Report of Elderly Care Training in Nepal 1. Background Globally, there is unprecedented increase in ageing population. Hence, this 21 st century is said to be the century of older persons. Ageing population accounts for 13% of world’s total population. It is also estimated that the number of ageing population will be tripled by 2050. In Nepal, there were 1.5 million ageing population in 2001 and 2.1 million in 2011 which constitute 6.5% and 8.1 % of the total population, respectively. During the years 1991-2001, the annual ageing population growth rate was 3.39 percent which is higher than that of annual population growth rate (2.3 percent). On the other hand, nuclear family system has replaced joint and extended family system due to modernization and urbanization. This coupled with high migration of youth renders elderly members unlikely to receive proper care and love even though they are at home. In such condition, the elderly with chronic disease and helpless needs a care taker. However, there is lack of well-trained caretakers in Nepal to take care of elderly. 2. Problem This large number of population needs special consideration for their inclusion in societal mainstreaming. But the situation of this population is very vulnerable due to lack of proper care. In the context of Nepal, well-trained human resource for the elderly care are not available. 3. Introduction of the Programme Ageing Nepal (AN) and Hope Hermitage Nepal (HHN) in collaboration with Ministry of Women, Children and Social Welfare (MoWCSW) and in support of Ageing Nepal Switzerland organized a 10 day’s long elderly care training programme from Feb. 15, 2016 to Feb 27, 2016. The programme was focused on policies and programmes on ageing, rights of older people, consequences of elder abuse, elderly health, Alzheimer’s and
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Report of Elderly Care Training in Nepal
1. Background
Globally, there is unprecedented increase in ageing population. Hence, this 21st
century is said to be the century of older persons. Ageing population accounts
for 13% of world’s total population. It is also estimated that the number of
ageing population will be tripled by 2050. In Nepal, there were 1.5 million ageing
population in 2001 and 2.1 million in 2011 which constitute 6.5% and 8.1 % of
the total population, respectively. During the years 1991-2001, the annual
ageing population growth rate was 3.39 percent which is higher than that of
annual population growth rate (2.3 percent).
On the other hand, nuclear family system has replaced joint and extended
family system due to modernization and urbanization. This coupled with high
migration of youth renders elderly members unlikely to receive proper care and
love even though they are at home. In such condition, the elderly with chronic
disease and helpless needs a care taker. However, there is lack of well-trained
caretakers in Nepal to take care of elderly.
2. Problem This large number of population needs special consideration for their inclusion
in societal mainstreaming. But the situation of this population is very vulnerable
due to lack of proper care. In the context of Nepal, well-trained human resource
for the elderly care are not available.
3. Introduction of the Programme
Ageing Nepal (AN) and Hope Hermitage Nepal (HHN) in collaboration with
Ministry of Women, Children and Social Welfare (MoWCSW) and in support of
Ageing Nepal Switzerland organized a 10 day’s long elderly care training
programme from Feb. 15, 2016 to Feb 27, 2016.
The programme was focused on policies and programmes on ageing, rights of
older people, consequences of elder abuse, elderly health, Alzheimer’s and
related dementia and way to cope elderly with different personality as caregiver
in day to day life.
4. Objectives The training programme was organized to meet the following objectives.
To fulfill the gap of the caretaker shortage in Nepal and to improve long term livelihood
To increase the employment opportunity in Nepal and raise awareness of choosing caretaker as a career
To empower Nepalese women belonging unprivileged background and eager in serving elderly
5. Participants We are very happy to note that the participants of the training programme were
from different districts of Nepal.
Gender Consideration
In the context of Nepal, culturally the female are more responsible to provide
care for the child and elderly. As well as, to enhance the women empowerment
Red Circles indicate the trainee’s district that
they represent
the training programme was focused on female participants. So large number
of female (24) were involved than that of male (2) in the training.
6. Subject Coverage The following issues on elderly were covered in the training.
a) Global and national trends of ageing population and its consequences and
terminologies
b) Social Security and older persons
c) UN bodies, INGOs and donor organization in Nepal
d) Anatomy
e) Kinesthesia
f) Policy and programme of Ministry of Health, Govt. of Nepal
g) Policy and programme of Ministry of Local Development, Govt. of Nepal
h) Nutritional diet
i) Elder abuse
j) Human Rights and UN Principles on the rights of older people
k) Role of caregivers
l) Communication skill of caregivers
m) Care and need assessment and care plan
n) Nursing/ Medication management tips for caregivers
o) Living space management
p) Alzheimer’s and related Dementia
q) Potential causes of behavioral symptoms
r) Coping with changes in behavior
s) Activities of daily living and personal hygiene in care of persons with Alzheimer’s
and dementia
t) Psycho-Social counselling and skills for caregiver
u) SDG 2016 to 2030: Social cultural consequences, economic consequences,
political consequences, mainstreaming
v) Policies and programs of Ministry of Women, Children and Social Welfare, Govt.
of Nepal
w) Education and care on daily living
x) Person- centered care
y) Home Safety/ Environment
7. Resource Person Mobilization
Efforts were made to involve issue oriented well known experts from wider
sectors of Nepali society in the training. The resource persons were from
Government bodies, INGOs, NGOs and individual experts. The following table
presents the name of the experts, related organizations and the issue covered
by them.
S.N. Name Designation Organization Issue 1. Krishna M.
Gautam Chairperson Ageing Nepal Global and National
Trend of Ageing Population, Care and need assessment
2. Sasmita Poudel Health Officer HelpAge International Nepal
Social Security
3. Sangita Nirola Founder member of SWATI & Former Country Director of HelpAge International Nepal
SWATI UN bodies, INGOs and donor organization in Nepal
4. Dr. Prakash Mahoto
Psychotherapist KMC Anatomy and Kinesthesia
5. Shaligram Rijal Undersecretary Ministry of Local Development
Policies and Programs of Ministry of Local Development, Govt. of Nepal
6. Prof. Dr. Pushpa Kamal Subedi
-Professor Central Department of Population Studies
Policy and programme of Ministry of Health, Govt. of Nepal
7. Dr. Tritha Rana Public Health and Nutrition Expert
Executive Board member of Nepal Public Health Foundation
Nutritional Diet
8. Sanju T. Magar Programme Officer
Ageing Nepal Elder Abuse
9. Bhumidatta Poudel
Programme Coordinator
Ageing Nepal Human Rights and SDGs
10. Deepa Deewan Treasurer The Hope Hermitage
Role of Care giver, Activities of daily living and personal hygiene in care of persons with Alzheimer’s and dementia Bathing, grooming, cleaning of people with Alzheimer’s and dementia
11. Ranjana Gurung Board member The Hope Hermitage Nepal
Role of Care Giver
12. Shanta Rai Nurse KMC Nursing Medication Management
13. Pramila Bajracharya Thapa
Chairperson Hope Hermitage Nepal
Personal Safety
Alzheimer’s and related dementia
Potential causes of behavioral symptoms
Coping with changes in behavior
Person Centered Care
Home safety for people with Alzheimer’s and dementia
14. Preety Pun Nurse - Psycho-Social counselling and skills for caregiver
15. Meera Sherchan Under-Secretary Ministry of Women, Children and Social Welfare, Govt. of Nepal
Policies and programmes of Ministry of Women, Children and Social Welfare
8. Schedule The programme was organized under the following schedule.
DAY 1
Monday, February 15 Time Content Areas Time Methodology Responsible /
Resource Person
Facilitator
10.00-10.30 Registration
Welcome tea
30 minutes Shanti Dong/ Prakash Gautam
Lea Frei/ Pramila Bajracharya Thapa
10.30-11:55
Formal opening
Chairing the guest
Training overview; expectation and objective
Short speech by the guests
Vote of thanks Chief Guest
85 minutes
Short speech
PramilaBajracharyaThapa / MC - welcome Chief Guest MoWCSW
12. 00 to 12.45 Lunch 12.45- 1.40 Introduction
Objectives and expectation from the training program
What will be covered in the training course
Scheduled and training program plan
Info about practical session 1
55 minutes Information Pramila Bajracharya Thapa/ Krishna M. Gautam
Lea Frei
1:45 – 2:40 Module 1a: Global and national trends of ageing population and its consequences and terminologies
What is ageing? Overview of ageing
National trends of ageing population and its consequences.
Changing population structure of Nepal
Global context of ageing in general
55 minutes Presentation/ Power point
Krishna M. Gautam Pramila Bajracharya Thapa
2:45 – 3:40 Module 1b: Social Security and older persons
Social security of older persons
55 minutes Presentation/ Interaction
HelpAge International
Krishna M. Gautam
Tea Break 15 minutes
4:00 – 4:55 Module 2a UN bodies, INGOs and donor
UN bodies, INGOs and donor organization in Nepal
55 minutes Sharing and interaction
Sangita Nirola Krishna M. Gautam
organization in Nepal
Day 2 (Tuesday, February 16) 4 Gatay 9.30-10.00 (Tea & Cookies) 10:00 – 11: 55 Module 3a: Anatomy
Anatomy: Educating about body structure of Ageing
2x 55 minutes
Presentation/Chart papers and power point presentation