Ageing and Health Policy: Brunei Darussalam

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

6

Source: http://www.healthdata.org/brunei

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]