As part of the ILC Global Alliance’s 30th anniversary celebrations, ILC-UK and ILC Singapore held a webinar to discuss how Hong Kong and Singapore are responding to the challenges of an ageing society.
Both Singapore and Hong Kong are finding their health systems are coming under increasing pressure due to an ageing population. But how well are they coping? And what more could be done?
In 2019, ILC-UK and ILC Singapore teamed up to produce Healthier for longer: Improving adult immunisation uptake in Singapore. Alongside this work, ILC-UK also produced a report on Healthy ageing in Hong Kong.
During this webinar, we shared findings from our work in Singapore and Hong Kong, highlighting how things have changed over the past year in the context of COVID-19, and debated the similarities and differences between the situation in Hong Kong and Singapore.
Chair: Susana Harding, Senior Director, ILC Singapore
Speakers included:
Dr Ng Wai Chong, Clinical Programme Consultant, Tsao Foundation
Yeo Wan Ling, Director of Women and Family Unit, National Trades Union Congress (NUTC)
David Sinclair, Director, ILC-UK
Pamela Tin, Senior Researcher / Head of Healthcare & Social Development, Our Hong Kong Foundation
We are grateful to Pfizer for providing a charitable grant to support our projects in Hong Kong and Singapore.
This document summarizes a presentation on innovations in population health. It discusses:
1) The costs of chronic diseases in Australia and how population health interventions can help reduce medical and productivity costs by focusing on preventative care and lifestyle changes.
2) New models of healthcare are needed to focus on value over utilization and coordinate care for populations in a proactive, evidence-based manner.
3) Innovations in population health include using data to target high-risk groups, behavioral programs, telehealth, social media, and public-private partnerships.
Global launch: Delivering prevention in an ageing worldILC- UK
It’s never too late to prevent ill health. And the health and economic costs of failing to invest in preventative interventions across the life course are simply too high to ignore.
At this event, we launched two new reports on what works in delivering a preventative approach to health in an ageing world; how we can improve take-up and adherence to preventative interventions; what we have learned from COVID-19; and how policymakers across the world need to act to ensure prevention becomes a priority as countries build back from the damage inflicted by the pandemic.
We were joined by a panel of experts from across the world to discuss the findings and what needs to happen next so we can move from consensus to action on prevention.
The document discusses the privatization of India's health sector and its benefits and concerns. It notes that while partnerships with private entities can enhance infrastructure and access to specialized care, effective regulation is needed to prevent exploitation. Concerns include the potential for commercialization and neglect of certain diseases. Overall, a well-regulated private sector can improve healthcare services, but the state retains primary responsibility for providing universal and affordable access.
Cambodia Health Researchers Forum 11 Nov 2015 combined presentationsReBUILD for Resilience
Combined presentations given at Cambodia Health Researchers' Forum 11th November 2015, Phnom Penh. Hosted by the National Institute of Public Health. Presentations given by Peter Annear, Barbara McPake, Sreytouch Vong and Ir Por
As the burden of NCDs increases, various countries have introduced new and innovative modes of managing them in primary healthcare setting. APO, in conjunction with Duke Kunshan University, China, conducted a 4-country study (Bangladesh, China, Nepal and Viet Nam) to understand the different approaches used in involving CHWs in preventing and managing NCDs. Access full publication here http://bit.ly/2XnWwcd
Presentation by Jonathan Berry, Person Centred Care Specialist, NHS England lead on widening digital participation. Given Health Literacy UK Seminar, October 2016
This document summarizes a presentation on innovations in population health. It discusses:
1) The costs of chronic diseases in Australia and how population health interventions can help reduce medical and productivity costs by focusing on preventative care and lifestyle changes.
2) New models of healthcare are needed to focus on value over utilization and coordinate care for populations in a proactive, evidence-based manner.
3) Innovations in population health include using data to target high-risk groups, behavioral programs, telehealth, social media, and public-private partnerships.
Global launch: Delivering prevention in an ageing worldILC- UK
It’s never too late to prevent ill health. And the health and economic costs of failing to invest in preventative interventions across the life course are simply too high to ignore.
At this event, we launched two new reports on what works in delivering a preventative approach to health in an ageing world; how we can improve take-up and adherence to preventative interventions; what we have learned from COVID-19; and how policymakers across the world need to act to ensure prevention becomes a priority as countries build back from the damage inflicted by the pandemic.
We were joined by a panel of experts from across the world to discuss the findings and what needs to happen next so we can move from consensus to action on prevention.
The document discusses the privatization of India's health sector and its benefits and concerns. It notes that while partnerships with private entities can enhance infrastructure and access to specialized care, effective regulation is needed to prevent exploitation. Concerns include the potential for commercialization and neglect of certain diseases. Overall, a well-regulated private sector can improve healthcare services, but the state retains primary responsibility for providing universal and affordable access.
Cambodia Health Researchers Forum 11 Nov 2015 combined presentationsReBUILD for Resilience
Combined presentations given at Cambodia Health Researchers' Forum 11th November 2015, Phnom Penh. Hosted by the National Institute of Public Health. Presentations given by Peter Annear, Barbara McPake, Sreytouch Vong and Ir Por
As the burden of NCDs increases, various countries have introduced new and innovative modes of managing them in primary healthcare setting. APO, in conjunction with Duke Kunshan University, China, conducted a 4-country study (Bangladesh, China, Nepal and Viet Nam) to understand the different approaches used in involving CHWs in preventing and managing NCDs. Access full publication here http://bit.ly/2XnWwcd
Presentation by Jonathan Berry, Person Centred Care Specialist, NHS England lead on widening digital participation. Given Health Literacy UK Seminar, October 2016
Australia's health system needs to better connect the dots in a number of areas. Our work looks at connections between Australian chronic disease targets and indicators, WHO targets and indicators, and national progress.
Geriatric health problems and programs in India
In 3 sentences:
India has experienced rapid growth in its elderly population, projected to reach 19% of the total by 2050, bringing increased focus on geriatric health issues. Common health problems faced by the elderly include diseases of various body systems associated with aging as well as psychological and social issues. The government of India has established several policies and programs to promote healthcare, financial security, and welfare of the growing elderly population, including the National Policy on Older Persons, Maintenance and Welfare of Parents Act, and National Program for Health Care of Elderly.
Gill Rowlands Heath Literacy - Making it Everybody's BusinessHLGUK
- The document discusses a presentation on health literacy given by Gill Rowlands.
- It defines health literacy and establishes that low health literacy is common, affecting 61% of adults in England. People with low health literacy have poorer health outcomes and higher healthcare costs.
- Challenges of low health literacy are discussed for patients, healthcare professionals, managers and commissioners. Solutions proposed include improving health information and increasing citizens' health literacy skills.
- Progress and next steps are outlined to address the issue through various organizations working together.
Ndyanabangi integrating mental health in primary carejasonharlow
The document summarizes the history and current state of mental health integration in Uganda's primary health care system. It outlines opportunities for integration like supportive policies and guidelines, as well as challenges like understaffing, low budgets, and stigma. Collaboration with other government sectors and international partners is key. Priorities for strengthening the system include increasing capacity, educating the public, updating laws and policies, and advocating for more funding and staffing of mental health services.
The document discusses concerns about the NHS Health Checks program in the UK, which screens adults over age 40 for health issues. An upcoming independent evaluation is expected to show poor uptake in the program and limited health benefits for those identified as high risk. There is also pressure mounting on the government to end the program due to a lack of robust evidence that it improves health outcomes. The document also discusses challenges faced by voluntary sector organizations in supporting people's health engagement and literacy, and in influencing health policies and programs in a fragmented system. It calls for new national initiatives and partnerships to better address health literacy challenges.
The document discusses improving health literacy to reduce health inequalities. It finds that limited health literacy is associated with unhealthy behaviors and increased health risks, and disproportionately impacts disadvantaged groups. Improving health literacy can build resilience, empower self-management of long-term conditions, and address social determinants of health. Effective strategies include developing health literacy from an early age, ensuring accessible health information and services, improving general literacy and skills, and adopting community-led and tailored approaches for vulnerable groups.
Public Health England (PHE) aims to improve public health and well-being through partnerships. PHE's Health and Wellbeing Directorate uses an integrated approach to support population health programs and address social determinants of health. The Directorate focuses on mental health, diet and obesity, tobacco control, alcohol, HIV, and a life course perspective. PHE will establish local government partnerships, build workforce capacity, develop leadership, deliver resources and make an impact on mental health over five years.
This document summarizes a presentation about public health in Hertfordshire. It outlines some of the major public health challenges in the county, including health inequalities and non-communicable diseases. It discusses how public health responsibilities have shifted to local governments and the new opportunities this presents. It emphasizes taking a lifecourse approach to health from conception to death and using proportionate universalism. The presentation discusses building partnerships across organizations to address the social and economic determinants of health.
COMBI - a toolkit for social communication in fighting NCDsPPPKAM
This document discusses COMBI, a toolkit for social communication developed by the WHO to help fight non-communicable diseases (NCDs). It presents COMBI as a 10-step process that emphasizes achieving specific behavioral outcomes, not just increasing awareness. COMBI stresses connecting recommendations to individual needs, understanding alternative behaviors, and listening to communities. The document provides Penang's COMBI plan as an example, with the overall goal of reducing NCDs through behaviors like improved nutrition and physical activity. It emphasizes setting clear behavioral objectives and conducting a situational market analysis to understand barriers and enablers to behavior change from the community's perspective before implementing activities.
Patricia Leahy Warren, Senior Lecturer School of Nursing and Midwifery, UCCInvestnet
The document summarizes the key challenges at the interface between primary and secondary healthcare in Ireland. It notes the changing demographic profiles of an aging population and increasing rates of chronic conditions. There are also challenges around communication and integration between primary care teams and specialist services due to incompatible IT systems and a lack of standardized documentation. The document calls for innovations to further develop integrated care centered around the needs of the individual and focused on preventative measures and community-based support over hospital-based care.
The health system of Bangladesh has undergone a number of reforms and has established an extensive health service infrastructure in both the public and private sectors during the past four decades. Bangladesh has achieved impressive gains in population health, achieving the Millennium Development Goal 4 target of reducing under-five child mortality by two thirds between 1990 and 2015, and improving other key indicators such as maternal mortality, immunization coverage, and survival rates from malaria, tuberculosis, and diarrhoea diseases.
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
Health access for all Thailand’s.The Thai citizens gain universal access to essential health services at zero cost, and reap significant benefits as babies get healthier, workers increase productivity, and households reduce financial risk.
The Kingdom of Bhutan has made great achievement in establishing and sustaining public financed and managed health system in the past five and a half decades. As enshrined in the Constitution, health services are free in the integrated traditional and allopathic medicines. The report also notes the epidemiological and health system challenges and the way forward to overcome in line with achieving SDGs.
Addressing hearing loss through a health care systems approachAlbert Domingo
Presentation by Dr Albert Francis Domingo, Consultant of the Division of NCDs and Health through the Life-Course, WHO Regional Office for the Western Pacific delivered at the Multi-country Workshop on Ear and Hearing Care in the Western Pacific Region (6-7 Dec 2016, Beijing, China).
The Cambodia HiT reports that the national health sector reforms initiated two decades ago have had a positive impact on Cambodia’s health sector. The country’s health status has substantially improved since 1993 and is on track to achieve the Millennium Development Goal targets. Improving the quality of care is now the most pressing imperative in health-system strengthening.
Universal health coverage was established in the WHO constitution of 1948 declaring health a fundamental human right.The goal of universal health coverage is to ensure that all people obtain the health services they need without suffering financial hardship when paying for them.
This document discusses supporting the NHS by training leisure staff to deliver comprehensive health checks. It provides background on public health in the UK, key developments, and challenges. Uptake of NHS health checks varies widely. Training leisure staff through a Certificate of Competency could generate income for leisure providers and benefit public health. Partnerships between public health, the NHS, leisure industry, and academics are needed to improve health and reduce inequalities through prevention programs. Research and evaluation can help develop and deliver effective initiatives.
Key note presentation at Global Health Disparity Conference, North Carolina Central University, United States
5/4/2019
By;
Amara Frances Chizoba MPH, AAHIVS, PhD
Director, Mission to Elderlies Project
Renewal Health Foundation Nigeria
www.renewalhealthfoundation.org
missiontoelderlies@gmail.com
+2347088698103
Australia's health system needs to better connect the dots in a number of areas. Our work looks at connections between Australian chronic disease targets and indicators, WHO targets and indicators, and national progress.
Geriatric health problems and programs in India
In 3 sentences:
India has experienced rapid growth in its elderly population, projected to reach 19% of the total by 2050, bringing increased focus on geriatric health issues. Common health problems faced by the elderly include diseases of various body systems associated with aging as well as psychological and social issues. The government of India has established several policies and programs to promote healthcare, financial security, and welfare of the growing elderly population, including the National Policy on Older Persons, Maintenance and Welfare of Parents Act, and National Program for Health Care of Elderly.
Gill Rowlands Heath Literacy - Making it Everybody's BusinessHLGUK
- The document discusses a presentation on health literacy given by Gill Rowlands.
- It defines health literacy and establishes that low health literacy is common, affecting 61% of adults in England. People with low health literacy have poorer health outcomes and higher healthcare costs.
- Challenges of low health literacy are discussed for patients, healthcare professionals, managers and commissioners. Solutions proposed include improving health information and increasing citizens' health literacy skills.
- Progress and next steps are outlined to address the issue through various organizations working together.
Ndyanabangi integrating mental health in primary carejasonharlow
The document summarizes the history and current state of mental health integration in Uganda's primary health care system. It outlines opportunities for integration like supportive policies and guidelines, as well as challenges like understaffing, low budgets, and stigma. Collaboration with other government sectors and international partners is key. Priorities for strengthening the system include increasing capacity, educating the public, updating laws and policies, and advocating for more funding and staffing of mental health services.
The document discusses concerns about the NHS Health Checks program in the UK, which screens adults over age 40 for health issues. An upcoming independent evaluation is expected to show poor uptake in the program and limited health benefits for those identified as high risk. There is also pressure mounting on the government to end the program due to a lack of robust evidence that it improves health outcomes. The document also discusses challenges faced by voluntary sector organizations in supporting people's health engagement and literacy, and in influencing health policies and programs in a fragmented system. It calls for new national initiatives and partnerships to better address health literacy challenges.
The document discusses improving health literacy to reduce health inequalities. It finds that limited health literacy is associated with unhealthy behaviors and increased health risks, and disproportionately impacts disadvantaged groups. Improving health literacy can build resilience, empower self-management of long-term conditions, and address social determinants of health. Effective strategies include developing health literacy from an early age, ensuring accessible health information and services, improving general literacy and skills, and adopting community-led and tailored approaches for vulnerable groups.
Public Health England (PHE) aims to improve public health and well-being through partnerships. PHE's Health and Wellbeing Directorate uses an integrated approach to support population health programs and address social determinants of health. The Directorate focuses on mental health, diet and obesity, tobacco control, alcohol, HIV, and a life course perspective. PHE will establish local government partnerships, build workforce capacity, develop leadership, deliver resources and make an impact on mental health over five years.
This document summarizes a presentation about public health in Hertfordshire. It outlines some of the major public health challenges in the county, including health inequalities and non-communicable diseases. It discusses how public health responsibilities have shifted to local governments and the new opportunities this presents. It emphasizes taking a lifecourse approach to health from conception to death and using proportionate universalism. The presentation discusses building partnerships across organizations to address the social and economic determinants of health.
COMBI - a toolkit for social communication in fighting NCDsPPPKAM
This document discusses COMBI, a toolkit for social communication developed by the WHO to help fight non-communicable diseases (NCDs). It presents COMBI as a 10-step process that emphasizes achieving specific behavioral outcomes, not just increasing awareness. COMBI stresses connecting recommendations to individual needs, understanding alternative behaviors, and listening to communities. The document provides Penang's COMBI plan as an example, with the overall goal of reducing NCDs through behaviors like improved nutrition and physical activity. It emphasizes setting clear behavioral objectives and conducting a situational market analysis to understand barriers and enablers to behavior change from the community's perspective before implementing activities.
Patricia Leahy Warren, Senior Lecturer School of Nursing and Midwifery, UCCInvestnet
The document summarizes the key challenges at the interface between primary and secondary healthcare in Ireland. It notes the changing demographic profiles of an aging population and increasing rates of chronic conditions. There are also challenges around communication and integration between primary care teams and specialist services due to incompatible IT systems and a lack of standardized documentation. The document calls for innovations to further develop integrated care centered around the needs of the individual and focused on preventative measures and community-based support over hospital-based care.
The health system of Bangladesh has undergone a number of reforms and has established an extensive health service infrastructure in both the public and private sectors during the past four decades. Bangladesh has achieved impressive gains in population health, achieving the Millennium Development Goal 4 target of reducing under-five child mortality by two thirds between 1990 and 2015, and improving other key indicators such as maternal mortality, immunization coverage, and survival rates from malaria, tuberculosis, and diarrhoea diseases.
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
Health access for all Thailand’s.The Thai citizens gain universal access to essential health services at zero cost, and reap significant benefits as babies get healthier, workers increase productivity, and households reduce financial risk.
The Kingdom of Bhutan has made great achievement in establishing and sustaining public financed and managed health system in the past five and a half decades. As enshrined in the Constitution, health services are free in the integrated traditional and allopathic medicines. The report also notes the epidemiological and health system challenges and the way forward to overcome in line with achieving SDGs.
Addressing hearing loss through a health care systems approachAlbert Domingo
Presentation by Dr Albert Francis Domingo, Consultant of the Division of NCDs and Health through the Life-Course, WHO Regional Office for the Western Pacific delivered at the Multi-country Workshop on Ear and Hearing Care in the Western Pacific Region (6-7 Dec 2016, Beijing, China).
The Cambodia HiT reports that the national health sector reforms initiated two decades ago have had a positive impact on Cambodia’s health sector. The country’s health status has substantially improved since 1993 and is on track to achieve the Millennium Development Goal targets. Improving the quality of care is now the most pressing imperative in health-system strengthening.
Universal health coverage was established in the WHO constitution of 1948 declaring health a fundamental human right.The goal of universal health coverage is to ensure that all people obtain the health services they need without suffering financial hardship when paying for them.
This document discusses supporting the NHS by training leisure staff to deliver comprehensive health checks. It provides background on public health in the UK, key developments, and challenges. Uptake of NHS health checks varies widely. Training leisure staff through a Certificate of Competency could generate income for leisure providers and benefit public health. Partnerships between public health, the NHS, leisure industry, and academics are needed to improve health and reduce inequalities through prevention programs. Research and evaluation can help develop and deliver effective initiatives.
Key note presentation at Global Health Disparity Conference, North Carolina Central University, United States
5/4/2019
By;
Amara Frances Chizoba MPH, AAHIVS, PhD
Director, Mission to Elderlies Project
Renewal Health Foundation Nigeria
www.renewalhealthfoundation.org
missiontoelderlies@gmail.com
+2347088698103
The document summarizes several HIV/AIDS programs implemented by World Vision across multiple countries in Africa. It discusses key strategies used such as community mobilization, capacity building, and task shifting. Specific interventions discussed include PMTCT, pediatric HIV care, male circumcision, and programs to support orphans and vulnerable children. Results showed improved access to services, increased testing and treatment adherence, and reduced loss to follow up. Lessons highlighted the importance of integrated service delivery, community ownership, and long-term commitment to sustain programs.
This document provides biographical information about Prof Jaideep Malhotra, an expert in infertility practice. It lists his professional roles and accomplishments, which include managing an IVF clinic, holding presidencies in several medical societies, editing medical journals, and advising at several medical colleges. It also notes his contributions to producing some of the first IVF, ICSI, and TESA babies in India and Nepal.
A health system, also sometimes referred to as health care system, is the organization of people, institutions, and resources that deliver health care services to meet the health needs of target populations.
Health systems are responsible for delivering services that improve, maintain or restore the health of individuals and their communities.
Common elements in virtually all health systems are primary healthcare and public health measures.
This document proposes a plan to universalize access to quality primary healthcare in India. It discusses some of the key problems in healthcare access such as poor rural facilities, malnutrition, and high infant mortality. It then outlines a proposed biennial door-to-door health inspection program led by teams consisting of doctors, nurses, and municipal representatives. The program would check sanitation, nutrition, and provide basic medical aid and awareness. Implementing such inspections through a dedicated body in each block could help ensure even underprivileged communities receive quality primary care. Challenges to the plan include funding, staffing, and ensuring standards are uniformly applied.
This invited presentation for the Institute of Health Visiting Leadership Conference gives a DPH view on the future of Child Public Health and the need for a systems approach
Improving Access to Healthcare for Impoverished Communities Rotary International
Interested in global public health? Bridge to Health Medical and Dental has worked in partnership with local grassroots organizations in rural communities in southwestern Uganda and Ethiopia to provide education and training, clinical services, and build innovative solutions to complex problems. Come learn about these initiatives, connect with Rotarians who build sustainable collaborations to improve health and education, and be inspired to take action.
This document discusses the theme of International Nurses' Day 2019, which is "Health for All". It provides background on the history and annual themes of Nurses' Day. The 2019 theme focuses on achieving universal health coverage and addressing global health challenges like epidemics, non-communicable diseases, health system costs, migrant health, mental health, and violence against healthcare workers. Nurses are well-positioned to help solve these issues and work toward the goal of Health for All due to their frontline role in communities and across health systems worldwide.
James Sengwe completed an industrial attachment at Population Service International Zimbabwe (PSI/ZIM) to fulfill requirements for his BSc in Statistics. PSI/ZIM is a global health organization in Zimbabwe focused on improving health through family planning, HIV/AIDS prevention, and addressing other issues. It uses marketing strategies and partnerships with local organizations to develop sustainable health solutions. PSI/ZIM's core business areas include HIV prevention and treatment, tuberculosis screening and treatment, contraception provision, non-communicable diseases like diabetes, and malaria prevention through insecticide-treated nets and rapid testing.
Role of Advanced Nurse Practitioner in Gerontological Nursing anne spencer
The role of the registered advanced nurse practitioner (RANP) in gerontological nursing is summarized as follows:
1) RANPs aim to support quality and timely care for older adults by performing comprehensive assessments, planning and initiating treatment, promoting healthy aging and independence, and supporting transition to long-term care.
2) Key roles of RANPs include demonstrating autonomous clinical decision-making and expert practice in managing older adult caseloads, engaging in health promotion, and developing standards of care through research, education, and quality improvement.
3) RANPs work to address the complex health issues of an aging population and support aging in place through programs focused on falls prevention, bone health, chronic
The delivery of these services require adequate and competent health and care workers with optimal skills mix at facility, outreach and community level, and who are equitably distributed, adequately supported and enjoy decent work.UHC strategies enable everyone to access the services that address the most significant causes of disease and death and ensures that the quality of those services is good enough to improve the health of the people who receive them.
Protecting people from the financial consequences of paying for health services out of their own pockets reduces the risk that people will be pushed into poverty because unexpected illness requires them to use up their life savings, sell assets, or borrow – destroying their futures and often those of their children.
Many countries are already making progress towards UHC, although everywhere the COVID-19 pandemic impacted the availability the ability of health systems to provide undisrupted health services. All countries can take actions to move more rapidly towards UHC despite the setbacks of the COVID-19 pandemic, or to maintain the gains they have already made. In countries where health services have traditionally been accessible and affordable, governments are finding it increasingly difficult to respond to the ever-growing health needs of the populations and the increasing costs of health services.
Moving towards UHC requires strengthening health systems in all countries. Robust financing structures are key. When people have to pay most of the cost for health services out of their own pockets, the poor are often unable to obtain many of the services they need, and even the rich may be exposed to financial hardship in the event of severe or long-term illness. Pooling funds from compulsory funding sources (such as government tax revenues) can spread the financial risks of illness across a population.
UHC emphasizes not only what services are covered, but also how they are funded, managed, and delivered. A fundamental shift in service delivery is needed such that services are integrated and focused on the needs of people and communities. This includes reorienting health services to ensure that care is provided in the most appropriate setting, with the right balance between out- and in-patient care and strengthening the coordination of care. Health services, including traditional and complementary medicine services, organized around the comprehensive needs and expectations of people and communities will help empower them to take a more active role in their health and health system.
All Our Health - A Call to Action to All Healthcare ProfessionalsViv Bennett
A Public Health England programme - All Our Health is a call to action for all healthcare professionals, individually and collectively, to close the health and wellbeing gap,
contribute to a radical upgrade in prevention and public health and develop a social movement for health
The document discusses the opportunities for prevention to address non-communicable diseases in England. It outlines that while life expectancy has increased, levels of ill health have not improved at the same rate. The Five Year Forward View calls for a radical upgrade in prevention. The document then discusses moving beyond the Five Year Forward View to implementation, including interventions to improve health outcomes and save money, sustainability and transformation plans, and building workforce leadership and capabilities for prevention.
Day 1: Challenges and opportunities for better detection, diagnosis and clini...KTN
The focus of this session is to explore how the UK health system is currently responding to the increasing number of patients with multiple long-term conditions and the impacts of healthcare inequalities on patient outcomes. We will also explore opportunities for businesses to bring about much needed innovations in the prevention, early diagnosis and management of multi-morbidity.
Global launch of the Healthy Ageing and Prevention Index alongside the 76th World Health Assembly
Date: Tuesday 23 May 2023
Time: 3.30pm – 4.30pm (CET) launch, followed by networking with refreshments
Location: Geneva Press Club, Geneva, Switzerland
ILC expert roundtable: Delivering prevention in an ageing world - Democratisi...ILC- UK
This document discusses democratizing access to preventative healthcare. It identifies five key criteria: making prevention convenient through mobile clinics and home visits; ensuring costs are no barrier by reducing co-payments; tailoring prevention through apps and accessible technologies; improving health literacy through co-production with charities; and addressing ageism. The consultation focuses on the role of healthcare systems in G20 countries in promoting prevention across the life course, with attention to older adults.
The document summarizes a study assessing the readiness of Somali health systems to achieve universal health coverage, particularly for vulnerable populations in Somaliland. Interviews and focus groups were conducted with health experts. Most respondents felt universal health coverage by 2030 would not be realistic given Somaliland's poor economic conditions and complex situation. Currently, health care is largely out-of-pocket and donor dependent, leaving most of the population without coverage. National leadership and increased public spending on health are recommended to work towards covering health expenses for vulnerable populations in line with international goals.
Presentation by Commissioner Choucair at Northwestern University Feinberg School of Medicine Physician Assistant Program for a Public Health Presentation in Behavioral and Preventive Medicine I Course.
Similar to Webinar: Healthy ageing and adult vaccination in Singapore and Hong Kong (20)
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
06Mar24 Mental health EU roundtable slides.pptxILC- UK
The document summarizes a meeting discussing policy priorities for mental health in Belgium and the EU. It provides global context on the burden of mental illness, with anxiety and depression most common. Data is presented on government spending and suicide rates in various countries. The meeting objectives are to compare approaches to mental health diagnoses in different countries and make policy recommendations. Barriers to universal coverage for mental disorders are discussed. The EU's initiatives to address workplace wellbeing, youth mental health, and underserved groups are highlighted. Roundtable discussions center on social and health system factors affecting treatment journeys, and what countries can learn from each other. Conclusions will be presented on addressing acute mental health challenges across the EU.
The document summarizes a conference on healthy aging and longevity in Europe organized by the International Longevity Centre (ILC) Europe Network. It provides an agenda for the conference including sessions on prevention and health interventions to live longer, vaccination rates across Europe, and creating age-friendly cities. The document also shares results from ILC's Healthy Ageing and Prevention Index, which ranks countries on metrics like life expectancy, health spending, and environment. It finds gaps between Western and Eastern European countries and recommends increased investment in prevention to help populations age healthier and live longer.
Redefining lifelong learning webinar presentation slides.pptxILC- UK
We know that we’re living longer, which means many people will also be working for longer. One in seven people over 65 are still employed in the UK, but we’re still seeing challenges in our labour markets.
According to the ILC’s Healthy Ageing and Prevention Index, the UK’s work span is only 31.5 years, ranking the UK 47th out of 121 countries. Skills shortages driven by demographic change are hitting all sectors of the UK’s economy: by 2030, we could see a shortage of 2.6 million workers. On the other hand, if UK employment rates for those aged 50 to 64 matched the rates of those aged 35 to 49, the country’s GDP would increase by more than 5%.
One way to improve work span and employment is through lifelong learning. However, in the UK, as the Learning and Work Institute’s Adult Participation in Learning survey showed, rates of learning continue to fall with age. In 2023, only 36% of people aged 55 to 64, 24% of those aged 65 to 74, and 17% of those aged 75 and over said that they’d taken part in any kind of learning in the past three years.
To better understand the approaches in other countries, we consulted with experts in lifelong learning, both from the UK and globally. ILC's report, in collaboration with Phoenix Insights, Redefining lifelong learning: lessons from across the globe considers the approaches taken in Singapore, Japan, South Korea, Canada, Germany, the Netherlands and Sweden. While each country’s approach is different, and shaped by its wider cultural, political and economic context, there are some common threads including: learning culture; the range of learning opportunities on offer; levels of support and investment; and accessibility
"If only I had"... LV= insights into retirement planning webinarILC- UK
As part of this debate LV= shares the findings from their quarterly Wealth and Wellbeing research programme, which surveys a nationally representative sample of 4,000 adults across the UK on a variety of topics, including their changing attitude to their finances and their wider wellbeing.
Healthy Ageing and Prevention Index - Our impactILC- UK
The document summarizes the work of ILC (International Longevity Centre) on their prevention programme from 2019-2022, which included establishing the Healthy Ageing and Prevention Index. Some key activities included:
- Engaging stakeholders worldwide to build consensus on prevention and healthy aging issues
- Influencing international organizations like G20, WHO, and UN to prioritize prevention
- Launching the Prevention Index, which ranks 121 countries on metrics like life expectancy, health spending, and happiness
- Establishing a coalition of over 30 organizations to endorse and support the Index's goals
- Hosting numerous global forums to discuss findings and identify policy solutions
Alongside the G20 Health Ministers’ meeting in Gandhinagar, India, in August, ILC-India and ILC-UK held a joint high-level side event to amplify the importance of healthy ageing and prevention among the G20.
Plugging the gap: Estimating the demand and supply of jobs by sector in 2030ILC- UK
The UK economy could see a shortfall of 2.6 million workers by 2030 – almost twice the workforce of the NHS – as a result of population ageing, the COVID pandemic and Brexit.
These shortfalls will affect the whole economy, with manufacturing, retail, construction, transport, health and social care among the sectors projected to be hardest hit.
To plug these gaps, Government must introduce a comprehensive Workforce Strategy looking at:
How to support people to stay in the workforce for longer, e.g. by supporting healthy workplaces, supporting carers and creating flexible conditions that suit people’s needs.
How to ameliorate childcare costs and reintegrate people into the workforce following timeout for caring or a health need
The role of migration and automation in addressing major workforce gaps
Leaving no one behind: Progress on Life Course Immunisation Roundtable – alon...ILC- UK
Leaving no one behind: Progress on Life Course Immunisation Roundtable – alongside the World Health Assembly
Date: Tuesday 23 May 2023
Time: 13.00 – 14.30 (CET), followed by refreshments
Location: Geneva Press Club, Geneva, Switzerland
G7 high-level side event in Niigata: Healthy ageing and prevention
Date: Wednesday 10 May 2023
Time: 2.00pm – 3.30pm (JST), followed by networking with refreshments
Location: Niigata, Japan
Vaccine confidence in Central and Eastern Europe working lunchILC- UK
At this exclusive working lunch, we discussed the International Longevity Centre UK’s (ILC-UK) forthcoming report on vaccine confidence in Central & Eastern Europe (CEE).
During this event, we shared the findings from our policy publication on what we think should be the priorities for the G20 in India and the key messages we want to disseminate to ministers and world leaders. We heard from experts on the opportunities and challenges to engage India and the G20 with prevention and healthy ageing and identify further opportunities to maximise our engagement while at the G20 in September.
Final Marathon or sprint launch Les Mayhew slides 19 April.pptxILC- UK
Research by the International Longevity Centre UK (ILC) funded by Bayes Business School — based on Commonwealth Games competitor records since the inaugural event in 1930 — shows large differences in the longevity of medal winners compared to people in the general population that were born in the same year. A report finds that top-level sports people can live over 5 years longer than the rest of the population.
Launching Trial and error: Supporting age diversity in clinical trialsILC- UK
During this virtual event, Esther McNamara, ILC's Senior Health Policy Lead, presents the Trial and error report’s findings and recommendations. A panel of five experts respond to the report and discuss how improved age diversity will benefit patients of all ages.
Report launch - Moving the needle: Improving uptake of adult vaccination in J...ILC- UK
Launch of the Moving the needle report, produced by ILC-UK in partnership with Stripe Partners.
This event was chaired by Dr Noriko Cable, Honorary Senior Research Fellow, Institute of Epidemiology & Health, UCL. Speakers include:
Arabella Trower, Senior Consultant, Stripe Partners
David Sinclair, Chief Executive, ILC-UK
Dr Charles Alessi, Chief Clinical Officer, éditohealth
Jason James, Director General, Daiwa Anglo-Japanese Foundation
Dr Michael Hodin, CEO, Global Coalition on Aging
Prof Itamar Grotto - Better preparedness, better resultsILC- UK
Presented at the "Pandemics and longevity: Will we die, survive, or thrive next time?" webinar, by ILC-UK
Date: Thursday 16 March 2023
Time: 1.30pm – 3.00pm (GMT)
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
4. Dr Ng Wai Chong
Clinical Programme Consultant,
Tsao Foundation,
CEO, NWC Longevity Practice Ltd
Join the conversation: @ilcuk
#HealthyAgeing
5. Findings from ILC Singapore Public Seminar and Roundtable Discussion
14 - 15 Oct 2019
Policies and Practices, Challenges and Way
Forward for Older Adult Vaccination in Singapore
Dr Ng Wai Chong
1 Oct 2020
19. Key findings
• The health system focussed on cure not prevent
• There are relatively few public primary care services to meet the
needs of its ageing population
• A greater focus on preventing ill health is happening but the
approach is not strategic or holistic
• Adult vaccination is an important element of preventative
healthcare, however, uptake rates are low
20. Approach
Desk research
13 interviews with experts on ageing and
health in Hong Kong in March 2019
The views remain ILC’s
“When I first started
looking after older
people they weren’t
so old”
21. Hong Kong is wealthy
BUT
30% of people aged 65 and
over classed as in poverty
in Hong Kong
22. “It’s not easy to die in Hong Kong”
image goes here
In 2014, 15% of the population
was 65 and over, a figure which
will more than double by 2064
Life expectancy sits at 84.7
years, the longest life
expectancy of local citizens in
the world
A consistently low fertility rate
over the past twenty years
23. Hong Kong isn’t ageing well
• Chronic health conditions have been diagnosed
in 44.5% of 55-64 year olds and 74.3% of those
65 and over.
• Chronic illness is being experienced at an
earlier age by later population cohorts.
• The number of people aged 60 and above with
dementia will increase by 222% between 2009
and 2039, with a large proportion of those
living in institutions.
24. And healthcare is very good
Health system has been ranked as the
most efficient in the world.
But it is coming under increasing strain as
the population ages.
More older people means more spending
projected on health
25. Prevention – a missing part of the picture
Hong Kong’s healthcare system is currently
organised to focus on curative care
Underinvestment in public primary care has
resulted in inadequate services being available in
the community.
Only 73 public general outpatient clinics exist in
Hong Kong to provide primary care to its
population of nearly 7.5 million people.
The public primary care shortage is increasing
pressure on A and E departments as they become
the primary health contact point for those unable
to afford private healthcare
26. And there aren’t enough primary care staff
In 2017 it was reported that there were
just 1.91 doctors for every 1,000 people.
By 2030, it has been projected that a
shortfall of 1,007 doctors and 1,669
nurses will exist.
While foreign healthcare professionals
could potentially fill these gaps, this is
made more difficult by strict registration
requirements.
27. Many people pay privately for health
High levels of out-of-pocket (OOP) spending exist, despite
the existence of subsidised healthcare, as people pay to
access private practitioners based in the community.
In 2015/2016, OOP spending represented 34.6% of
total health expenditure in Hong Kong.
However, not all older people are able to afford these
payments which is putting greater pressure on Accident
and Emergency departments as these wards become
the primary health contact point for many people.
In the public sector, 46.8% of hospital admissions of
older adults are ambulatory care sensitive conditions
which could be dealt with in primary, community or
ambulatory care settings.
28. “We have a lot of money so can do a lot of
pilot projects”
In 2009, the Department of Health funded an ‘Elderly Health Care Voucher Scheme’ to shift
demand for primary care services over to the private sector
Under the scheme, people aged 65 and above are given an annual amount of HK$2,000
(£200) to spend on primary preventative services
But
• low enrolment by private medical practitioners (32.4%)
• an uneven distribution of those who have enrolled
• Vouchers are used to manage acute episodic conditions rather than for preventive
services
• the scheme is being abused by some health professionals who charged more for services
paid for with vouchers.
• the government collects data on how the Elderly Health Care Vouchers are being used, but
does not actively monitor the data to see if the scheme is having the desired effect on the
uptake of preventative services.
• Communication campaigns on the Elderly Health Care Vouchers have not occurred.
Interviewees suggested that this had resulted in many older people being unaware of the
scheme, and contributed to the use of the vouchers for non-preventative services.
29. District Health Centre Pilot
In early 2019, the Food and Health
Bureau (FHB) took an encouraging
step towards increasing the
availability of preventative care in
the community by setting up a pilot
District Health Centre (DHC).
The FHB intends to open additional
centres in each of the 17 remaining
Hong Kong districts if the pilot
proves to be successful.
30. Healthy ageing on the agenda
‘Healthy ageing’ as a policy initiative has also been
taken up by a range of government departments, with
the idea of ‘ageing in place’ central to many of these
policies
The Hong Kong Housing Authority (HKHA), for example,
has organised ‘Healthy Ageing in public rental housing
(PRH) Estate initiatives in response to about a quarter
of PRH tenants being aged 60 or above.18
The HKHA has arranged health visits to PRH estates to
provide free health checks, along with follow-up and
referral services for older tenants and free health talks
addressing healthy diet, proper exercise techniques and
oral health.
31. “Everyone is doing something but this is not
happening in a concerted manner to have
the best impact”
Hong Kong is still taking a scattergun approach to
preventative healthcare and lacks overall strategic vision
and targets.
While an Elderly Services Programme Plan was released
201422 which has ‘ageing in place’ as one of its goals,
interviewees viewed this a ‘checklist’ strategy rather than
the holistic effort needed to improve preventative care.23
Interviewees also highlighted a lack of appropriate
monitoring and regulation of the preventative initiatives
as a barrier to improvement. Interviewees also suggested
that effective promotional campaigns related to
preventative efforts are often lacking.
32. Adult Vaccination Case Study
• Adult vaccination is a key element of preventative healthcare which is being utilised by Hong Kong
through government-funded schemes.
• Vaccination can play a significant role in preserving older adults’ health and independence,
helping to delay the inevitable age-related increase in healthcare utilisation.
• Two government schemes exist in Hong Kong which provide free or subsidised influenza and
pneumococcal vaccinations to designated groups of high-risk adults, including all adults 65 and
over
• The Vaccination Subsidy Scheme (VSS) provides subsidised annual influenza vaccination and
pneumococcal vaccination to a range of high-risk groups in private clinics and through outreach
vaccination activities in non-clinical settings.26
• The Government Vaccination Programme (GVP) provides free annual influenza vaccination and
pneumococcal vaccination to a range of high-risk groups through public healthcare facilities.
33. Cost and access challenges
While free vaccination is available to older adults through
the Government Vaccination Programme, the limited
network of public GPs is restricting older adults’ access to
this service.
With just 73 public general patient clinics across Hong
Kong, options for older adults are limited and they
potentially face long waiting times for an appointment.
There is also limited financial incentive for public GPs to
offer the vaccines.
While access has been increased through subsidising
private clinics to provide vaccines, patients have to pay any
difference in the vaccine’s cost. Patients also have to pay a
service charge for the vaccine’s provision.
34. And low awareness
These low uptake rates may be symptomatic of a low awareness of
immunisation beyond childhood in Hong Kong both at a policy and individual
level.
The likelihood of adults seeking out vaccination is further reduced by a low
public awareness of the risk of vaccine preventable diseases.
Government advocacy efforts around vaccination are limited, which is
contributing to the low public awareness on vaccination.
Ethnic differences have also been recorded, with Nepalese older adults being
found to have a lower awareness of the Government Vaccination Program in
comparison to Chinese older adults, and a resultant lower uptake rate of the
influenza vaccine
35. Data is weak
There is a need for the collection of more data around vaccination to inform
policy decisions on immunisation.
Interviewees highlighted that few Hong Kong based cost-effectiveness
studies of vaccines and vaccine strategies exist to inform decision making.
36. And healthcare professionals don’t
vaccinate themselves
“Why should I get vaccinated if the doctor doesn’t?”
2012/13 season flu vaccine uptake by healthcare workers ranged from 28.6 -
44.9%.30
Only around half of GPs would actively recommend pneumococcal
vaccination to patients aged 65 and over, and only 18.8% would recommend
it to those aged 50-64.39
Social marketing may offer a solution to improving vaccination uptake
amongst older adults. Interviewees highlighted that when the subsidised
influenza scheme began it was successfully publicised through an insert
posted with electricity bills; however, this has now stopped.41
37. There are some cultural and cohort
barriers
“Older people don’t have a positive image of vaccination:
they say it’s intrusive and can make them sick.”
Vaccinations have not been a part of many older people’s
lives as they were born before the launch of Hong Kong’s
Childhood Immunisation Programme (HKCIP) in the
1950s.
Older people may also see traditional Chinese medicine
as a viable alternative to vaccination.
There are low levels of literacy amongst the oldest old.
In 2016, 32.7% of women 65 and over and 12.5% of
men had no schooling or had only received pre-primary
education.42
38. There could be a greater role for pharmacy
in prevention
Pharmacists could play a greater role in preventative care
Pharmacists are far more accessible than public GPs, with
around 640 pharmacies and 2700 pharmacists existing in Hong
Kong
They are often based in the communities where older people
live.
Currently, pharmacists are not authorised to either prescribe or
administer vaccines; however, initiatives are occurring which
could lead to them taking on more responsibility.
From September 2019 a pilot programme will trial the use of
private pharmacists to provide flu injections in schools.45 The
scheme could be expanded to older people and the provision of
additional vaccines, with the service paid for using the Elderly
Health Care Vouchers
39. Policy recommendations
• Greater data collection around vaccination to ensure that policy decisions
fully realise the potential of adult vaccination, and the role it can play in
health ageing.
• The use of older “ambassadors” to improve health literacy and vaccination
rates amongst older people. Given the importance of families to older people
in Hong Kong, health education could also be focussed on adult children as
these people can play an important role in influencing health decisions made
by of older people.
• Pharmacists playing a greater role in vaccination to increase the accessibility
of adult vaccines and to relieve pressure on public general outpatient clinics.
This could be through identifying eligible patients; pointing people towards
vaccination services and using nurse practitioners to actually deliver services
in community settings.
40. Thanks to
• Grace Chan Man-yee, Chief Officer, Elderly Service,
Hong Kong Council of Social Service
• Professor Ben Cowling, School of Public Health,
The University of Hong Kong
• Professor Stuart Gietel-Basten Associate Dean
(Research), School of Humanities and Social
Science, The Hong Kong University of Science and
Technology
• Professor David Phillips, Chair Professor of Social
Policy, Lingnan University
• Dr Vivian Lou, Director, Sau Po Centre on Ageing
• Tim Pang, Community Organizer, Society for
Community Organization
• Scarlett Pong, President of The Pharmaceutical
Society of Hong Kong
• Dr Judy Siu, Assistant Professor, Department of
Applied Social Sciences, The Hong Kong
Polytechnic University,
• Jeff So, Aging2.0 Ambassador for Hong Kong
Chapter
• Dr ZENG Wen, Vice-President, Macau Sun Yat-Sen
Association of Medical Sciences
• Professor Jean Woo Director, CUHK Jockey Club
Institute of Ageing
• Professor Paul Yip, Chair Professor, Department of
Social Work and Social Administration, The
University of Hong Kong
• Rebecca Yung, Golden Age Foundation Founder &
Chair
43. Pamela Tin
Head of Healthcare & Social Development,
Our Hong Kong Foundation
Join the conversation: @ilcuk
#HealthyAgeing
44. Healthy Ageing in HK
1st October 2020
Webinar: Healthy ageing and adult vaccination in Singapore and Hong Kong
ILC UK, ILC Singapore, Global Alliance International Longevity Centre
45. Our Challenges
Challenges
Slow primary care
development
High OOP spending
is unachievable to
many
Limited
comprehensive
strategy
Fragmentation
between public and
private sectors
Medical-social
segmentation
Hospital-centric
orientation
(Census & Statistics Dept, 2011; Yeoh, 2018)45
47. District Health Centre
(Yeoh, 2018; FHB DHC, 2020)47
• Roll out DHCs in 6 other districts by 2022
• “DHC Express” will be set up in 11 districts
to provide district-based primary care
services to the community
Stakeholders’ Concerns:
• Ineffective set-up of DHCs:
o Top-down approach of DHC leaves little room for change in service model
o Insufficient use of patient information and data to inform service model
o Service model limitations (limited subsidy; unable to leverage external resources)
• Communication issues:
o Insufficient promotion of DHC within the community
• Community resistance to non-specialist trainees/nurses in DHC
• DHC fails to propel primary care in a more cohesive manner
Kwai Tsing District Health Centre
48. Elderly Health Care Voucher Scheme
65 68 68 69 66 61 58
23 20 23 18 20 26 28
7 8 6 6 8 9 9
6 4 4 7 6 4 5
0%
20%
40%
60%
80%
100%
Year
Voucher Claim Transactions by
Reason of Visit (2009-2015)
Reha
bilitati
on
(419) (659) (848)
(1,182) (2,059) (3,502)
No.
of
(Yeoh, 2018)
Vouchers are mainly used for acute episodic conditions
48
Did you usually consult public doctors or private doctors or
both for general illness? (n=905)
49
61
24
17
22 19
5 3
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Before using
voucher
After using voucher
Seldom/
never
seen
doctors
Private
doctor
only
Prior to their use of voucher
Publ
ic:
(73%
)
Publ
ic:
(78%
)
Voucher did not alleviate public sector burden
(Data from repeated cross-sectional
survey)
49. Goals and
Eligibility
Identify
asymptomatic
carriers in the
community to cut
virus transmission
chain
Participation is
voluntary and free
for eligible
individuals without
symptoms
Results
1.78 million people
were tested
(~24% of the total
population)42 COVID
carriers/infections
were identified
Free and centralised treatment in public hospitals Universal Community Testing to identify silent carriers
HK’s Response to COVID-19 Pandemic
(RTHK, 2020; Gov, 2020)
49
Leveraging private sector for non-COVID care
Hospital Authority added additional PPPs to the 8 existing prior:
• Phototherapy for babies with jaundice
• Radiotherapy for cancer patients
• Caesarian section
• Treatment of limb fractures
50. Community Efforts during the COVID-19 Pandemic
“United to Fight Virus, Send Love to the Community”
• 5 month duration, reached over 80,000 elders
• Distributed nearly 300,000 items of emergency
necessity, including surgical masks, hand sanitizers
• Social workers and registered nurses teams provided
care to over 42,000 elders
HIA COVID-19 Work
• Provided health information to ethnic minorities in
Hong Kong without English or Cantonese fluency
• Distributed personal protective gear to individuals
without financial means
Senior Citizen Home Safety Association (SCHSA) Health in Action (HIA)
54. Please join us for the upcoming COVID-19 & Older People Webinar Series:
Older People and Function in the Times of COVID-19
28 October 2020, Wednesday, 8pm (GMT +8)
Ageing Asia 2020: World Ageing Festival (The hybrid edition)
Presentation: COVID-19, Older People and the New Normal
24 November 2020, Tuesday
Scan QR code to register for the Older People and Function in the Times
of COVID-19 webinar.
All attendees will also be receiving a complimentary Festival Fringe Activities Ticket at
the 11th International Ageing Asia 2020: World Ageing Festival (The hybrid edition).
Keynote Speaker: Dr. Mary Ann Tsao
Chairperson, Tsao Foundation; President, ILC – Singapore;
Co-President, ILC Global Alliance
COVID-19 & OLDER PEOPLE WEBINAR SERIES
A collaboration on COVID-19 Intelligence | A Step Towards Ageing Asia 2020: World Ageing Festival (The hybrid edition)
9 SEPTEMBER 2020
8:00PM – 9:30PM (SGT)
A collaboration on COVID-19 Intelligence | A Step Towards Ageing Asia 2020: World Ageing Festival (The hybrid edition)
55.
56. Future of Ageing 2020:
Together for tomorrow – Delivering a
better society for all generations
Date: Thursday, 3 December 2020
Time: 9.00am (for 9.30am) - 5.30pm
Make the most of our early bird rate until 11
October 2020.
Register at: futureofageing.org.uk
Join the conversation: @ilcuk
#HealthyAgeing
NAIS 7 Vaccines, 11 infectious diseases. Expert Committee on Immunisation
Medisave 500: outpatient 20 CD, mammogram, newborn screening, child vaccinations, adult vaccinations. $500/pax/year
Fleximedisave: 200 per pax per year, can be shared with spouses
FREQUENTLY ASKED QUESTIONS (FAQs)
1. Why is MOH introducing a national adult immunisation schedule?
The Ministry of Health (MOH) has established the National Adult Immunisation Schedule (NAIS) to provide guidance on vaccinations that persons aged 18 years and older should adopt to protect themselves against vaccine-preventable diseases.
Certain adult groups are more susceptible or at risk of acquiring vaccine preventable diseases if they have not previously received the vaccination and are in contact with individuals who have the disease. Vaccines recommended under the NAIS prevent the risk of disease infections among susceptible individuals and reduces complications, morbidity and mortality. Individuals should discuss their vaccination needs with their doctor to assess their suitability to receive the recommended adult vaccines.
2. What are the types of vaccines included in the National Adult Immunisation Schedule (NAIS)?
Seven types of vaccines that protect against 11 diseases are included in the National Adult Immunisation Schedule (NAIS). These vaccines are:
(i) Influenza;
(ii) Pneumococcal (PCV13/PPSV23);
(iii) Human papillomavirus (HPV2/HPV4);
(iv) Tetanus, diphtheria and pertussis (Tdap);
(v) Measles, mumps and rubella (MMR);
(vi) Hepatitis B; and
(vii) Varicella.
The vaccines are recommended for different target groups based on the individual’s and their family’s susceptibility to the diseases. Individuals should seek advice from their family doctor on the vaccines which are recommended for them.
3. Are there any mandatory vaccinations under the NAIS?
Vaccinations recommended under the NAIS are not mandatory. The recommended vaccines are meant for personal protection and the protection of at-risk family members. Individuals are advised to seek advice from their family doctor on the vaccines which are recommended for them.
4. How often should I be vaccinated? Some of the recommended vaccines under the NAIS are similar to that of the National Childhood Immunisation Schedule (NCIS). Is there a need for adults to go for these vaccines when they would have been vaccinated against it during their childhood?
Vaccines under the NAIS are recommended for adults to protect their health and well-being. Some vaccines such as MMR and hepatitis B are recommended for adults who have not been previously vaccinated during their childhood. Other vaccines are recommended for specific groups, such as pneumococcal vaccines for persons with pre-existing medical conditions; and the tetanus, diphtheria, and pertussis (Tdap) for pregnant women.
5. Where can Singaporeans go to get the vaccines recommended under the NAIS? How can I check if the recommended vaccine is available at the GP clinic/ polyclinic/ hospital?
The recommended vaccines are generally available at GP clinics and polyclinics. Individuals should discuss their vaccination needs and check with their doctor on the availability of the vaccine(s).
6. Who should not be vaccinated? Why/why not?
Vaccines are generally safe for use in the majority of the population. However, persons who have had severe allergic reaction after a previous vaccination or allergies to specific vaccine components should not receive the vaccine, and those who are severely immunocompromised or are pregnant should not receive live vaccines such as MMR or varicella vaccines. Individuals should consult their doctor who will advise if they are suitable to receive a specific vaccine.
7. Are we allowed to use Medisave for vaccinations under the NAIS? When will Medisave be implemented?
Medisave use will be allowed for recommended vaccinations for the relevant target population groups under the NAIS, at all public healthcare institutions, Medisave-accredited GPs, and private hospitals with effect from 1 November 2017. Singaporeans will be able to use up to $400 of their Medisave per account, under the Medisave400 scheme.
Patients should check with their healthcare provider before their vaccination if they wish to use Medisave.
8. How much do the various vaccines recommended under NAIS cost before subsidy? How much do they cost after Medisave deduction? Are the costs standardised across public healthcare institutions?
There may be some pricing differences between the various institutions, and as such patients are advised to approach their healthcare providers if they wish to enquire about their prices of the various vaccines under NAIS. The vaccines under NAIS are not subsidised. Nevertheless, Medisave use under the Medisave400 scheme is allowed for recommended vaccinations for the respective target population groups under the NAIS.
9. Will there be financial assistance for needy patients?
Patients who need the vaccines but are unable to pay for it can approach medical social workers at polyclinics and public healthcare institutions to explore financial assistance.
In one nursing home, only 1% used medisave for pnuemococcal disease because most have sued up their medisave. Increased to 99% after the care home funded the vaccine.
We have an actively engaged network of experts, policy makers and practitioners, including long standing relations with UCL; our first partner