input from the National Traffic Safety Committee, the Ministry of Transport and the Ministry of Public Security. In October, we launched a public awareness campaign with a demonstration parade in Thanh Hoa province and then another in Nghe An province. The thousands of local residents who came out couldn t miss the ubiquitous banners reading Don t Drink and Drive. Building on that momentum, we immediately held a series of law enforcement workshops, aimed at educating traffic police on the dangers of alcohol misuse. After the workshops, the newly trained officers conducted a safety checkpoint, working under the supervision of experienced investigators who provided immediate professional feedback. The trainees had the use of 10 Breathalyzers, donated by the local Commitments signatories. After the exercise, five Breathalyzers each went to police in Thanh Hoa and Nghe An. The checkpoint made a significant public awareness impact, drawing media attention, with stories appearing in the local press on both the Breathalyzer technology and the real penalties imposed on offenders. The final and most robust campaign of 2013 started in December and ran until Tet, the Lunar New Year. Police in the three project cities and provinces put their training to work, enforcing drink driving restrictions at safety checkpoints decorated with eye-catching banners reading Don t Drink and Drive. Under the campaign plan shared by the city and province, local reporters informed residents about the coming enforcement activities and updated them on progress. In addition, commuters and other citizens in all three provinces were presented with posters and video messages at bus shelters, flyers, public performance activities and television commercials, all aimed at encouraging responsible consumption and reducing drink driving, leading up to Tet celebrations. That campaign, combined with the cumulative public attention of the past year, led to a TV appearance in Hanoi by Lan Huong Nguyen, our country coordinator, who spoke during coverage of the Tet holiday about the dangers of drink driving. FOCUS ON EDUCATION Two new educational efforts debuted in In the first, we worked with Pernod Ricard, a local Commitments signatory, on a program called Responsib ALL, providing anti-drink driving promotional materials and discussion forums for university students. The second and most creative new campaign was a student competition where young adults were challenged to submit creative public awareness campaigns that discouraged drink driving and encouraged responsible decision making and defensive driving. The winning students produced a campaign that promoted making smart choices while drinking as a key part of leading a smart and healthy lifestyle. The contest produced a plethora of innovative ideas for speaking to young Vietnamese about drink driving prevention in a language that resonates with them. Nguyen has high hopes for continued youth outreach. The program builds on campaign materials, focusing on self-discipline, compliance with the law and modeling positive student response to traffic laws, she says.

14 SUSTAINABLE INFRASTRUCTURE For our work to have a lasting impact, it s crucial to train and empower those who can carry on that work independently and through official channels at the local level. In Da Nang which has been committed to this project since 2010 interventions are running in two primary districts: Hoa Vang and Hai Chau. In 2013 Da Nang officially committed to expand the drink driving initiative to all of its seven districts; the program will be funded and managed independently and by local authorities. The Hoa Vang and Hai Chau districts have become a model on which Da Nang is building. Later in the year the Thanh Hoa and Nghe An districts followed suit. Both areas have agreed to contribute additional funding in Communications with sponsors, partners, officials and media are important components of the program in Vietnam. We have shared progress reports and results with all stakeholders. The commitment and success of the last four years has built strong relationships and created a favorable reputation in Vietnam. BY THE NUMBERS Our work in Vietnam has put in place the building blocks for increased public awareness and continued growth of drink driving prevention on a world-class level. Here are a few highlights from last year s efforts: 3,000 MEMBERS of the armed forces participated in two local actions to promote Don t Drink and Drive 110 OFFICERS attend a drink driving workshop in July and August 60 TRAFFIC POLICE attended classroom training and performed checkpoint exercises in October 10 BREATHALYZERS provided to Thanh Hoa and Nghe An ICAP operating in 7 CITIES and provinces: Hanoi, Thanh Hoa, Nghe An, Da Nang, Khanh Hoa, Dac Lac and HCMC 2 AGREEMENTS underscoring commitment with key stakeholders including National Traffic Safety Committee 60 TRAFFIC POLICE ATTENDED CLASSROOM TRAINING AND PERFORMED CHECKPOINT EXERCISES IN OCTOBER CONCLUSION Four years of sustained efforts in Vietnam are beginning to pay dividends. Two thousand thirteen proved to be a pivotal year with a full transition of initial Da Nang districts to self-management of drink driving interventions. Additionally, the two expansion districts are working to adopt the self-management model. As local districts and provinces adopt, fund and execute interventions, the reach of the project will expand dramatically. Additionally, data on completed and ongoing programs will become available this year, indicating which efforts have been most effective and helping us steer future programs toward even greater success.