Program Health Policy International -Thailand Program Policy Health International -Thailand FOUR CONTRIES PROJECT : ALCOHOL SITUATION IN CAMBODIA BY SOPIT NASUEB Program Health Policy International -Thailand Program Policy Health International -Thailand Guideline • • • • • • Country background information Alcohol consumption situation Alcohol impact situation Alcohol supply situation Alcohol control policy Challenges 2 Program Health Policy International -Thailand Program Policy Health International -Thailand Country Background information 3 Program Health Policy International -Thailand Program Policy Health International -Thailand Alcohol consumption situation 4 Program Health Policy International -Thailand Program Policy Health International -Thailand Alcohol consumption situation • Estimates from key alcohol experts showing proportion of adult males and females who had been abstaining. Data is for after year 1995 5 Program Health Policy International -Thailand Program Policy Health International -Thailand Alcohol consumption situation • In a survey of 101 positive HIV/AIDS patients (median age 32 years), 46.5% of the male drinkers were considered to be heavy drinkers consuming more than 3 drinks a day 6 Program Health Policy International -Thailand Program Policy Health International -Thailand Alcohol consumption situation • Unrecorded alcohol consumption – The unrecorded alcohol consumption in Cambodia is estimated to be 0.5 litres pure alcohol per capita for population older than 15 for the years after 1995 (estimated by a group of key alcohol experts). 7 Program Health Policy International -Thailand Program Policy Health International -Thailand Alcohol impact situation • Social and cultural transformations have shaped people’s exposure to, and capacity to deal with, alcohol consumption situation. • Health – HIV/AIDS, effect of alcohol on job (Beer girl), unsafe sex. • Youth – Negative lifestyle factors: tobacco use and excessive alcohol consumption. • Violence – Domestic violence link between alcohol, sexuality and violence. 8 Program Health Policy International -Thailand Program Policy Health International -Thailand Alcohol supply situation • In late 2006, Cambodian industry leaders Heineken and Carlsberg and their partner brands – eg., Angkor, Geinness, Tiger, ABC, Anchor – and breweries, controlling 70-80% of the market 9 Program Health Policy International -Thailand Program Policy Health International -Thailand • Promotion 10 Program Health Policy International -Thailand Program Policy Health International -Thailand Alcohol supply situation • Such numbers led the company to invest $2 million in a Kingdom Breweries plant, located on a former Nestle factory site in Phnom Penh. The site is expected to begin operations next year, producing beer products aimed at the top end of the local beer market. • United Breweries Group, announced in 2009 that it would start supplying Southeast Asia with Kingfisher beer bottled in Cambodia starting in early 2010 11 Program Health Policy International -Thailand Program Policy Health International -Thailand Alcohol supply situation • In mid-December 2009 Germany's Ziemann Group inked a $60 million joint venture agreement with Cambodia's Chip Mong Group to produce a "world-class beer“ • Two months earlier San Miguel Breweries International announced that it had joined forces with Phnom Penh-based KT Investments to find a suitable site to place a new brewery near the capital. 12 Program Health Policy International -Thailand Program Policy Health International -Thailand Alcohol control policy • Cambodia has no alcohol control policy • Alcohol Policy Development Working Group under leadership of Ministry of Health has started to draft a policy • Cambodia has no age limitation. • Cambodia has no alcohol ban—places, occasion, time…etc. • The general election in 2008 had been banned during the cooling and election days because an invention petition from NGOs. 13 Program Health Policy International -Thailand Program Policy Health International -Thailand Alcohol control policy 14 15 Program Health Policy International -Thailand Program Policy Health International -Thailand 16 Program Health Policy International -Thailand Program Policy Health International -Thailand 17 Program Health Policy International -Thailand Program Policy Health International -Thailand Program Health Policy International -Thailand Program Policy Health International -Thailand Challenges • Less experience on alcohol policy development • Alcohol Drinking is deep rooted in Cambodia that it is difficult to tackle • Limited budget • No central agency and the lack of specialized personnel to maintain control problems caused by alcohol. • Less evidence-based research and data update. • No data on government expenditures to give treatment for those who are alcohol harmfulness. • Senior executives of the country has not focused on alcohol problems actually • Lessons from smoking is an important example for driving alcohol control policies 18 Program Health Policy International -Thailand Program Policy Health International -Thailand Reference • WHO Global Status Report on Alcohol 2004. • Bryony Taylor. Partying Youngsters Raise Glass, Profits for Cambodia's Beer Industry http://www.allvoices.com/contributednews/5081743-partying-youngsters-raise-glassprofits-for-cambodias-beer-industry/images • Mom Kong. The situation in Cambodia http://www.ias.org.uk/resources/publications/theglob e/globe200103-04/gl200103-04_p26.html • Gender Based Violence and HIV/AIDS in Cambodia. http://www2.gtz.de/dokumente/bib/05-0492.pdf. • www.who.int 19 Program Health Policy International -Thailand Program Policy Health International -Thailand …Thank You… Cambodia Team 20