Through the eyes of those involved in the alcohol policy-making
process in Malawi, we explored the role of informal (non-commercial) alcohol in
rural communities, its harmful effects, and implications for appropriate national
policy. Harms included early drinking initiation, violence, and sexual risk exposure.
Informants suggested that policy should address informal alcohol’s content, selling
times, and easy access. Because most informal alcohol producers are women who
rely upon sales for subsistence, policies must avoid limiting women’s economic
opportunities while protecting community health.