NATIONAL HEALTH PROGRAMME & SCHEMES FOR THE ELDERLY.pptx

Pertaining to health programme & schemes in elderly people & awareness, utilization & nonutilization level of the same

1. NATIONAL HEALTH PROGRAMME & SCHEMES FOR THE ELDERLY Dr. J VINOTHINI Junior Resident – 2 Department of Community Medicine Banaras Hindu University

2. WORLD IS GETTING OLDER Proportion of the world population aged 60 years are more ………………………………………………………………………………………....

3. Geriatrics = Geras Old Age + Latrike Medical Treatment As per “National Policy On Older Persons” Government Of India has adopted “Senior citizen”/ “ Elderly” as ≥ 60 years 60-74 years are Young old 75-84 years are Middle old ≥85 years are Oldest old or Infirm

4. 1950 1975 2000 2025 2050 Elderly population in age 60& above 5.4 5.7 7.9 11.4 19.5 population in age 75& above 0.9 0.9 1.3 2.3 5.2 Old- age dependency ratio 9.4 10.4 11.7 17.6 31.5 Sex ratio of elderly population (age 60 years) 98.1 104.1 94.2 96.7 95.1 Geriatric population growth rate – 1.9%

5. CHRONIC DISEASES NCD – Cardiovascular, Metabolic & degenerative disorder .80% older population have at least one chronic disease,77% have at least two. Stroke- 2% Chest pain- 20% Asthma 11% Hypertension- 17% Diabetes – 7% MUSCULOSKELETAL DISORDERS Second leading cause of disability worldwide. Loss of body weight /Skeletal muscle mass is common. Prevalence of MSD – 20% HEALTH PROBLEMS IN ELDERLY PEOPLE

6. DISABILITY AND IMMOBILITY Age 60 & above – 21% Disabilities pertaining to movement – 25% Disabilities pertaining to vision – 25% Disabilities pertaining to hearing – 12% MENTAL ILLNESS Dementia, depression, and Alzheimer are the most common mental health problems among the elderly. Approximately 15% of older people are suffering from mental disorders in the world. Prevalence of depression in India – 34.4% CO MORBIDITY & MULTI MORBIDITY 23.3% of Indian men and 24.3% of Indian women in the age group of 60–69 years reported multiple chronic diseases & 57% of the 80 plus age group

7. NATIONAL PROGRAMME FOR HEALTH CARE OF ELDERLY MINISTRY OF HEALTH & FAMILY WELFARE

8. NPHCE STRATEGIES Expanding access to health practices through domiciliary visits by trained health workers Dedicated outdoor & indoor patients services at PHC, CHC, DISTRICT HOSPITAL & REGIONAL GERIATRIC CENTERS Health Man Power Development for Geriatric Services Medical Rehabilitation & Therapeutic Intervention IEC through Mass Media, Folk Media & other. Camps for Regular Medical Check-up.

9. Sub- Centre Home-based center CHC/PHC Geriatric clinic on fixed days District Hospital 10 bedded, Daily Clinic Regional Center 30 beds NPHCE Framework

10. PACKAGE OF SERVICES AT DIFFERENT LEVELS UNDER NPHCE SUBCENTRE Health education related to healthy ageing Domiciliary visits Arranging supportive devices from PHC to disabled ones Linkage with other support groups PHC Weekly Geriatric Clinic Maintaining record for first visit of elderly Conducting routine health assessment Provision of medicines & proper advice Public awareness Referral for diseases

11. PACKAGE OF SERVICES AT DIFFERENT LEVELS UNDER NPHCE CHC DISTRICT HOSPITAL First Referral U nit for the elderly Geriatric Clinic – Twice a week Rehabilitation for physiotherapy & counselling Domiciliary visits Referral of difficult cases to District hospital/Higher Centre Regular dedicated OPD services Facilities for lab investigations & provision of treatment Ten-bedded Geriatric ward Conducting camps for Geriatric Services Referral services for severe cases Existing specialities will provide services for elderly people in need

12. PACKAGE OF SERVICES AT DIFFERENT LEVELS UNDER NPHCE REGIONAL GERIATRIC CENTRE Specialized OPD for the elderly Thirty – bedded Geriatric ward Facilities for lab investigations Tertiary health care

13. NATIONAL POLICY ON OLDER PERSONS (NPOP) 1999 INCREASE INCOME SECURITY HEALTH CARE SHELTER EDUCATION, EMPOWERMENT & WELFARE

14. ELEMENTS OF NPOP Pension Scheme Lower income tax rate & exemptions FINANCIAL SECURITY Setting up Geriatric wards & training on Geriatric S pecialized C are Expanding Mental H ealth S ervices for elderly HEALTH CARE & NUTRITION Government & Private H ousing S chemes for elderly SHELTER

15. ELEMENTS OF NPOP Information to elderly people about wellness in old age Evolving changes in lifestyle EDUCATION Identifying extremely vulnerable elderly who are disabled, chronically sick Assistance to voluntary organizations to construct & maintain old age homes, day care center, supply of disability- related aids & appliances Providing welfare funds for elderly with support from corporate sector, trusts, charities, individual donors & involvement of NGOs . WELFARE

16. ELEMENTS OF NPOP Encourage Medical colleges, Nurses & Para medical institutions to introduce COURSES ON GERIATRIC CARE. Research & Documentation in elderly care NGO supported specialized training in Geriatric care. RESEARCH & TRAINING Involvement of social media in creating awareness among elderly people SENSITIZING THE MEDIA

17. What is integrated program for older person? NATIONAL SOCIAL ASSISTANCE PROGRAM (1995) Indira Gandhi National Old Age Pension Scheme (2007) Indira Gandhi National Disability Pension Scheme (2009) Indira Gandhi National Widow Pension Scheme (2009) National Family Benefit Scheme

18. hide State Old age pension Widow pension Disability pension Andhra Pradesh [16] 2250 2250 3000 Bihar [17] 100 100 100 Delhi [18] [19] [20] 100 250 250 Haryana [21] 2250 2250 2250 Himachal Pradesh [22] 300 350 250 Jammu and Kashmir [23] 100 100 100 Kerala [24] 1400 1400 1400 Maharashtra [25] 100 150 150 Odisha [26] 30 30 30 Rajasthan [27] 500 500 250 Sikkim [28] 100 200 150 Tamil Nadu [29] 400 400 400 Telangana [30] 2000 2000 3000 Uttar Pradesh [31] [32] [33] 150 150 100

19. RECENT INITIATIVES UNDER NPOP PM SURAKSHA BIMA YOJANA Covers accidental death risks Provides a cover of Rs. 2 LAKH for a premium of Rs. 12 per year 9.40 crore enrolled as on 8 th April 2016 Launched by Prime Minister Shri Narendra Modi on 9 th May 2015 in Kolkata VARISHTHA PENSION BIMA YOJANA 2017

20. RASHTRIYA VAYOSHRI YOJANA Assisting less privileged ELDERLY CITIZENS ( Aids & Devices ) 1 REDUCED VISION 2 HEARING IMPAIRMENT 3 TEETH LOSS 4 LOCOMOTOR DISABILITY SENIOR CITIZEN WELFARE FUND Unclaimed deposits from Insurance Companies, Post Office Savings & Public Provident Fund & Employees’ Provident Fund money will be deposited . SCWF utilizes these funds for the benefit of Senior Citizens & General Welfare of the society

21. Awareness of Social Security Schemes among Elderly

22. UTILIZATION OF SOCIAL SECURITY SCHEMES RURAL BPL Household – Elderly – 29% (IGNOAPS) BPL Household – Elderly widows – 24% (IGNWPS) RURAL > URBAN Non BPL Household – Elderly men – 16% (IGNOAPS) Non BPL Household – Elderly widows – 15% (IGNWPS)

23. REASON FOR NON UTILIZATION 30% of the elderly men report that the process of getting benefits is cumbersome. 24% of the people experiencing problems in producing the required documents 26% of the people not applied for an old-age pension 35% of the beneficiaries report a delay in receiving financial assistance 17% of the people experiencing problems in producing the required documents 10% not interested in getting pension IGNOAPS IGNWPS