Development and maintenance of evidence base

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Development and maintenance of evidence base Sandra Radoš Krnel 1, Matej Košir 2 1 Institute of Public Health of the Republic of Slovenia 2 Ministry of Health, Slovenia

Significance of evidence base holistic approach on the alcohol policy problem for the legislation preparation for effective implementation informing/awareness of public evaluation of the present state it provides a solid base for the research focusing of the research into specific problems possibility of the evaluation of projects, measures, legislation

Inputs for the evidence base collection and processing of statistical data at National Institute of Public Health: - designated institution that collects administrative and survey data for Slovenia - working following EU standards - part of EU statistic system - authorized for the collection of the data dealing with health issues - cooperation in HBSC, HIS, ESPAD

Inputs for the evidence base research activity (projects and programs, national and EU) based on the statistical data, from which new knowledge and directions are acquired and new assumptions and hypotheses are tested - importance of inter-sectoral and inter-institutional connections - building capacity - need for the coordination

Slovenian (research) projects Institute of Public Health: - Young drivers without alcohol safer on the road change of the curriculum for driving schools; - Alcohol parents can influence aim is to reduce the harmful use of alcohol and promote health life style; University Psychiatric Hospital: - Characteristics of functioning of families with an addict - telephone comunications with patients after treatment for alcohol addiction; FORTOX: Association for development of forensic toxicology and other forensic sciences: - Interlock in primary, secondary and tertiary prevention (alcohol and driving) Anton Trstenjak Institute : - Alcohol abuse among young people research on drinking among young people in light of anthropological knowledge on dazing and addictions - Prevention of drinking among young before their maturity and independence

Slovenian (research) projects Faculty of Medicine, University of Ljubljana, Chair of Family Medicine : - Message in a bottle awareness of public and experts; Institute of Criminology at the Faculty of Law Ljubljana: - Tobacco, alcohol and other drugs among high-school youth; Faculty of Social Sciences, University of Ljubljana : - research on Slovenian public opinion on health and health care Faculty of Social Work, University of Ljubljana : - Safe driving: Mastering of risks and dangerous life-styles in traffic ; - project My choice - students of 4. class of the faculty aim is the awareness of public on risks of alcohol drinking DrogArt Association: - program Reduce of harmful consequences of alcohol among youth Choose yourself (in clubs, discotheques, parties, trips)

Slovenian (research) projects the importance of qualitative research (not only quantitative) that will study the problems in detail and highlight the important phenomena an example of good practice is the project of prof. Ramovš from the Anton Trstenjak Institute: - not only quantitative, but also qualitative research - first focused on young people who drink why they drink, - next step were young people that don t drink why they don t drink

EU research projects Slovenian institutions collaborating: - PHEPA - The Primary Health Care European Project on Alcohol - Integrating health promotion interventions for hazardous and harmful alcohol consumption into primary health care professionals daily work ; - Improvement of Access to Treatment for People with Alcohol and Drug-related Problems; - ESPAD European research on alcohol and other drugs among school youth - SARTRE (Social Attitudes to Road Traffic Risk in Europe) - "Pathways for Health Project" (PHP)

EU research projects - ELSA - Enforcement of national Laws and Self-regulation on Advertising and marketing of Alcohol - Reducing harm and building capacities for children affected by parental alcohol problems in Europe - European research network IREFREA extensive multilayered research on hazardous behaviour of youth at night time - Bridging the Gap - Building Capacity

EU research projects exchange of knowledge access to data contacts with the experts from the same area exchange of good practices building of coalitions

Issues to solve There is no unified data-base that would comprise statistical as well as research data (projects) and legislation from the field of alcohol policy - there are many players and everyone has his own data: Ministry of Health, other ministries (transport) and governmental institutions, public health organizations, social organizations, health care institutions (psychiatric inst.), NGOs There is no holistic approach on alcohol policy problem everyone acts on its own, regarding its interests and preferences there is no unified oriented activity in the field of alcohol policy

Issues to solve Data and projects are not evaluated - quality of data - evaluation of the statistical data and their valuability for the prediction of trends and for taking the appropriate steps - evaluation of the projects added value gained, base for further research, valuability of the results, input-output The partnership between institutions dealing with alcohol is not well established need for closer cooperation

Positive changes in Slovenia Coordination of the Building Capacity project: - building of the capacities on local, national, EU level - connection on Slovenian and EU level - data-base for EU countries (laws, regualtions, policies, institutions) 5WP University of Bergen Slovenian Presidency of the EU additional topic: alcohol and prevention of alcohol-related injuries Formation of the Alcohol policy council Preparation of the action plan for 2009-2010

Positive stimulation on EU level WHO: - Declaration on Young People and Alcohol, 2001 - The European Alcohol Action Plan, 2000-2005 - Framework for alcohol policy in the WHO European Region, 2006 - Executive Board of the WHO has recommended the 2008 World Health Assembly to adopt a resolution urging Member States for the preparaton og a draft global strategy on harmful use of alchol European Union (EU): - European Council Recommendation on the drinking of alcohol by young people, 2001 - Resolution of the Council of the EU on alcohol and young, 2004 - EU strategy to support Member States in reducing alcohol related harm, 2006 DG Sanco projects DG Research projects - 7FW; one of the research topics is also alcohol

Sandra Radoš Krnel, MD Head of the Research projects services Institute of public health of the Republic of Slovenia Trubarjeva 2, Ljubljana, Slovenija tel.: +386 1 244 15 73 fax: +386 1 244 15 76 mobile: +386 31 704 100 e-mail: sandra.rados@ivz-rs.si