Abstract
Population of older person are growing globally, in Africa and Nigeria. The WHO stated that this demographic change has implications on health care systems and on achieving sustainable development goals (SDGs) and universal health coverage (UHC). However, programs to adjust to population aging is still lacking in countries like Nigeria. This project proposal aims to implement and evaluate, with goal of scaling up, community geriatric program on achieving SDGs and UHC among older persons in Nigeria. Intervention approach will include home based management of older persons through seven geriatric case management processes, service provisions by trained case managers across four intervention domains, instituting and supporting health geriatric clinics and drug banks, enrollment of beneficiaries into national health insurance program and supporting system strengthening (on geriatric care) for service providers and hospitals. Data collection and entry will be done using expert data capturing tools and geriatric data management information system (GDMIS), while data analysis will be done through comparison of pre and post intervention indices. Review of literatures and anecdotal data show paucity of geriatric projects for care of older persons whose population is exponentially increasing in Africa. This project proposal that aims to implement and evaluate effect of a novel and innovative community health programs on achieving SDGs and UHC goals among older persons in Nigeria will share its result, conclusion, and recommendations, which will be disseminated for adaption and adoption for geriatric programing in the African context.
Highlights
MIS), while data analysis will be done through comparison of pre and post intervention indices
This Transformation requires specific attention to the following: [10] organizing services to respond to older people’s diverse levels of capacity as well as their needs and preferences; extending coverage of services to all older people – at present many older people, those who have been in the informal workforce or who have filled caregiving roles, have very limited access to even basic services including drugs; ensuring that coverage extends to services that provide interventions that are key for maintaining intrinsic capacity and functional ability of older people
The publication reported that over sixty-five percent health systems and infrastructures hamper the of seniors’ prescription costs are out-of-pocket. delivery of medicines to millions of people. They further suggested three ways by which Access depends on procurement practices, older persons can better afford the cost of tax and tariff policies, mark-ups along the supply prescription drugs as ; health insurance chain, and the strength of national drug coverage; financial assistance that helps pay for regulatory authorities. These numerous medication such as pharmaceutical company challenges of access to quality medicine comes assistance; and non-governmental organiza- to impound on already existing strain of tional assistance
Summary
Challenges of the current rapid population aging are quite enormous. According to WHO [1] the challenges ranges from increasing need for health care access to increasing health expenditures/cost, increasing use of health facilities and increasing need for trained health care workers on health care of older persons. Promoting well-being for all at all ages” – [1] cannot be met without transforming health and social systems from a focus only on disease towards the provision of the integrated and person-centered care that is known to have the greatest impact on functional ability in older age This Transformation requires specific attention to the following: [10] organizing services to respond to older people’s diverse levels of capacity as well as their needs and preferences; extending coverage of services to all older people – at present many older people, those who have been in the informal workforce or who have filled caregiving roles, have very limited access to even basic services including drugs; ensuring that coverage extends to services that provide interventions that are key for maintaining intrinsic capacity and functional ability of older people Nutritional disorders are very common in older persons, the most common one being obesity
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