Guidelines for Medical and Health Protection of Older People in Africa
Central African Journal of Public Health
Volume 5, Issue 4, August 2019, Pages: 142-148
Received: May 12, 2019; Accepted: Jun. 11, 2019; Published: Jun. 24, 2019
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Authors
Ousseynou Ka, Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Abdoul Aziz Ndiaye, Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Awa Gaye, Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Ndeye Fatou Ngom, Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Mountaga Elimane Dia, Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Martial Coly Bop, Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Cheikh Tacko Diop, Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Alioune Badara Tall, Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Boubacar Gueye, Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Papa Gallo Sow, Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Lamine Gueye, Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
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Abstract
To cope with the aging of the population on the horizon in Africa and in particular in Senegal, it is important to set up geronto-geriatric policies adapted to our socio-economic and health context. Thus, in the field of health, the medical and health protection of the elderly, should have a double requirement which consists on the one hand, to prevent the loss of autonomy and on the other hand, in case of illness, even minor, to early diagnosis and appropriate treatment before cascading lesions occur. The main principles or guidelines for a geriatric strategy in Senegal in particular and in Africa in general could be articulated around a policy of home care; the integration of geronto-geriatrics with primary health care, specialized consultation, psychomotor rehabilitation, traditional medico-surgical hospitalization and housing for the elderly. However, any medical and health action in favor of the elderly must first give priority to prevention without neglecting the curative aspect. Thus, this action to be effective should focus on maintaining the home and the family of the elderly, through an urbanization policy that should make possible the cohabitation of ages. On the other hand, the creation of services exclusively reserved for the elderly should for the moment be excluded, since it is culturally inappropriate and economically difficult to implement. It should be emphasized that this medical and health protection for the elderly will require the provision of additional financial resources. However, the organization that will have to cover the cost of this care has yet to be defined.
Keywords
Aging, Older People, Health Care Protection, Home Care, Prevention, Senegal, Africa
To cite this article
Ousseynou Ka, Abdoul Aziz Ndiaye, Awa Gaye, Ndeye Fatou Ngom, Mountaga Elimane Dia, Martial Coly Bop, Cheikh Tacko Diop, Alioune Badara Tall, Boubacar Gueye, Papa Gallo Sow, Lamine Gueye, Guidelines for Medical and Health Protection of Older People in Africa, Central African Journal of Public Health. Vol. 5, No. 4, 2019, pp. 142-148. doi: 10.11648/j.cajph.20190504.12
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Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
ONU: World Population Prospects: the 2000 Revision. New York: ONU; 2001. www.un.org/esa/population/publications/wpp2000/highlights.pdf
[2]
Ministère du plan, Agence Nationale de la Statistique et de la Démographie (ANSD). Recensement général de la population et de l’habitat, de l’agriculture et de l’élevage (RGPHAE) 2013. Dakar: Ministère du Plan ANSD; 2014. 36 p. [Visité le 20/01/2016]. En ligne: http://www.gouv.sn/IMG/pdf/Rapport_provisoire_ RGPHAE_2013.pdf.
[3]
National Agency for Statistics and Demography. Senegal: General Census of Population and Housing Agriculture and Livestock RGPHAE, Report, 2013. http://www.ansd.org.
[4]
Antoine P, Fall S. Population and poverty in Dakar. In: Daffé G, Diagne A, editors. Senegalfacing the challenges of poverty: the forgotten of growth. Paris: Karthala; Dakar: CRES, CREPOS; 2008. pp. 29-50. (Men and Companies).
[5]
Kâ O. GeriatricGerontology in Senegal: emergence of problems and search for solutions [Thesis of Medicine]. Dakar: Cheikh AntaDiop University; 1991. 188 p. [Visited on the 20/01/2016]. En ligne: http://www.keneya.net/fmpos/theses/2007/med/ df/07M113.pdf.
[6]
Gningue S: "The times of oldage in Senegal: intergenerational misunderstanding", Sociologies [Online], Theories and research, posted on March 07, 2014, accessed on January 17, 2017. URL: http://sociologies.revues.org/4618.
[7]
O. Ka, M. Coume, C. T. Diopb, N. F. Ngomb, A. Faye, M. M. M. Leye, A. Gaye, A. A. Ndiaye, P. G. Sow, I. Seck Medico-social survey among the elderly in the gerontology and geriatrics center, Ouakam, Senegal NPG Neurologie Psychiatrie Gériatrie (2017) 17, 223—229. http://dx.doi.org/10.1016/j.npg.2016
[8]
Diallo C S O: Home care for elderly people living in Ouakam: Relevance and feasibility, Dakar. Ucad, Thesis Med 2013 (04). bibnum.ucad.sn
[9]
Ka O, Leye MMM, Awa Gaye, Sow PG, Tal Dia A, Diop SN and Sow AM: Towards a Geriatrics Policy Integrated to the Primary Health Care’s in Africa (The Case of Senegal). J Gerontol Geriatr Res 2016, 5: 1 http://dx.doi.org/10.4172/2167-7182.100274
[10]
M. Camara, I. Diagne, A. Danfa, EHM Ba et al: Psychogeriatrics in Senegal: Experience of a 10-year follow-up in a mental health center. Psychiatry, Geriatrics, Neurology; 2017, 17: 235-240.
[11]
Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Coordinating care across diseases, settings, and clinicians: a key rôle for the generalist in practice. Ann Intern Med. 2005; 142 (8): 700-8
[12]
National Federation of Home Care Facilities (FNEHAD). Activity Report 2013. Paris: FNEHAD; 2013.
[13]
Shepperd, S, Iliffe, S, Doll, HA, Clarke, MJ, Kalra, L, Wilson, AD and Goncalves-Bradley, DC. Admission avoidance hospital at home. Cochrane Database Syst Rev, 2016; 9. DOI: https://doi.org/10.1002/14651858.CD007491.pub2
[14]
Goncalves-Bradley, DC, Iliffe, S, Doll, HA, Broad, J, Gladman, J, Langhorne, P, Richards, SH and Shepperd, S. Early discharge hospital at home. Cochrane Database Syst Rev, 2017; 6. DOI: https://doi.org/10.1002/14651858.CD000356.pub4
[15]
Clément Gendrault, Anne-Laurence Caudie and Catherine Massoubre. Sequentialhospitalization: therapeuticinterest in attachmentdisorders. Psychiatric Information 2015; 5 (91): 365 to 372.
[16]
Kâ O, Gaye A, Mbacké Leye MM, Ngom NF, Dia AT, Diop SN, Sow AM. Personnes âgées et prise en charge préventive des pathologies gériatriques en milieu africain. Geriatr Psychol Neuropsychiatr Vieil 2016; 14 (4): 363-70 doi: 10.1684/pnv.2016.0617
[17]
15 OMS. Vieillir en bonne santé: stratégie et plan d’action. Rapport mondial de l’OMS sur le vieillissement et la santé. Genève: OMS, 2015, www.who.int/ageing/global-strategy/fr/.
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