Prof. Dr Lochana Shrestha
MBBS, MD (community Medicine), MIPH (Australia)
Chairman, Health Home care Nepal
First Model Care
Home Run by
Doctor for Senior
Citizen in Nepal
Background
•
•
•
•
Population ageing
depleting socio-cultural value system
higher mobility of economically active persons
replacing existing joint family system by nuclear
family system
• severely limited trained human resources/ fund
• lack of efficient implementation of the legal and
institutional provisions developed by Government.
• social and physical problems for the elderly people
in Nepal
Census Populatio
Year
n (60+) Population growth
rate
Percent of elderly(+60)
Elderly
Total (%) (%)
Total
Male female
4.8
5.6
1961 489346
1.65
1.79
5.2
1971
621529
2.07
2.42
5.4
5.3
5.9
1981
857061
2.66
3.26
5.7
5.9
5.5
1991
1071234
2.1
2.26
5.8
5.9
5.7
2001
1504311
2.24
3.4
6.5
6.4
6.3
2011
2154410
8.1
6.8
7.1
Source: CBS, 2003, census report, 2001, 2011
Government initiations
• Madrid Plan of Action on Ageing, 2002,
the Government of Nepal has formulated
National Plan of Action on Ageing 2062.
The Government of Nepal enacted the Senior
Citizen Act, 2063 to ensure the social,
economic and human rights of the elderly
citizens. The Senior Citizens Regulations
2065
• Old–Age–Allowance (OAA)
Initiation
• to establish the solid comprehensive institution
and programme to provide comprehensive
package services for needy elderly people, step
has been taken privately by establishing and
running the Residential Health Care Home for
elderly people for Nepal in March 2012 catering
small group which would be represented from
any part of the country.
Our goals:
• Provide comprehensive package services
(Lodging, food, nursing care, recreation
facilities, physiotherapy and health care)
addressing human ailments of needy elderly
people.
Objectives:
• Provide residential care services targeting minor
geriatric health and social problems focusing on
nursing care for Elderly people
• • Provide recreational facilities for social and
mental peace for Elderly people
• •Create home environment responding daily
needs that makes comfortable for elderly people
Beneficiaries:
• The beneficiaries of this care home are Healthy
as well as Unhealthy Elderly people above 60
years from all levels of society who need social
and medical care that could be handled at home
environment with the help from trained nurses
under supervision of medical doctor.
Strategy:
• In relation to target market, this care home
though it is private it is targeted to provide social
service for the noble cause in this universe.
• Strategy is to expand the service in parallel to
occupy the elderly people from affordable as well
as non affordable groups.
Types of services:
• Residential Health and Social care
• Mobile service for lab tests and Home health
care.
• Day Care
• Referral and linkages for health care
Human Resources:
1. Residential Health and Social care
• 62 elderly people
• Three couples and two residents are staying here
for the last one year
Residents:
Health Care:
Care By nurses:
Recreational Activities
Day Care Activities:
Outcomes:
• 60-70 yrs group occupy only 9%, 71 to 80 yrs
77% and above 80 yrs 16% .
• 50% of the residents don’t have family care
providers (out of country) and others have
family care providers but couldn’t manage
proper care at home.
• Only 13% of the residents can walk in their own,
remaining needs assisted for moving.
Health Problems:
• 100% of the residents have medical problems
that varied from hypertension (70%), diabetes
(36%), COPD (29%) and chronic osteoarthritis
(43 %).
• 70% of the residents had Dementia.
• 3 residents had Parkinsonism.
Note:
• In this path of service it is viewed that in
Traditional bounded society Advocacy is needed
for better care for this group of people making
their remaining life comfortable with expanding
quality elderly friendly service.
Note:
• In this path of service it is viewed that in
Traditional bounded society Advocacy is needed
for better care for this group of people making
their remaining life comfortable with expanding
quality elderly friendly service.
Thank You