Coalition formation to address structural determinants of methamphetamine use in Thailand.
Coalition formation to address structural determinants of methamphetamine use in Thailand.
复制标题
组建联盟以解决泰国甲基苯丙胺使用的结构性决定因素。
DOI：
10.1093/heapro/dau001
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发表时间：
2015
影响因子：
2.7
通讯作者：
Ellen,JonathanM
中科院分区：
文献类型：
--
作者：
Willard,Nancy;Srirojn,Bangorn;Thomson,Nicholas;Aramrattana,Apinun;Sherman,Susan;Galai,Noya;Celentano,DavidD;Ellen,JonathanM
尽管最近两次政府发起的“禁毒战争”，甲基苯丙胺的使用仍然是泰国普遍存在的问题。出于对报告的侵犯人权行为的关注，国际社会呼吁采取与政府“零容忍”不同的方法。本文介绍了适应连接到保护®联盟形成过程从美国城市到泰国北方清迈省的三个地区，旨在通过改变风险环境来减少甲基苯丙胺的使用。审查了项目材料，包括手册和材料（如关键行为者地图和研究人员备忘录），以说明建立伙伴关系的程序和选择标准。从政府和社区各部门确定了潜在的社区伙伴，重点是包括卫生、警察、区和分区政府官员的代表。在接触的64个潜在伙伴中，59个同意加入三个地区一级联盟中的一个。合作伙伴组成包括25%来自卫生部门，22%是街道政府官员，10%是警察部门的代表。对联盟工作的认可和承诺所需的关键伙伴包括各区的区长、警察局长和医院院长。最初的联盟战略规划产生了一些政策和方案，以解决学校保留问题、青年发展倡议和建立一个新的戒毒治疗和康复诊所以及其他正在制定的干预措施。建立联盟的相似之处，如需要从战略上发展与关键赞助者的认同，以及谁和如何确定合作伙伴的差异进行了探讨。
Despite two recent government-sponsored ‘wars on drugs’, methamphetamine use continues to be a pervasive problem in Thailand. Out of concern for reported human rights abuses, there has been a call from the international community to take a different approach from the government's ‘zero tolerance’. This paper describes the adaptation of the Connect to Protect® coalition formation process from urban U.S. cities to three districts in northern Thailand's Chiang Mai province, aimed to reduce methamphetamine use by altering the risk environment. Project materials, including manuals and materials (e.g. key actor maps and research staff memos), were reviewed to describe partnering procedures and selection criteria. Potential community partners were identified from various government and community sectors with a focus on including representatives from health, police, district and sub-district government officials. Of the 64 potential partners approached, 59 agreed to join one of three district-level coalitions. Partner makeup included 25% from the health sector, 22% who were sub-district government officials and 10% were representatives from the police sector. Key partners necessary for endorsement of and commitment to the coalition work included district-level governors, police chiefs and hospital directors for each district. Initial coalition strategic planning has resulted in policies and programs to address school retention, youth development initiatives and establishment of a new drug treatment and rehabilitation clinic in addition to other developing interventions. Similarities in building coalitions, such as the need to strategically develop buy-in with key constituencies, as well as differences of whom and how partners were identified are explored.