EFFECTS OF ALCOHOL CONSUMPTIONPhysical Mental Emotional BehavioralNausea,vomiting, loss ofbalance,numbness in theConfusion,difficultyconcentrating,thoughtFeeling of temporarywell-being,relaxation, state ofexaggeratedViolent, depressedbehavior,difficultyspeaking,uninhibitedlegs, loss of disturbances, loss of happiness/sadness/ behavior,coordination,reduction ofreflexesmemory of whatone does whileunderthe influence ofalcohol, alteredjudgment, badrecollections ofpersonalexperiences(a bitunclear,obsession,bad dreamsdisgust, sensation ofbeing omnipotentand invincibletearfulness6. Divide the participants into two groups and discuss how alcohol use can lead toHIV —that is, how can use of alcohol and other substances lead to risky sexualbehavior, unprotected sexual intercourse, situations of coercion, etc.? Then, askeach group to share their findings.Part 2 – 30 minutes1. Explain that participants will now have a chance to reflect on some questions thatlook at their personal experiences and attitudes about alcohol.2. Provide a copy of handout 4 to every participant. Allow them a few minutes tothink about the questions and respond to them.3. Ask each participant to pair up with someone they feel comfortable with anddiscuss the questions. Explain that they are free to talk about any of the questionsthey found interesting or important.4. Bring the group together and wrap up the discussion with the questions below:? What are the cultural norms around alcohol in your community/country?? What is the reaction when someone does not want to consume alcohol?? What actions can you take if a friend is abusing alcohol? (See Resource Sheet 7.)? How can you help to create other forms of fun and social activity in whichalcohol is not the most important thing?ClosingThe connection between alcohol use and HIV has long been confirmed. The use ofsubstances in general is associated with higher rates of unsafe sexual activity andSTIs/HIV/AIDS. Injecting drug use accounts for 10% of all HIV cases in the world.Additionally, in the long-term, substance abuse can give rise to dependency andvarious other health problems (including death) and can affect every aspect of aperson’s life. Men often use alcohol at higher rates than women, because they may38
elieve that using alcohol helps prove their manhood or helps them fit in with theirmale peer group. It is necessary to question the norms around alcohol use and tothink about how you and others can create forms of leisure and entertainment that donot place alcohol at the center.Trainingoptions1. Divide the participants into three or four small groups. Each will be given anassignment to draw a problem tree that looks at alcohol abuse.2. Draw a tree trunk in the center of a flipchart and label it “Alcohol Abuse.”3. Ask the group to discuss some of the causes of alcohol abuse. Each causeshould be depicted as one of the roots of the problem tree. After notingeach cause, the group should think about what contributes to that originalcause. For example, if one of the causes is “unemployment” then the groupshould think about what contributes to unemployment. One of thesubcauses could be “lack of economic opportunities.” This would then bedepicted as a subroot of the original cause.4. The problem tree will also look at the effects of alcohol abuse. Those effectswill be depicted as the branches of the problem tree. As with the causes, thegroups should brainstorm and identify the primary and secondary outcomesor effects. For example, domestic violence—which can result in serious harmor even death—is a secondary outcome of alcohol abuse.39