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/PolandPiotr.Jablonski@kbpn.gov.pl