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“Undisciplined” drinking,multi-sectoralism and political power: Examining problematisations in the Botswana alcohol policy
Institution:1. Liver Unit, Hospital Universitario de Canarias, Universidad de La Laguna, Tenerife, Spain;2. Unidad de Atención a las Drogodependencias ANTAD, Tenerife, Spain;3. Unidad de Atención a las Drogodependencias San Miguel, Tenerife, Spain;4. Pharmacy Department, Hospital Universitario de Canarias, Tenerife, Spain;5. Central Laboratory Department, Hospital Universitario de Canarias, Tenerife, Spain;6. Sistemas de Informacion, Hospital Universitario de Canarias, Spain;7. Instituto Universitario de Tecnologías Biomédicas CIBICAN, Departamento de Medicina Interna, Psiquiatría y Dermatología, Universidad de La Laguna, Tenerife, Spain;1. Population Health Sciences, University of Bristol, Oakfield Grove, Clifton, Bristol BS8 2BN, UK;2. Research Centre, Centre Hospitalier de l''Université de Montréal, 900 St Denis Street, Montréal, Québec H2X 3H8, Canada;3. Department of Family and Emergency Medicine, Université de Montréal, 2900, Édouard-Montpetit Boulevard, Montréal, Québec H3T 1J4, Canada;4. Department of Social and Preventive Medicine, School of Public Health, Université de Montréal, 7101 Park Ave, Montréal, Québec H3N 1X9, Canada;5. Department of Psychiatry, Université de Montréal, 2900, Édouard-Montpetit Boulevard, Montréal, Québec H3T 1J4, Canada;1. Montpellier University, INSERM U 1058, Pathogenesis and Control of Chronic Infections (PCCI), Montpellier-France;2. Medical Pharmacology, and toxicology Department, Montpellier University, Montpellier-France;3. Lebanese University Faculty of Pharmacy, Hadath, Lebanon;4. Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie - Liban (INSPECT-LB), Beirut-Lebanon;5. University of Nicosia Medical School, Nicosia, Cyprus;6. Medical Pharmacology, and toxicology department Montpellier University, School of Pharmacy Montpellier- France;1. Section of Infectious Diseases, Boston Medical Center, 801 Massachusetts Ave, 2nd floor, Boston 02118, MA, USA;2. Boston University School of Public Health, Boston, MA, USA;3. Behavioral Medicine and Addictions Research, Butler Hospital, Providence, RI, USA;4. Division of General Internal Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, USA;5. Center for Integrated Health Care Research, Kaiser Permanente Hawaii;6. Boston University School of Medicine, Boston, MA, USA;1. Yale School of Medicine, Yale University, 135 College Street, New Haven, CT, United States, 06510;2. Yale School of Public Health, Yale University, 135 College Street, New Haven, Connecticut, United States, 06510;3. Yale Center for Interdisciplinary Research on AIDS, Yale University, 135 College Street, New Haven, Connecticut, United States, 06510;4. APT Foundation, 495 Congress Ave, New Haven, Connecticut, United States, 06519;1. Department of Sociology, Purdue University, 700 W State St, West Lafayette, IN, 47907, USA;2. Department of Sociology, The Ohio State University, 238 Townshend Hall, 1885 Neil Avenue Mall, Columbus, OH 43210, USA
Abstract:The Botswana government has recently ramped up efforts to control alcohol consumption through various measures. These include the alcohol tax levy, reduction in trading hours for bars and other licenced premises and increased penalties for alcohol-related road offenses. Whilst these efforts have recently received considerable attention, the processes of alcohol policy development remain unknown and understudied. In this paper, I examine the alcohol policy processes in Botswana using What's the Problem Represented to be (WPR), a poststructural analytic approach that emphasises problematisations in policies. Drawing on alcohol-associated policy documents, I identify two key problematisations that relate to, (1) an emphasis on an “undisciplined” drinker, and (2) an appeal to an internationally-endorsed multi-sectoralism. I explore these problematisations as political formations and periodise them to the year 2008 when they were canonised. I argue that “undisciplined drinking” and an internationally-endorsed multi-sectoralism neglect the social and cultural contexts of drinking, pathologise drinking and do not consider other forms of knowledge. Unmaking current alcohol policy representations is needed to allow for the ‘emergence’ of alternative conceptualisations of the alcohol ‘problem’ in Botswana.
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