“It’s business as usual”: adolescents perspectives on the ban of alcohol sachets towards reduction in under age alcohol use in Malawi

Abstract Background Alcohol contributes to poor health, social and economic outcomes among adolescents. In Malawi, alcohol consumption among young people significantly increased after the introduction of alcohol sachets. A government ban on the sale of alcohol sachets affected in 2012 aimed to reduc...

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Main Authors: Sangwani Salimu, Alinane Linda Nyondo-Mipando
Format: Article
Language:English
Published: BMC 2020-06-01
Series:Substance Abuse Treatment, Prevention, and Policy
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13011-020-00280-8
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author Sangwani Salimu
Alinane Linda Nyondo-Mipando
author_facet Sangwani Salimu
Alinane Linda Nyondo-Mipando
author_sort Sangwani Salimu
collection DOAJ
description Abstract Background Alcohol contributes to poor health, social and economic outcomes among adolescents. In Malawi, alcohol consumption among young people significantly increased after the introduction of alcohol sachets. A government ban on the sale of alcohol sachets affected in 2012 aimed to reduce prevalence of alcohol among users. We explored adolescents perceptions regarding the effectiveness of the ban towards reducing alcohol consumption among the under aged in the country. Methods Using a descriptive phenomenological school-based approach, we recruited 44 school-going adolescents, 15–17 year olds using snow ball sampling and conducted 12 individual semi-structured interviews and four group discussions differentiated by sex. We sought a waiver from College of Medicine Ethics Committee (COMREC) to obtain verbal consent from adolescents. All interviews and discussions were digitally recorded and simultaneously transcribed and translated verbatim into English. Data management and analysis was done manually using thematic approach. Results Aggressive packaging, and marketing tendencies and lack of restrictive measures in Malawi have rendered the ban ineffective through increased affordability and availability to different income population groups and the underage. Results indicate that even though adolescents perceive the ban as a significant step towards reducing under age alcohol use, personality and drinking motives precede any interventions. Adolescents emphasized on strong personality as a significant factor for reduced alcohol intake or abstinence. Conclusions We recommend strict alcohol policy and enforcement regarding packaging, pricing, positive role modelling by parents and enhanced adolescent personality development through schools and families.
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spelling doaj.art-a156a202c46d4bb5b2a37b9546cd846a2022-12-21T18:10:13ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2020-06-0115111010.1186/s13011-020-00280-8“It’s business as usual”: adolescents perspectives on the ban of alcohol sachets towards reduction in under age alcohol use in MalawiSangwani Salimu0Alinane Linda Nyondo-Mipando1Department of Public Health, School of Public Health and Family Medicine, College of MedicineDepartment of Health Systems and Policy, School of Public Health and Family Medicine, College of MedicineAbstract Background Alcohol contributes to poor health, social and economic outcomes among adolescents. In Malawi, alcohol consumption among young people significantly increased after the introduction of alcohol sachets. A government ban on the sale of alcohol sachets affected in 2012 aimed to reduce prevalence of alcohol among users. We explored adolescents perceptions regarding the effectiveness of the ban towards reducing alcohol consumption among the under aged in the country. Methods Using a descriptive phenomenological school-based approach, we recruited 44 school-going adolescents, 15–17 year olds using snow ball sampling and conducted 12 individual semi-structured interviews and four group discussions differentiated by sex. We sought a waiver from College of Medicine Ethics Committee (COMREC) to obtain verbal consent from adolescents. All interviews and discussions were digitally recorded and simultaneously transcribed and translated verbatim into English. Data management and analysis was done manually using thematic approach. Results Aggressive packaging, and marketing tendencies and lack of restrictive measures in Malawi have rendered the ban ineffective through increased affordability and availability to different income population groups and the underage. Results indicate that even though adolescents perceive the ban as a significant step towards reducing under age alcohol use, personality and drinking motives precede any interventions. Adolescents emphasized on strong personality as a significant factor for reduced alcohol intake or abstinence. Conclusions We recommend strict alcohol policy and enforcement regarding packaging, pricing, positive role modelling by parents and enhanced adolescent personality development through schools and families.http://link.springer.com/article/10.1186/s13011-020-00280-8AdolescentsAlcohol policyAlcohol sachetsSnow ball samplingAvailabilityAccessibility
spellingShingle Sangwani Salimu
Alinane Linda Nyondo-Mipando
“It’s business as usual”: adolescents perspectives on the ban of alcohol sachets towards reduction in under age alcohol use in Malawi
Substance Abuse Treatment, Prevention, and Policy
Adolescents
Alcohol policy
Alcohol sachets
Snow ball sampling
Availability
Accessibility
title “It’s business as usual”: adolescents perspectives on the ban of alcohol sachets towards reduction in under age alcohol use in Malawi
title_full “It’s business as usual”: adolescents perspectives on the ban of alcohol sachets towards reduction in under age alcohol use in Malawi
title_fullStr “It’s business as usual”: adolescents perspectives on the ban of alcohol sachets towards reduction in under age alcohol use in Malawi
title_full_unstemmed “It’s business as usual”: adolescents perspectives on the ban of alcohol sachets towards reduction in under age alcohol use in Malawi
title_short “It’s business as usual”: adolescents perspectives on the ban of alcohol sachets towards reduction in under age alcohol use in Malawi
title_sort it s business as usual adolescents perspectives on the ban of alcohol sachets towards reduction in under age alcohol use in malawi
topic Adolescents
Alcohol policy
Alcohol sachets
Snow ball sampling
Availability
Accessibility
url http://link.springer.com/article/10.1186/s13011-020-00280-8
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