Rarity and limited geographical coverage of individual level alcohol interventions in sub Saharan Africa: findings from a scoping review

Joel M. Francis, Sarah Cook, Neo K. Morojele, Monica H. Swahn

Research output: Contribution to journalReview articlepeer-review

17 Citations (Scopus)

Abstract

Introduction: A previous review on brief alcohol interventions in sub-Sahara Africa showed most of the interventions were implemented in East and Southern Africa. We carried a scoping review to assess the current amount and types of alcohol interventions in SSA. Methods: We searched six databases (MEDLINE, EMBASE, Global Health, Africa-wide, CINAHL and PsycINFO) for publications prior to June 2018. We used the search terms for alcohol use, alcohol intervention and African countries’ names. We identified 59 papers on alcohol interventions of which 26 were eligible for inclusion in the final analysis. Results: Of the 26 eligible papers, 18(69 %) were carried out in South Africa. Majority 15(58%) of the interventions were randomized clinical trial, followed by seven (27%) quasi-experimental and evaluation of the intervention and five (19%) cluster randomized trials. Most of the studies targeted patients and pregnant women. Only a few studies focused on sex workers and students. Conclusions: Our findings show that the assessment of effectiveness of individual level alcohol interventions is rare in SSA. In addition, these interventions were polarized in two countries. There is an urgent need for an evidence base on the effectiveness of alcohol interventions commensurate with the scope of the problem in SSA.

Original languageEnglish
Pages (from-to)11-19
Number of pages9
JournalJournal of Substance Use
Volume25
Issue number1
DOIs
Publication statusPublished - 2 Jan 2020

Keywords

  • Africa
  • Alcohol use
  • interventions
  • review

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health (social science)

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