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Aims According to the World Health Organization (WHO), the total amount of alcohol consumed in the African region is expected to increase due to the growth of new alcohol consumers, especially young people and women. With the changing alcohol environment, increases in the alcohol-attributable burden of disease are inevitable. To our knowledge, there has not been a comprehensive analysis of the factors that could be driving those increases. The objective of this study was to examine the evidence from peer reviewed literature regarding the factors that could be instrumental in this process, in order to inform strategic policy-related decisions. Method A narrative review was conducted using a thematic analysis approach. We searched papers published between January 2000 and July 2014 in PubMed, the WHO's Global Health Library and African Journals Online. Results Our analysis identified seven factors (demographics, rapid urbanization, economic development, increased availability, corporate targeting, weak policy infrastructure and trade agreements) which are potentially tied to changes in alcohol consumption in Africa. Driven largely by globalization, a potential convergence of these various factors is likely to be associated with continued growth in alcohol consumption and alcohol-related morbidity and mortality. Conclusions To address the emerging risk factors associated with increased alcohol consumption, African governments need to take a more active role in protecting the public's health. In particular, important strategic shifts are needed to increase implementation of intersectoral strategies, community involvement in the policy dialogue, health services re-orientation and better regulation of the alcohol beverage industry. [ABSTRACT FROM AUTHOR]

The development of an “informed and alert electorate” is essential for the establishment of democratic governance in Africa and for the continent's future economic growth. This need is particularly evident in Zimbabwe, which is currently in the midst of an acute political and economic crisis. This paper tells the story of a small community-based organization in a remote part of Zimbabwe, which helped to raise political awareness and consciousness among a dis-advantaged rural population. Because of the threat that it posed to the Mugabe government, the organization was forced to close in October 2002. However, its experience has important lessons for the future development of Zimbabwe—and of Africa as a whole. [ABSTRACT FROM AUTHOR]