cm geriatric health

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WORLD HEALTH DAY

2012

AGEING AND HEALTH: GOOD HEALTH ADDS LIFE

Presented by

Dr Amit Singh Pawaiya

PG Student

Dept of Community Medicine
http://www.who.int/entity/world-health-day/2012/en/index.htmlhttp://www.who.int/entity/world-health-day/2012/en/index.html


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What is Old

Young old 60-69 years

Old old 70 79 years

Oldest old - 80 years

qGovernment of Indiaadopted National Policy

on Older Persons inJanuary, 1999.q The policy definessenior citizen orelderly as a person whois of age 60 years orabove.


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Highlights

Total population

The elderly population (aged 60 years or above) account

for 7.4% of total population in 2001. For males it wasmarginally lower at 7.1%, while for females it was 7.8%.

The size of the elderly population has risen from 12.1

million in 1901 to approximately 77 million in Census

2001.

Sex ratio


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Life expectancy at birth

64.2 for females as against 62.6 years for males.

Old-age dependency ratio

From 10.9% in 1961 to 13.1% in 2001 for India as a whole.

About 65 per cent of the aged had to depend on others for

their day-to-day maintenance. Less than 20% of elderly

women but majority of elderly men were economically

independent


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Literacy

2007-08 only 50% men and 20% of women aged 60 years or

more were literate through formal schooling.

Morbidity

In rural areas 55 % of the aged with sickness and 77 % of

those without sickness felt that they were in a good or fair

condition of health. In urban areas the respective proportions

were 63 % and 78 % .

The proportion of elderly men and women physically


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About 64 per thousand elderly persons in rural areas and

55 per thousand in urban areas suffer from one or more

disabilities.

Most common disability among the aged persons was

loco motor disability as 3% of them suffer from it.


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DISEASE BURDEN

Major causes of morbidity among elderly according to ICMR ( 1980)was as follows

disease percentage

Visual impairment 88.0

Locomotors disabilities 40.0

Neurological diseases 18.7

Cardiovascular disease 17.4

Respiratory disease 16.1

Skin disease 13.3


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The recent trend is little different .Top 10 morbid

condition among elderly are as follow(sharma 2003)Disease Percentage

Hypertension 39.53

Cataract 35.3

Arthritis 33.67

COPD 19.92

CHD 18.35

BHP 16.23

Diabetes melitus 15.23Dyspepsia 11.03

Irritable bowel syndrome 9.2

Depression 8.5


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Beside medical problem that cause dependency on others

there are other problem such as

1. Physical problem

1. Economic inadequacy d/t loss of employment.

1. Social isolation, loneliness, change in social contact due toretirement, loss of spouse etc.

1. Feeling helplessness, increasing intergenerational distanced/t medical illness and advancement of technolo and


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Promotional measures forelderly

q Goodnutritionthroughout

life ensureshealthyageing-

q Good health

of a motherdepend onher healthyin infancy,

childhoodand


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Create age friendly environments that foster thehealth and participation of older people

q Strong bondingbetweengenerations leadsto healthy ageing.

q Inclusion of olderfamily members infamily mattersleads to healthyageing.

q Grandparents arethe foundation of a


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National programme for health care of elderly

q The government

has approved the

National

Programme forHealth Care of

Elderly

(NPHCE) to

improve healthservices for the

elderly.

q The programme

has been
http://www.developmentchannel.org/people/senior-citizens/1841-national-programme-for-health-care-of-elderly-approvedhttp://www.developmentchannel.org/people/senior-citizens/1841-national-programme-for-health-care-of-elderly-approved


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National Policy on Older Persons(1999)

The salient features of the National Policy are as under:

qTo support financial security, health care and nutrition, shelter,information needs, appropriate concessions and discounts etc. tosenior citizens.

q

Special attention to protect and strengthen their legal rights such asto safeguard their life and property.

qRecognizes persons aged 60+ as senior citizens.


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S D di t d H lth Pl f th Eld
http://www.aarogya.com/news-and-updates/year-2011/6923-soon-dedicated-healthcare-plan-for-the-elderly.htmlhttp://www.aarogya.com/news-and-updates/year-2011/6923-soon-dedicated-healthcare-plan-for-the-elderly.html


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Soon, Dedicated Healthcare Plan for the Elde

Times of India31 January 2011By Kounteya SinhaNew Delhi, India

Designed To Be Preventive, Curative and Rehabilitative ItWill Be Rolled Out In 100 Dists Across 21 states

Indian health ministry is all set to roll out the National Programme forthe Health Care of the Elderly (NPHCE).

A ministry note, available with TOI, estimates that the elderly populationwill increase to 12% of the total population by 2025, 10% of which wouldbe bedridden, requiring utmost care.

"Thats why, we have formulated NPHCE to address various healthrelated problems of elderly people. The programme has got finalapproval from the expenditure finance committee. The ministry hasalready finalized operational guidelines and sent it to states forimplementation," joint secretary B K Prasad told TOI.
http://www.aarogya.com/news-and-updates/year-2011/6923-soon-dedicated-healthcare-plan-for-the-elderly.htmlhttp://epaper.timesofindia.com/Default/Scripting/ArticleWin.asp?From=Archive&Source=Page&Skin=TOINEW&BaseHref=TOIPU/2011/01/31&ViewMode=HTML&GZ=T&PageLabel=9&EntityId=Ar00900&AppName=1http://epaper.timesofindia.com/Default/Scripting/ArticleWin.asp?From=Archive&Source=Page&Skin=TOINEW&BaseHref=TOIPU/2011/01/31&ViewMode=HTML&GZ=T&PageLabel=9&EntityId=Ar00900&AppName=1http://www.aarogya.com/news-and-updates/year-2011/6923-soon-dedicated-healthcare-plan-for-the-elderly.html


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LIC, ESI act, pension, rebate (

I.Tax, traveling,) banksPriority in public services, rights

of care, social organization -

productive and service oriented

Old aged home joint family


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Assistance is sanctioned to the following agencies :-

qPanchayati Raj Institutions/Local bodies.

qNon-Governmental Voluntary Organizations.

qInstitutions or Organizations set up by Government asautonomous/subordinate bodies, Government Recognized Educationalinstitutions, Charitable Hospitals/Nursing Homes, and recognized youthorganizations such as Nehru Yuvak Kendra Sanghathan.

q

In exceptional case, financial assistance under the Scheme shall also beprovided to State Governments/Union Territory administrations.


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Under the revised Scheme of Integrated Programme for OlderPersons the following programmes are admissible for assistance:

qMaintenance of Old Age homes.

qMaintenance of Respite Care Homes and Continuous Care Homes.

qRunning of Multi Service Centers for Older Persons.

qMaintenance of Mobile Medicare Units.

q

Running of Day Care Centers for Alzheimer's Disease/DementiaPatients.

qPhysiotherapy clinics for older persons.


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qHelp-lines and Counseling Centers for older persons

qSensitizing programmes for children particularly in Schools andColleges.

qRegional Resource and Training Centers.

qTraining of Caregivers to the older persons.

qAwareness Generation Programmes for Older Persons and CareGivers.

qMulti facility care centers for destitute older widow women.

qVolunteers Bureaus for older persons.


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qDisability and hearing aids for older persons.

qMental health care and Specialized care for the Older Persons.

qFormation of Vridha Sanghas/Senior Citizen Associations.

qAny other activity, which is considered suitable to meet the

objective of the scheme


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In Summary

q Elderly population in India is increasing.

q Status of elderly changing in family.

q Geriatrics is in incipient stage.

qNGOs have important role to play in creating

awareness, imparting information and training of

support services.

qWe need to learn from the model of geriatric care in


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THANKS

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