elderly care in vietnam: current needs and development orienttions a presentation at asia vision 21...
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ELDERLY CARE IN VIETNAM:
CURRENT NEEDS AND DEVELOPMENT ORIENTTIONS
A presentation at
ASIA VISION 21 CONFERENCE
Harvard University Asia Centre, 1-3 May 2013
Prof. Nguyen Duc Hinh, MD, PhD – Hanoi Medical University President
Le Van Hoi, MD, MSc, PhD – EVIPNet Vietnam Coordinator
Increasing rapidly;
Currently 10% of population (85 M);
Majority living in rural areas, where more are disadvantaged;
Less physical & emotional support from family members;
More rely on family rather than social sources of economic support;
%
Fig. 1 - Proportion of people aged 60+
GENERAL CHARACTERISTICS
ELDERLY HEALTH STATUS
Improves but decreases in the most disadvantaged groups;
Varies substantially according to socioeconomic factors;
Inequalities in health are wider over time;
15.717
19.5 20.8 20.9
26.1 25.4 25.127 26.6
0
10
20
30
Poorest Poorer Middle Richer Richest
Male
Female
Fig. 3 - RLE by wealth quintiles
0.4
0.5
0.6
0.7
0.8
0.9
1
Overall Male Female 60–69 70–79 80–89 90+
Fig. 2 - 95%CI of EQ-5D index
NEED OF CARE
Unmet need of daily care;
More demanded in disadvantaged groups;
Gap between needs and affordability of care is large;
0% 20% 40% 60% 80% 100%
Basic ADL
Instrumental ADL
Intellectual ADL
0 1-2 items 3-4 items 5-6 items
Fig. 4 - Distribution of elderly by ADL index
NEED OF CARE
Community-based care will be used and partly paid for by elderly and family if it is provided by government and associations;
Additional supports are needed for accessing enough care;
Family is still a main source of care supports, but there is a trend of expansion of care from families to a social network;
0
20
40
60
80
100
MT1 MT2 MT3 DC1 DC2 DC3 NC1 NC2 NC3
Elderly Household
Fig. 5 - Willingness to use care services
MT: mobile team; DC: day care centre; NC: Nursing centre
1: free of charge; 2: less than cost; 3: full cost
0
20,000
40,000
60,000
80,000
Mobile team Day care centre Nursing centre
Elderly Household
Fig. 6 - Willingness to pay care services
1. A social network for community-based long-term elderly care should be developed;
2. The determinants of elderly health and need of care should be addressed by appropriate social and health policies;
3. Building capacity for health professional and informal caregivers is necessary;
4. Additional support for the most vulnerable elderly groups is essential;
5. Development of community-based models of elderly care is should be encouraged;
DEVELOPMENT ORIENTATIONS
THANK YOU !
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