Commercial determinants of health a case study of SAB in South Africa

1. Website: www.saapa.net Email: saapa.za@gmail.com Twitter; @saapa7 Facebook; Southern African Alcohol Policy Alliance Commercial determinants of healtha case study of SAB in South Africa Bangkok, 1 February 2019 Aadielah Maker Diedericks SAAPA Regional Coordinator

2. SOUTHERN AFRICAN ALCOHOL POLICY ALLIANCE (SAAPA) • 2012 • Vision:“Healthy nations, empowered communities” • Mission:“to create coordinating, sharing and reflection platforms for NGOs working with alcohol related harms to influence governance and evidence based alcohol policies development and implementation in Southern Africa and beyond.” • Membership – 8 countries African Authoritarian State Security Apparatus

3. Acknowledgements • FORUT • SAAPA boards • Public health experts network African Authoritarian State Security Apparatus

4. Public health imperative: promoting individual well-being within context of population African Authoritarian State Security Apparatus

5. Industry narrative of public health African Authoritarian State Security Apparatus

6. Masking the money issues… African Authoritarian State Security Apparatus

7. Enabling the industry • International frameworks • SDG 17 - Partnerships for the goals • resolution WHA63.13 • WHO – dialogue with the alcohol industry 19 -20 June 2018 http://www.who.int/substance_abuse/activities/dialogue_economic_operators_alcohol_production/en/ African Authoritarian State Security Apparatus

8. In-country political context • No/ limited political will (Africa only 17 countries have policy/legislative restrictions on alcohol advertising despite evidence – influence early initiation and amounts of alcohol consumed ) • Jernigan, D. et al (2017) Alcohol marketing and youth alcohol consumption: a systematic review of longitudinal studies published since 2008, Addiction, 112 (Suppl. 1) 7-20 • 5 year cycle – promise of change vs elections • (Botswana and Brazil – industry) • Technocrats/ uninformed & unwilling officials • Government silos/ economic growth priority • Business interests (current and former) African Authoritarian State Security Apparatus

9. Strategies to influence individual consumption and state regulations • Marketing : promote desirability and acceptability • CSI: present a caring image • Lobbying: limit public health policy & promote narrative of consumer choice • Responding and not shaping consumer demand https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(16)30217-0/fulltext African Authoritarian State Security Apparatus

10. SAB in South Africa • Sport sponsorship • Partnerships with NGO sector • Partnership with government • Establishing linkages with selected communities • Championing alcohol counter measure programs – Road Safety campaign African Authoritarian State Security Apparatus

11. SAB sport sponsorship in SA… • Major and minor sporting codes • Men and women sports • Professional and development sport African Authoritarian State Security Apparatus

12. Official beer of the Proteas

13. Preferred supplier of

14. “The largest and most successful grassroots football development league in the country has proudly established itself as the most trusted football talent hub for professional clubs, producing household names such as Andile Jali, Reneilwe Letsholonyane and Themba Zwane.” Development sport

15. “ABOUT SAB CASTLE REGIONAL LEAGUE TheSouth African Breweries Regional League is the fourth tier of domestic youth football in the South African football pyramid. There are 832 clubs competing in the competition. Most teams are made up of players under the age of 19.”

16. Sponsorship

17. A new spin …

18. Women…

20. Resources for sport • Sport commercialised • Focus on professional league (?% of sport active) • No/limited investment in amateur • KFC Mini-cricket • Industry dependent African Authoritarian State Security Apparatus

21. Creating Socially acceptable Identity • We care about people and their issues, don’t mind what we sell, where we sell, when we sell, who we sell to and how we sell African Authoritarian State Security Apparatus

22. SAB CSI • “WE INVEST IN ENTREPRENEURS AND SOCIAL INNOVATION, WITH A PRIORITY OF BENEFITING WOMEN AND YOUTH, PEOPLE IN RURAL AREAS AND PEOPLE WITH A DISABILITY.” • http://sabfoundation.co.za African Authoritarian State Security Apparatus

23. Poverty and hunger African Authoritarian State Security Apparatus

24. GBV https://www.google.com/url?q=https://www.youtube.com/watch?v%3DXOdH70X_Tb8&source=gmail&ust=1543820190017000&usg=AFQjCNFnb5BsYtlpaRM2O4YQG5MR9NQpXQ African Authoritarian State Security Apparatus

25. Water stewardship • https://www.news24.com/SouthAfrica/News/sab-to-quench-capetonians-thirst-but-with-a-different-drink-20180122 • https://www.ab-inbev.com/sustainability/2025-sustainability-goals/water-stewardship.html • https://www.ab-inbev.com/news-media/water-stewardship/stellas-buy-a-lady-a-drink-program.html • http://thegreentimes.co.za/calling-government-conserve-groundwater-springs/ African Authoritarian State Security Apparatus

26. Partnerships with government • JHB – one of 10 smart cities • National and provincial government departments • IMC on substance abuse African Authoritarian State Security Apparatus

27. Stalling policy… • Paid for socio-eco impact assessment – and not accept report recommendations • Access to politicians • CSI • Jobs African Authoritarian State Security Apparatus

28. Public health community response • Delayed • Reactive • Divided (cultivated) • Silos (resource dependant) • Drop vs '24 mean machine’ • Evidence collectors policy • Dedicated lobby team? African Authoritarian State Security Apparatus

29. What should we consider? • Pool resources • High level lobby team • Lobby donor community • Joint database/ communication strategy/team/ messaging – 1 message African Authoritarian State Security Apparatus