Ageing and Health Policy: Brunei DarussalamSiti Munawwarah binti Awang Tarif
(B.Sc, MPH)Health Promotion Centre
Ministry of HealthBrunei Darussalam
Demographics(2018)
2
Source:
• Department of Economic Planning and Development
Population Pyramid
3
Source:
• Department of Economic Planning and Development
Who is Elderly
Population in Brunei
Darussalam?
4
Those who are 60 years and
above
8.8
7.8
4.6
3.8
3.7
3.2
2.6
2.6
2.4
1.2
0.05.010.015.020.025.0
1967
0.0 5.0 10.0 15.0 20.0 25.0
2016
Transition: Top 10 Causes of Mortality over 50 Years
Cirrhosis of Liver
Congenital Malformations
Bronchitis
Nephritis and Nephrosis
Vascular Lesions Affecting CNS
Gastritis, Enteritis and Colitis
Heart Diseases
Cancer
Tuberculosis
Pneumonia
Certain Conditions Originating In The Perinatal Period 1.8
Septicaemia 3.7
Senility without psychosis 1.7
Influenza & Pneumonia 5.0
Hypertensive Diseases 4.4
Bronchitis, Emphysema and Asthma 2.3
Cerebrovascular Diseases 7.5
Diabetes Mellitus 9.1
Heart Diseases 12.9
Cancer 21.6
Source: Ministry of Health Brunei Darussalam
Leading causes of death for
elderlyAged 60 years above
(Comparison 2013 – 2017)
7
Source:
• Health Information Booklet, Ministry of Health
Current policies related
to the elderly and ageing Old-Age Pension
and Disability Act
(Ministry of Culture,
Youth and Sports)
MOH Strategic Plan
2019-2023
(Ministry of Health)
National Plan of
Action for Older
Persons
(Ministry of Culture,
Youth and Sports)
8
National Physical
Activity Guideline for
Elderly aged 65 years
above
(Ministry of Health)
National Plan of Action
for Older Persons
9
Vision:
Healthy, Active and Nation
Building Elderly
Strategic 1: Elderly
Development
Has 4 objectives
Strategic 2: Welfare
of the Elderly
Has 5 objectives
Strategic 3: Elderly-friendly support
system
Has 8 objectives
Multiple agencies involvement:
- Government Ministries and Department (Prime Minister’s
Office, Attorney General Chambers, Ministry of Education,
Ministry of Culture, Youth and Sports, Ministry of Health,
Ministry of Religious Affairs, Ministry of Home Affairs, Ministry
of Finance and Economics, Ministry of Development, Tabung
Amanah Pekerja)
- Academics (University Brunei Darussalam)
- Non-governmental organization (Yayasan Sultan Haji
Hassanal Bolkiah)
Stakeholder Engagement
10
Workshop in-conjunction with the
International Older Persons Day
2018
11
Healthcare System:
Elderly care
11
Elderly Health
Specialty Services
Neurology / Rehabiltative / Endocrinology / Urology etc
Inpatient / Outpatient
care
Secondary & Tertiary Care
Geriatic & Palliative Care
Inpatient care
Pusat Amal Cerah Sejahtera
(PACS)
Homecare Assistance
Home-based nursing
Allied Health Professional
Primary care
Primary Healthcare
Services (14 HC)
Outpatient services
Allied Health Professional
PreventionHealth
Promotion
Elderly Health Programme
DemensiaBrunei (NGO)
Department / Unit Initiatives
Project Example:
Elderly Health Programme
• Started in 2014 and expanded to all 3 districts
• One-year programme (monthly activities)
• Components include:
Health education
Dialogues
Healthy Grocery tour
Physical activity 12
13
Whole-of-Nation approach
ASEAN
Government Ministries
Academic Institutions
NGOs & Community
groups
Partnership &
Collaboration
• SOMHD
• SOMSWD
• MOH
• MCYS
• MOE
• MOD
• MOFE
• UBD
• MKM
• dB
• La Vida
• HEART
Way forward
14
Multisectoral Actions
Holistic Approach
Continuous Stakeholder Engagement
• Govt
• NGOs
• Social & Welfare
• Health
• Elderly
Highly Educated and Skilled Citizens
Quality of LifeDynamic and
sustainable economy
Ag
ein
g a
nd
Healt
h P
olicy
Sustainable Development Goal 2030
Bru
nei’s V
isio
n 2
035
15
Thank YouHealth Promotion Centre,
Ministry of Health,
Commonwealth Drive,
Bandar Seri Begawan BB3910
Brunei Darussalam
Email: [email protected]