primeri evaluacije poljske strategije za borbu protiv droga: nacionalne i regionalne perspektive dr...
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Primeri evaluacije poljske Strategije za borbu protiv droga: nacionalne i regionalne perspektive
Dr Piotr JablonskiNational Bureau for Drug PreventionPoland
Pozadina
• Under Act of counteracting drug addiction the National Bureau for Drug Prevention is responsible for producing an annual implementation report of the National Programme for Counteracting Drug Addiction– Article 3 of the Act:
• developing a draft National Programme for Counteracting Drug Addiction as well as coordinating and monitoring its implementation in cooperation with other entities competent for performing tasks defined therein;
• Information Centre for Drugs and Drug Addiction is responsible for evaluating the National Programme– Article 3.12 of the Act:
• evaluating the implementation of the National Programme for Counteracting Drug Addiction on a regular basis;
Drug Information System in Poland
EMCDDA
Polish NFP NFPNFP ............
Working groups
Network of central institutions Network of provincial
experts
Network of local authorities
Network of harm reduction NGOs
Information Centre for Drugs and Drug Addiction along with NBDP prepares two reports annually:
• Information on the implementation of actions under the National Programme for Counteracting Drug Addiction
(January – June)
• Annual Report for EMCDDA
(June – October)
Reducing drug use and drug-related social and health problems
Reducing drug use and drug-related social and health problems
Prevention:
Stemminggrowth
in drug demand
3 specific objectives
Treatment,rehabilitation
and harm reduction:
Improvement of health
and social functioning
of drug addicts and persons
using drugs in a harmful way
3 specific objectives
International cooperation:
Supporting implementation
of national programme
through shaping
international policy
3 specific objectives
Research, monitoring
and evaluation:
Information support for
implementation of national programme
for counteracting drug addiction
3 specific objectives
Supply reduction:
Reducing availability
of drugs
5 specific objectives
2006 - 2010
Since 2002 monitoring of NPCDA implementation in place in the form
of annual evaluation • Method:
– Sample: full – Tools: survey questionnaires– Analysis: qualitative (central level institutions, Marshal Offices),
quantitative through SPSS statistical (communes). – Response rate: central institutions 99-100%, communes 80-
85%.
Project cycle
1. NCDP analyzing and preparing tools
5.Consultation (Regional experts
conference)
2. Sending questionnaire (supporting by regional
experts network)
4. Data procesing and analyzing
6. Preparing reportand articles, dissemination
3. Data collection (supporting by regional
experts network)
Two tools:
• Central institutions – question about the performance of tasks and data for indicators, implementation costs of respective tasks
• Communes, Marshal Offices – question about tasks implementation: numbers of recipients, programmes, facilities…
Data collection– survey targets:
• About 30 central institutions (ministries, research institutes)• 16 Provincial Pharmaceutical Inspectorates and 16 Provincial
Governors • 16 Marshal Offices • 2500 communes – data are collected and reported through the
network of provincial drug experts
Data analysis• Attempt to determine extent of reaching specific
objectives – Part I of report• Description of measures taken by respective institutions
in the course of tasks performance – Part II of report• Breakdown of NPCDA costs • Conclusions and summary
Structure of monitoring report• INTRODUCTORY REMARKS• PART I Implementation of National Programme for Counteracting Drug
Addiction by ministries competent to take specific actions and local governments in 2009– Epidemiology – description of drug addiction– NPCDA implementation in terms of drug prevention – NPCDA implementation in terms of treatment, rehabilitation, – harm reduction and social reintegration– NPCDA implementation in terms of supply reduction– NPCDA implementation in terms of international cooperation– NPCDA implementation in terms of research and monitoring
• Expenditure on the implementation of the National Programme for Counteracting drug Addiction in 2009
• SUMMARY AND CONCLUSIONS• PART II Description of measures taken under the National Programme for
Counteracting Drug Addiction in 2009
Dissemination
• Annual Report for EMCDDA• Newsletter and drug press
Strategies Under the NPCDA most entities involved are
mandated to develop ministerial, provincial and communal programmes for counteracting drug addiction
2. Does your commune have a communal programme for counteracting drug addiction Or a joint programme for counteracting addictions?1. Yes, a separate communal programme for counteracting drug addiction 2. Yes, a joint programme for counteracting addictions 3. No
a)If yes, please say which years the programme covers: from___________ to_____________b)If yes, please select which courses of actions specified in the National Programme have been incorporated in the communal programme?
Area 1. Prevention
Course 1 Increasing involvement of local governments in counteracting drug addiction, particularly through supporting local and regional initiatives of primary and secondary drug prevention and interventions addressed mainly to children and adolescents at risk of drug addiction.
Course 2 Raising quality of provincial and communal programmes for counteracting drug addiction
Course 3 Raising public awareness of psychoactive substance-related problems and options to prevent the phenomenon.
Area 2. Treatment, rehabilitation, harm reduction and social reintegration
Course 1 Improving quality of services in drug treatment, rehabilitation and harm reduction particularly through supporting training courses addressed to physicians, nurses and implementers of harm reduction programmes.
Course 2 Improving availability of services at regional and local level
Area 5. Research and monitoring
Course 1 Epidemiological monitoring of drugs and drug addiction at local and provincial level
Course 2 Monitoring public response to drugs and drug addiction
Course 3 Development and consolidation of information system on drugs and drug addiction
Number of communes under Communal Programmes for Counteracting Drug Addiction or those which included drug
addiction in local strategies for solving social problems in 2003-2008.
449 471
819
19282015 1983
0
500
1000
1500
2000
2500
2003 2004 2005 2006 2007 2008
Communes which have local drug strategy in 2008 – percent in region
Source:KPPN
PREVENTION 9. Did the government of your commune support financially primary prevention programmes in 2009 *? 1. Yes 2. NoIf yes, please complete the following table.
Actions conducted at
schools
Actions conducted
outside schools
Total number[1]
a) Number of children and adolescents covered by the actions
b) Number of adults covered by the actions
c) Number of settings
d) Number of programmes implemented
e) Number of NGOs implementing the actions
Communes implementing universal prevention tasks in 2008 – percent of communes in region
Source: KPPN - CINN
Communes implementing selective and indicative prevention tasks in 2008 – percent of communes in region
Source: KPPN - CINN
Communes implementing supporting treatment tasks in 2008 – percent of communes in region
Source: KPPN - CINN
Deaths due to drug overdose 2007, by province (rate per 100 thousand inhabitants)
Source: GUS, CINN
Number of new HIV infections in IDUs in 2008(rate per 100 thousand inhabitants)
(infections registered according to place of residence).
Source: NIZ
Persons covered by welfare system due to drug problemby province (rate per 100 thousand inhabitants)
Source: MPiPS
Patients admitted to inpatient treatment in 2007 (per 100 000 inhabitants).
Source: IPiN
Convicts under Acts on counteracting drug addiction in by suspended and non-suspended sentences in 2007
(rate per 100 thousand inhabitants)
Source: MS
Limitations• Not all institutions report costs, annually about 15
institutions do not send data, no separate NPCDA budget
• Problem with extracting drug prevention actions out of general prevention by communes and Marschal Offices
• Some institutions report all actions performed, not necessarily related to the implementation of the NPCDA
Summary • Data collected annually allow for following the extent and scale of
measures related to counteracting drug addiction, especially drug prevention
• Comparing response data reported since 2002 by most institutions concerned with counteracting drug addiction with monitoring results constitutes a sound basis for evaluation of NPCDA outcomes.
Thank you for your attention!
Piotr Jablonski National Bureau for Drug Prevention
Warsaw/[email protected]