jeff james caribbean representative helpage international · suriname 23 15.6 trinidad and tobago...
TRANSCRIPT
Demographic Transition
Epidemiological Transition
Ageing, Health and Wellness
Socio-economic Barriers to Healthy Ageing
What needs to be done
Countries Percentage of Population Aged 60 and Over
2000 2025 2050
Haiti
5.7 8.1 16.2
Belize
6.2 9.9 21.4
Guyana
7.0 15.2 31.0
Bahamas
7.9 15.6 23.3
Jamaica
9.6 14.5 24
Suriname 8.2 14.2 29
Trinidad and Tobago
9.6 20.0 33.3
Barbados 13.5 25.0 35.4
Country Life Expectancy at age 60
Healthy Life Expectancy at age 60
Antigua and Barbuda 22 15.4
Bahamas 21 18.3
Barbados 23 16.2
Dominica 21 15.5
Grenada 19 13.5
Guyana 15 11.9
Haiti 17 8.3
Jamaica 21 16.3
St Kitts/Nevis 19 -
St Lucia 21 14.9
St Vincent and the Grenadines
21 14.5
Suriname 23 15.6
Trinidad and Tobago 18 13.3
As a result of the changes of the age structure in Caribbean populations
Chronic and degenerative diseases, not communicable diseases, have become the most common causes of death
2000: 67% of deaths from non-communicable diseases
2015: 75%
2030: 79%
(WHO, 2013)
Many NCDs result in Disabilities (vision loss, amputations, strokes, speech impairment)
Mental and neurological disorders
Lack of access to necessary specialist services
Some countries are more advanced than others in health care systems change
No emphasis on geriatric medicine and age-friendly services
Chronic illnesses/conditions common to OP Hypertension Diabetes Arthritis Dementia (Alzheimer’s) Cancer Cardiovascular diseases (heart
attacks and strokes) Vision loss
Poverty and Social Exclusion (Discrimination)
Linked to low income, lack of pension benefits, poor health and nutrition and low literacy
Inability to access health care which leaves health conditions untreated
Older People with limited income have a greater propensity to suffer from health problems
Are unable to purchase nutritious food and follow a proper diet
Lack of money leads to stress induced illness
Policies and Programmes
Strengthen prevention
Increase early detection
Ensure access to quality care
Primary health care approach – management of risk factors, coordination of care and medications
Inclusion of ageing issues into national health planning
Quality care- manner and location in which care is provided
Palliative care to increase quality of life, relieve pain and suffering
Public education and awareness raising
Training of professionals in geriatric medicine, gerontology, gerontological nursing, neurological disorders
Training of informal caregivers