Title: NCDs Risk Factors Among Nepalese Elders: How Prepared We Are?
Stream: Aging and Gerontology
Presentation Type: Live-Stream Presentation
Authors:
Bhim Prasad Sapkota, Ministry of Health and Population, Nepal
Abstract:
Global NCDs burden is high and increased from 68% in 2012 to 71% of the global death in 2016. Almost three-quarters of all NCDs deaths and the majority (82%) of premature deaths occur in low- and middle-income countries. Estimated deaths attributed to NCDs in Nepal are in increasing from 60% in 2014 to 66% in 2016. Life expectancy at birth has increased from 66.6 years in 2011 to 71 years in 2019 with 8.56 % of the elder population. Prevalence of common NCDs among elders is higher compared to the adults. The study is based on the qualitative methods; policy review, in-depth interview (IDI) and focus group discussion (FGD) with the objective to assess the preparedness and response of health sector against the NCDs-risk factors among Nepalese elders. The study was performed during August-December, 2020 in Nepal. Out of 182 policy documents screened, 28 policy documents were reviewed. Eight FGDs were organized with different cadres of health workers. Twelve IDIs were conducted with program managers. The analysis was based on WHO-six building blocks of health system. Existing health services are focused more towards the curative services concentrated on tertiary hospitals. Services are not designed targeting the risk factors. Primary health workers are less trained on NCDs.Retention of clinicians and specialists is always questionable. Almost one third of the out-of-pocket expenditure in health care is due to NCDs. More than half of health care spending is dedicated to NCDs. Health services targeting the needs of old aged people are negligible.
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