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Older Persons 10/19/2016

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I. Older Persons  Diseases of the heart

A. Population Aging  Diseases of the vascular system
B. 2000 Philippine Census  Cancer
1. Categorization of Senior Citizens in the Philippines
2. 2005 Projected Population for Persons 60 Years Old Leading Causes Of Morbidity
and Above Infectious in nature such as:
3. 2025 Projected Population of Senior Citizens  Influenza
C. Health Statistics  Pneumonia
1. Leading Causes of Mortality
 Tuberculosis
2. Leading Causes of Morbidity
3. Other Common Health Related Problems
Other Common Health Related Problems
4. Leading Cause of Death Among Older Persons Aged 60
Years and Above, Philippines 2005  Difficulty in walking and chewing
II. Privileges of Older Persons  Visual and hearing impairment
A. RA 9257  Osteoporosis
B. The Philippine Plan of Action for Older Persons  Arthritis
1. Essential Health Care Package For Older Persons  Incontinence
2. Goal  Quality of life of older persons is adversely affected by
3. National Objectives disabilities and impairment in function which increases with age
4. Strategic Thrusts  Mortality rate of older people from most specific leading causes
C. The Expanded Senior Citizens Act of 2010 ranges from twice to 15 times that for all age groups
1. Objectives  Older person a
2. Benefits and Privileges ccounts for 49.1% of all deaths
III. Philippine Plan of Action for Senior Citizens  Alzheimer’s Disease and Parkinson’s Disease are diseases
of old age though they are not prominent cause of death in the
OLDER PERSONS country
PHILIPPINES
 A developing nation HEALTH STATISTICS
 In transition in socio-economic development, demography and Leading Causes Of Mortality
epidemiology Leading Cause Of Death Among Older Persons Aged 60
Years And Above, Philippines 2005
POPULATION AGING Rank Causes of Total # Death % of
 A demographic phenomenon Mortality of Rate/ Old
o Steady increase in the number and proportion of the elderly Deaths 100K People
o Corresponding decline in the proportion of younger age group people from
the
Total
Why Population Aging?
Deaths
 ↑ in life expectancy
in the
 ↓ in mortality and fertility due to: Pop’n
o Advances in medical technology and medical care
1) Cardiovascular 79,068 1,704.21 18.56
o Improved socio-economic conditions
diseases,
 Estimated 5M older Filipino aged 60 year old and above all forms
 Older people comprise a little over 6% of the total population
 Elderly population suffers the double burden of degenerative 2) Pneumonia 26,443 569.97 6.21
and communicable disease 3) Malignant 21,785 469.57 8.11
neoplasm,
2000 PHILIPPINE CENSUS all forms
 4.6 M persons aged 60 years and above 4) COPD 14,892 314.62 3.42
o 2.1M Male
5) TB, all forms 12,934 278.60 3.04
o 2.5M Female
 85 male for every 100 female (6% of 76.5 M total population, 6) Diabetes Mellitus 11,686 251.89 2.74
2000) 7) Gastric, duodenal, 6,040 130.19 1.42
 (Doc Moderes) For every 100 productive persons working, they peptic &
will have to support 69 dependents gastrojejunal
o 6 from the Senior Citizens ulcers and other
o 63 from the younger population diseases of the
digestive system
Categorization Of Senior Citizens
In The Philippines 8) Nephritis, 5,062 109.11 1.19
Category Age Range Population Size Nephrotic
YOUNG OLD 60-69 Y/O 3 251 386 Syndrome,
OLD OLD 70-79 Y/O 1 557 383 Nephrosis
OLDEST OLD 80< Y/O 556 838 9) Accidents and 4,179 90.08 0.98
Injuries,
2005 Projected Population all forms
For Persons 60 Years Old And Above
 Total: 5, 385, 607 10) Chronic Liver 2,483 53.52 0.58
 Age 60-64 yrs: 1 926 432 (35.77%) Diseases and
 Age 65-69 yrs: 1 343 170 (24.94%) Cirrhosis

2020 Projected Population of Older Persons PRIVILEGES OF OLDER PERSONS

 The number of older person will double (National Economic  Senior citizen privileges: 12% VAT is first waived, then
Development Authority) 20% more is deducted as discount

2025 Projected Population of Senior Citizens

 Will exceed 11.1 million
 Life expectancy of male (70 yrs), female (75.5 yrs)
Non-communicable diseases such as:
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 FAMILY & COMMUNITY MEDICINE 3
Older Persons

RA 9257 the following goods and services from all establishments, for
(THE EXPANDED SENIOR CITIZEN’S the exclusive use and enjoyment or availment of the senior
ACT OF 2003) citizen:
 Provides for higher health care subsidies for older persons 1. On the purchase of medicines, including the purchase of
from both the public and private sectors influenza and pneumococcal vaccines
2. On the professional fees of attending physician/s in all
THE PHILIPPINE PLAN OF ACTION private hospitals, medical facilities, outpatient clinics and
FOR OLDER PERSONS (PPAOP) 1999 – 2004 home health care services.
 Formulated by several government and non-government 3. On the professional fees of licensed professional
organization – to ensure that the present and future needs of the health providing home health care services as endorsed by
growing numbers of older persons, both in terms of human private hospitals or employed through home health care
development and service delivery would be met employment agencies
4. On medical and dental services, diagnostic and
Essential Health Care Package For Older Persons laboratory fees in all private hospitals, medical facilities,
outpatient clinics, and home health care services, in
 Management of Illness
accordance with the rules and regulations to be issued by
 Counselling on substance abuse
the DOH, in coordination with the Philippine Health
 Nutrition and diet counselling Insurance Corporation (PhilHealth)
 Mental Health 5. In actual fare for land transportation travel in public
 Oral care utility jeepneys (PUJs), taxis, Asian utility vehicles (AUVs),
 Healthy Lifestyle Advocacy shuttle services and public railways, including Light Rail
 Screening and Management of chronic debilitating and Transit (LRT), Mass Rail Transit (MRT), and Philippine
infectious diseases National Railways (PNR)
 Post reproductive health care 6. In actual transportation fare for domestic air transport
services and sea shipping vessels and the like, based on
Goal the actual fare and advanced booking
7. On the utilization of services in hotels and similar
“Quality of life among older persons is promoted and lodging establishments, restaurants and recreation centers.
contributes to the nation building.” 8. On admission fees charged by theaters, cinema houses
and concert halls, circuses, leisure and amusement
NATIONAL OBJECTIVES 9. On funeral and burial services for the death of senior
Objective Indicator Latest Target citizens
Baseline B) Exemption from the payment of individual income taxes of
(2010) senior citizens who are considered to be minimum wage
Mean Life Mean Life 66.11 68 years earners in accordance with Republic Act No. 9504
Expectancy Expectancy for C) The grant of a minimum of five percent (5%) discount
is adult Males relative to the monthly utilization of water and electricity
increased Mean Life 71.64 73 years supplied by the public utilities:
Expectancy for o Provided, that the individual meters for the foregoing
adult Females utilities are registered in the name of the senior citizen
residing therein.
Strategic Thrusts o Provided, further, that the monthly consumption does not
 Redefine the minimum health care package for older persons. exceed one hundred kilowatt hours (100 kWh) of electricity
The package should consist of health services tied up with pre- and thirty cubic meters (30 m3) of water
financial sources of care in order to improve accessibility by o Provided, furthermore, that the privilege is granted per
older persons. household regardless of the number of senior citizens
 Build the capacity of human resources toward the promotion, residing therein
prevention, cure and supportive care for older persons. D) Exemption from training fees for socioeconomic programs
E) Free medical and dental services, diagnostic and
 Integrate into current licensing and accreditation requirements,
laboratory fees such as, but not limited to, x-rays,
building, facilities, equipment and personnel standards
computerized tomography scans and blood tests, in all
appropriate for care of older persons.
government facilities, subject to the guidelines to be issued by
 Develop community based and institution based models of
the DOH in coordination with the PhilHealth
health care for older people.
F) The DOH shall administer free vaccination against the
 Pursue the implementation of laws and policies for the protection influenza virus and pneumococcal disease for indigent senior
and improvement of the quality of life of older persons such as citizen patients.
RA 9257 or the Expanded Senior Citizen’s Act of 2003 G) Educational assistance to senior citizens to pursue post-
secondary, tertiary, post tertiary, vocational and technical
education, as well as short-term courses for retooling in both
THE EXPANDED SENIOR CITIZENS ACT OF 2010 public and private schools through provision of scholarships,
 An act to maximize the contribution of senior citizens to grants, financial aids, subsides and other incentives to qualified
nation building, grant benefits and special privileges and for senior citizens, including support for books, learning materials,
other purposes and uniform allowances, to the extent feasible:
Provided, that senior citizens shall meet minimum
Objectives admission requirements.
 To recognize the rights of senior citizens to take their proper H) Retirement benefits of retirees from both the government and
place in society and make it a concern of the family, community, the private sector shall be regularly reviewed to ensure their
and government continuing responsiveness and sustainability, and to the extent
 To give full support to the improvement of the total well-being of practicable and feasible, shall be upgraded to be at par with
the elderly and their full participation in society, considering that the current scale enjoyed by those in actual service.
senior citizens are integral part of Philippine society I) To the extent possible, the government may grant special
 To motivate and encourage the senior citizens to contribute to discounts in special programs for senior citizens on
nation building purchase of basic commodities, subject to the guidelines to be
 To encourage their families and the communities they live with issued for the purpose by the Department of trade and Industry
to reaffirm the valued Filipino tradition of caring for the senior (DTI) and the Department of Agriculture (DA).
citizens J) Provision of express lanes for senior citizens in all
 To provide a comprehensive health care and rehabilitation commercial and government establishments; in the absence
system for disabled senior citizens to foster their capacity to thereof, priority shall be given to them
attain a more meaningful and productive aging K) Death benefit assistance of a minimum of Two thousand
 To recognize the important role of the private sector in the pesos (Php2,000.00) shall be given to the nearest surviving
improvement of the welfare of senior citizens and to actively relative of a deceased senior citizen which amount shall be
seek their partnership subject to adjustment due to inflation in accordance with the
guidelines to be issued by the DWSD.
Benefits And Privileges
A) The grant of twenty percent (20%) discount and exemption PHILIPPINE PLAN OF ACTION FOR SENIOR CITIZENS
from the value added tax (VAT), if applicable, on the sale of  An inter-agency plan for older persons/senior citizens

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 FAMILY & COMMUNITY MEDICINE 3
Older Persons

 Addresses the needs to institute appropriate policies, 2. Provision of social protection and
strategies, mechanisms and programs/projects to ensure that security
senior citizen’s rights are upheld.  Increase the numbers of pensioners by
 Linkages: year 2010 by 10% of the total
1. DSWD population of Senior Citizen from 1.2 to
2. OSCA 1.32 million pensioners.
3. DOLE  Establish Pre-retirement orientation
4. DepEd program in every Government and
5. DOH Private Agencies (to include orientation
6. Housing Urban Development Coordinating Council for younger people to help them
(HUDCC) prepare for old age.
7. DOTC
8. DILG 3. Alleviation of poverty in old age
9. Civil Society Partners (NGOs, Academe, Business,  Develop appropriate Anti-Poverty
Faith-based Organizations) Program for Senior Citizens or include
them as a focused target group in
PHILIPPINE PLAN OF ACTION FOR SENIOR CITIZENS poverty alleviation programs.
Vision: A society for all ages where the senior citizens are  Provide accessible micro-credit/finance
empowered to achieve active ageing. to Senior

Mission: To promote active ageing, provide social 4. Senior citizen and emergencies
protection and promote the rights and welfare of senior  Ensure Tri-Media campaign in
citizens and their empowerment through development of promoting positive images of Senior
policies, programs, projects and services implemented with Citizens at national and local level and
or through Local Government Units, Non-Government strengthen advocacy to ensure that
Organizations, People’s Organizations, National concerns are responded to.
Government Agencies and other members of civil society.  Promote/institutionalize inter-
generational learning programs.
Active aging
 Process of optimizing opportunities for health, participation, 5. Employment of senior citizens
and security in order to enhance quality of life as people age  Develop program for retiring Overseas
 Applies to both individuals and population groups Workers who are Senior Citizens.
GOALS
1. To develop a holistic and multi-generational care 6. Recognizing gender-specific issues
program for senior citizens within the Filipino family in ageing
network.  Ensure gender equality programs for
2. To ensure given priority to community-based women Senior Citizens in all
approaches which are gender–responsive, with government offices
effective leadership and meaningful participation of
senior citizens in decision–making processes, both in 1. Ensuring the quality of life at all
the context of family and community. ages, including independent
3. To ensure active ageing for senior citizens in a society living, health and well being
where preventive and promotive aspects of health are  Conduct fora, workshop, seminar and
enforced in communities and where health services are short talk on active ageing which is the
accessible, affordable and available at all times. process of optimizing opportunities for
4. To enhance existing comprehensive programs and health, income, participation and
policies on housing, transportation and built security in order to enhance the quality
environment for the care and protection of senior citizens. of life as people age.
5. To promote financial security and financial
independence of senior citizens 2. Providing quality health and long
6. To empower the LGUs, NGOs and POs, in developing 2. Advancing
term care
community-based local service delivery system to address health and well-
 Establish Geriatrics ward in every
the needs of senior citizens. being into old
government and private hospital
7. To promote the functional literacy of the senior citizens age
 Institutionalize Gerontology Training
to ensure their mainstreaming in the development efforts.
curricula and courses.
8. To value and protect the rights of senior citizens as
 Ensure that all Caregiver Training
legitimate consumers, thereby contributing to their
School will require their students to
dignity as individuals and freeing them from
exploitation and abuse. provide community training and
caregiving to frail Senior Citizens in the
STRATEGIES OF PRIORITY DIRECTIONS
community as part of their curriculum.
1. Mainstreaming ageing into
 Expand coverage/improve accessibility
development policy and promoting full
and affordability of social and health
integration and participation of senior
care to majority of indigent Senior
citizen
Citizens
 Ensure organization and functionality of
OSCAs in 100% of LGUs
Senior citizens and the family
 Develop/strengthen databanking on
 Ensure support to accredited
Senior Citizens with particular
Residential/Group Homes/Senior
emphasis on geographical and sex-
Citizens Center to be provided with
disaggregated data collection in every
50% discount for utilities and technical
LGUs including researches.
assistance.
1. Senior  Provide enabling support for the
Citizens and passage of new Senior Citizens
Social service and community support
Development legislative agenda or Executive Orders 3. Ensuring
 Develop/implement/replicate new and
by 2010 to address population ageing enabling and
existing innovative community based
in relevant policy planning areas. supportive
programs addressing the independent
 Pass/adopt/fully implement enabling environments
living concerns of Senior Citizens
ordinances for the implementation of
particularly those abandoned, sick,
RA 9257 by the local government units.
unattached and homeless.
 Establish and operationalize a
Volunteer Program for Senior Citizens
Housing and enabling environments
concerns.
 Enhance standards to ensure quality
 Enhance support for family and
care in formal care settings as well as
caregivers to promote quality home
standards for licensing and
care for the Senior Citizens.

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 FAMILY & COMMUNITY MEDICINE 3
Older Persons

accreditation of existing health care

providers and facilities.

Care and support for caregivers

 Institutionalize a school (learning
centers) or training program for the
Senior Citizens for their continuing
education.

Protection of the rights of senior

citizens
 Make Consumer services for Senior
Citizens more accessible and
responsive.

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