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This training pack provides guidance on monitoring drug abuse, including assessing situations, defining targets, evaluating policies and interventions, and justifying resource allocations.
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ARQ part II data management Training pack 2: Monitoring drug abuse for policy and practice
Monitoring • Monitoring is the systematic observation (surveillance) of defined aspects of reality for the purpose of: (in policy and practice) • Signalling changes that may call for responses (interventions) • Evaluating the effects of responses (in research) • Explaining changes
Context • Evidence-based policy and practice is growing in importance • Monitoring is needed for evidence-based policy and practice: • To assess situations and developments • To define targets • To evaluate and adapt policies and interventions • To justify interventions and resource allocations
Objects of drug monitoring For the ARQ, part II, the objects of drug monitoring are: • The extent and patterns of drug abuse • The negative health consequences of drug abuse Other objects of monitoring: • The extent and reach of interventions • The results of interventions • The social and economic costs of drug abuse
Responses to drug abuse The main fields of intervention are: • Law enforcement • Prevention • Harm reduction • Treatment and rehabilitation
Responses Drug use and problems Data sources Conceptual framework
Drug monitoring system Elements of a drug monitoring system: • Objectives • Indicators • Data collection • Analysis • Reporting • Interpretation
Objectives • “Why?” precedes and defines “what?”, “when?” and “how?” Examples: • Defining policy targets • Planning interventions • Allocating resources • Evaluating policy strategies • Evaluating the effects of interventions
Indicators • Drug abuse and drug problems too complex • Indicators are selected and used as descriptors of reality • Monitoring drug abuse and drug problems is monitoring indicator data • Indicators must be: • Valid • Considered appropriate by experts
Data collection Drug use/interventions Indicator data Existing quantitative data Ÿ Patterns of drug use Ÿ Informed expert opinions Ÿ Drug-related problems Ÿ Purposive estimates Ÿ Extent of interventions Ÿ Qualitative studies Ÿ Selection Retrieval Relevant environment Population statistics Ÿ Context information Ÿ Socio-economic statistics Ÿ Studies on attitudes, etc.
Analysis Different types of analysis: • Trends and differences (statistical analysis) • Influence of environment (explanation) • Effects of interventions (evaluation) • Construction of additional indicators • Continuation of drug abuse • Incidence of (problem) drug use
Reporting Requirements for reporting the results of monitoring: • Data formats must be systematic and consistent • The results of the analysis must be reported • The objectives of the monitoring must be addressed • The margins of error and possible bias must be stated
Interpretation • What do the observed changes and developments mean for policy and practice? • Recommendations on policies and intervention strategies
Network of monitors Experts Stakeholders Data Conclusions Discussion Interpretation Recommendations Government administration Data collectors Police Field workers Treatment Researchers Health services Coordination
Setting up a monitoring system • Assess capacities and resources (information, needs and resources analysis) • Create a network of experts and stakeholders • Define your objectives • Assess the starting or baseline situation (rapid situation assessment) • Select indicators (ARQ, IDIS) • Make a feasible implementation plan for data collection, analysis, reporting and interpretation
IDIS, including INRA www.unodc.org/pdf/gap_toolkit_module1.pdf Integrated drug information system (IDIS), including information, needs and resources analysis (INRA)
ARQ Part II www.unodc.org/pdf/cnd_quest/arq_part2_2002.doc