Abstract

Alcohol is a major contributor to the global burden of disease accounting for 4.0% of Disability Adjusted Life Years worldwide and 3.2% of mortality. Reports suggest that between 10%–18% of injury patients (both intentional and unintentional injuries) involved alcohol. There also is an association between average consumption of alcohol and injury. Studies also indicate a causal relationship between alcohol consumption and violence. Prevention of intoxication and de-addiction efforts could bring down injury related morbidity and mortality significantly. Between 2010 and 2017, we conducted 9 community based de-addiction camps, each of 10 days duration with active participation of the community and Alcoholics Anonymous (AA). The traditional 12 steps approach was followed and participants were systematically provided individual counseling at their homes and through cluster meetings. Rehabilitation efforts included restoring them back to the jobs they had lost as well as livelihood programs. A total of 295 participants have attended the nine camps conducted. Out of 222 who are on follow up 48.6% continue to be abstinent. Among those have relapsed (47.3%), 58.7% (67/114) continue to attend the counseling sessions and behavioral therapy. Interview of 112 participants revealed Low self efficacy, social support and high craving were associated with relapse. In multiple logistic regression model, low craving, good interpersonal support, desirable life events in the past year have emerged as an independent factors associated with abstinence of alcohol Cost effective camp based model with effective follow up counseling by the community health workers has shown significant success rate (48.6%). This community-based intervention has a potential to reduce alcohol-related injuries and violence among in rural population.