Health Promotion In Taiwan Protection Prevention Promotion Bureau of Health Promotion Department of Health.

Health Promotion In Taiwan

Protection

Prevention

Promotion

Bureau of Health Promotion Department of Health

GDP （ Gross Domestic Product ）

TaiwanUS$15,969

South Korea

US$14,144

Singapore

US$26,833

Hong Kong

US$ 25,623

China US$1,273

0

5,000

10,000

15,000

20,000

25,000

30,000

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Year

Economic Growth Rate

Taiwan 4.3%

South Korea 5.7%

Singapore 5.3%

Hong Kong 7.3%

China 9.9%

-10

0

10

20

30

40

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Year

%

NHE （ National Health Expenditure ）

6.2%

4.6%

920

338.4

4

4.5

5

5.5

6

6.5

199119921993 199419951996 19971998 199920002001 200220032004 Year

%

0

100

200

300

400

500

600

700

800

900

1,000US$

Health Expenditure as of GDP％ Per Capita Health Expenditure (US$)

Life Expectancy, 1980-2010

2010

75.9 y/o

2004

73.6 y/o

1980

69.6 y/o

1980

74.5 y/o

2010

81.75 y/o2004

79.4 y/o

62

64

66

68

70

72

74

76

78

80

82

84

1980

1982

1984

1986

1988

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010 Year

MaleFemale

Natural Increase Rate

2.92

9.06

15.58

5.316.13

10.27

0

2

4

6

8

10

12

14

16

18

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Year

1/1

000

Crude birth rate Crude death rate Natural increase rate

Age Composition of Taiwan Population

2004 2026

≧65 y/o9.4% vs. 21.1%

15-64 y/o71.3% vs. 69.3%

≦14 y/o19.3% vs. 9.6%

25 20 15 10 5 10,00 persons 5 10 15 20 25

Children Born to Spouses of Foreign Origins (1998-2005)

。

Strategy development

Oral health 、 Injury prevention 、 Risk health behavior 、 Sex education…

Health school

Safe community

Health policy

Supportive environmen

t

Community action

Personal skills

Reorient health services

Ottawa Charter for Health Promotion

Work place

Health city

Health community

Health family

Health hospital

Development of Health Promotion Strategy

Neonatal & Infant Mortality

2.883.30

12.61

5.065.36.43

31.41

0

5

10

15

20

25

30

35

1962 1972 1982 1992 2002

Year

1/10

00

neonatal infant

Birth Reporting System, 1994

2010

Main Health Projects for Maternal in Taiwan

Premarital stage

Genetic health services

Prenatal stage Postnatal stage

Mother-child friendly medical institutions

Breast-feeding promotion

10 free prenatal examinations

Family planning

Family planning

Department Of Health

Ministry Of Education

Policy-making 、Set up internet resource 、

Stuffs training 、Dentists participation

Bureau of Health

Bureau of EducationIntegrated related issues 、

Map out county projects 、Set up local counseling system 、

Make policy decision collaboratively

Health sector

School

Dental clinic 、 Health station 、Community health promotion center

Principle 、 Teacher 、Student 、 Parents

Central governm

ent

Local governm

ent

Oral Health Promoting School

Oral Health Promotion Plans

• Fluoride mouth rinse program

• Tooth brushing after meals program

• Professionally applied fluoride treatment

under 5 years old

• Sealant application in remote area

• Annual oral exam for kindergarten and

primary school

• Set up oral health information management

system for schoolchildren

Index of DMFT

4.95

4.22

3.31

2.72.3

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

5.5

1990 1995 2000 2005 2010 Year

Inde

x of

DM

FT

Main Health Projects for

Infant and Young Children newborn

1day

Newborn screening

1month 6 month 1 year 4 years

infant Preschool children

Early Detection and Reporting of Children with Retarded Development

Children Vaccine preventive services

Injury prevention and Safety Promotion

Hearing Health

Visual Health

6years

Oral Health

Child health check-up preventive services

Management of Rare Diseases

3 years 5 years

Birth reporting system

37.33

50.2552.2260.37

25.62

32.7

47.4249.56

66.21

20

30

40

50

60

70

80

1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010

YEAR

1/1

00,0

00

mortality SMR

Hamlet for motorcycle,1997

Sep 21 earthquake,

1999

Mortality of Accident and Adverse Effect

Safety Communities

Home safety programs

- Injury control and prevention for children

- Fall prevention programs for the elderly

Drowning prevention programs

Health Promoting Schools 2005

- 318 schools participated HPS

Safety communities

Safety Community Logo

Urban

Rural Mountain Aboriginal

Seashore Aboriginal

Safe community:4+9

Causes of Deaths in Taiwan , 2004

Cancer

27%

CVD

9%

Heart Dis

10%Nephrotic Dis

4%

Suicide

3%

Hepatic Dis

4%DM

7%Injury

6%

Hypertension

1%

Pneumonia

4%

Others

25%

Mortality of Important Chronic Diseases

65

39.3

39.7

41

36.9

52.7

33

29.9

43.2

20

25

30

35

40

45

50

55

60

65

70

1995 2000 2005 2010Year

1/1

00000

CVD Heart Dis DM

Health Education

Case Management

Integrated Preventive Health Service (IPHS)

Community Integrated Screening

Referral System

Health Promotion

Integrated Preventive Health Service

National Health Screening Programs Items Age/ Interval

Health examination

for children 0-7/1y

for gravida

for adult

pregnancy

40-64/ 3y

65+/ y

Pap Smear 30+/ 3y

Mammogram 50-69/ 2y

Adult Smoking Rate in Taiwan

Health and Welfare Surcharge,2002

Import cigarettes, 1987

Tobacco Hazards Prevention Act, 1997

Tobacco Survey in Taiwan

Global Youth Tobacco Survey (GYTS) Ages 13-15 in 2004

Male : 7.4%

Female : 3.2%

Ages 15-17 in 2005

Male : 15.6%

Female : 4.6%

Ages 13-15 in 2006(in progress)

Adult Tobacco Survey

Ages 18 and over in

2005

Male : 39.88%

Female : 4.76%

Smoking-Cessation Assistance Services

Outpatient Clinics

Service

Age >18, 10 cigarettes/d

or Fagerstrom tolerance

score 4 smoker/wk x 8wks≧/course × 2course/yr

Begins in Sep, 2002

Results

21.37% point abstinence

rate at 6 months.

Smokers’ Helpline

Service

23 dedicated phones

are available 12 hours

( Monday- Saturday: 9AM ~

9PM )

Begins in January, 2003

Results

23.1% point abstinence

rate at 6 months

Performances of Tobacco Control

Anti-tobacco media communication & programs

▪ Quit and Win international competition

▪ No selling tobacco to Youth Under18 project

▪ Media Anti-Smoking Image Creativity Contest

Healthy Community Building

Build healthy public policy

Reorient health services

Create supportive environment

Develop personal skills

Strengthen community action

Health Promotion

216 healthy communities, 5 healthy cities, 2005

Challenge in the Future on Health Promotion

The Age of Great Harmony

The world community was equally shared by all. ….

good neighborliness cultivated.

people did not care for parents only their own parents, nor did they treat children only their own children.