瓦努阿图实现健康老龄化的途径:对国家政策优先事项的定性评估

IF 7.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES The Lancet Regional Health: Western Pacific Pub Date : 2024-09-16 DOI:10.1016/j.lanwpc.2024.101178
Anna Palagyi , Thomas Gadsden , Jenny Stephens , Myriam Abel , Lindah Peter , Siwon Lee , Tsogzolmaa Bayandorj , Christopher Bates , Sébastien Libert
{"title":"瓦努阿图实现健康老龄化的途径:对国家政策优先事项的定性评估","authors":"Anna Palagyi ,&nbsp;Thomas Gadsden ,&nbsp;Jenny Stephens ,&nbsp;Myriam Abel ,&nbsp;Lindah Peter ,&nbsp;Siwon Lee ,&nbsp;Tsogzolmaa Bayandorj ,&nbsp;Christopher Bates ,&nbsp;Sébastien Libert","doi":"10.1016/j.lanwpc.2024.101178","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The Pacific Island country of Vanuatu is at the early stages of demographic ageing. The government is yet to develop a strategic approach to optimize the health and wellbeing of older indigenous Vanuatu residents (ni-Vanuatu).</p></div><div><h3>Methods</h3><p>Using policy mapping and semi-structured interviews with 42 ni-Vanuatu, this research aimed to explore the current policy context surrounding ageing in Vanuatu and the priorities of older adults to inform preliminary steps to develop a national response to healthy ageing. Analyses were grounded in the World Health Organization's <em>Regional Action Plan on Healthy Ageing in the Western Pacific</em>.</p></div><div><h3>Findings</h3><p>While the national policy context exhibited an indirect commitment to creating an environment conducive to healthy ageing, explicit policy commitments and monitoring indicators were lacking. Older persons reported numerous obstacles to healthy ageing, including financial insecurity, physical and psychological barriers to participation, and lack of community support.</p></div><div><h3>Interpretation</h3><p>Findings highlighted the need for policymakers and stakeholders to focus preliminary strategic efforts on select components of the Regional Action Plan: evidence generation, advocacy/awareness, financing, community engagement and coordination, and family-centred empowerment. To ensure acceptability and sustainability, it is vital that these leverage existing strengths of traditional community values and the prevailing role of faith and religion in the lives of older ni-Vanuatu.</p></div><div><h3>Funding</h3><p>This project was funded and supported by the <span>World Health Organization</span> (WHO) Regional Office for the Western Pacific (WPRO). Outcomes reflect the deliberations of authors and research partners.</p></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"51 ","pages":"Article 101178"},"PeriodicalIF":7.6000,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266660652400172X/pdfft?md5=594c5d9e802c360cb869e2f98a1383d3&pid=1-s2.0-S266660652400172X-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Pathways to healthy ageing in Vanuatu: a qualitative evaluation of national policy priorities\",\"authors\":\"Anna Palagyi ,&nbsp;Thomas Gadsden ,&nbsp;Jenny Stephens ,&nbsp;Myriam Abel ,&nbsp;Lindah Peter ,&nbsp;Siwon Lee ,&nbsp;Tsogzolmaa Bayandorj ,&nbsp;Christopher Bates ,&nbsp;Sébastien Libert\",\"doi\":\"10.1016/j.lanwpc.2024.101178\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The Pacific Island country of Vanuatu is at the early stages of demographic ageing. The government is yet to develop a strategic approach to optimize the health and wellbeing of older indigenous Vanuatu residents (ni-Vanuatu).</p></div><div><h3>Methods</h3><p>Using policy mapping and semi-structured interviews with 42 ni-Vanuatu, this research aimed to explore the current policy context surrounding ageing in Vanuatu and the priorities of older adults to inform preliminary steps to develop a national response to healthy ageing. Analyses were grounded in the World Health Organization's <em>Regional Action Plan on Healthy Ageing in the Western Pacific</em>.</p></div><div><h3>Findings</h3><p>While the national policy context exhibited an indirect commitment to creating an environment conducive to healthy ageing, explicit policy commitments and monitoring indicators were lacking. Older persons reported numerous obstacles to healthy ageing, including financial insecurity, physical and psychological barriers to participation, and lack of community support.</p></div><div><h3>Interpretation</h3><p>Findings highlighted the need for policymakers and stakeholders to focus preliminary strategic efforts on select components of the Regional Action Plan: evidence generation, advocacy/awareness, financing, community engagement and coordination, and family-centred empowerment. To ensure acceptability and sustainability, it is vital that these leverage existing strengths of traditional community values and the prevailing role of faith and religion in the lives of older ni-Vanuatu.</p></div><div><h3>Funding</h3><p>This project was funded and supported by the <span>World Health Organization</span> (WHO) Regional Office for the Western Pacific (WPRO). Outcomes reflect the deliberations of authors and research partners.</p></div>\",\"PeriodicalId\":22792,\"journal\":{\"name\":\"The Lancet Regional Health: Western Pacific\",\"volume\":\"51 \",\"pages\":\"Article 101178\"},\"PeriodicalIF\":7.6000,\"publicationDate\":\"2024-09-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S266660652400172X/pdfft?md5=594c5d9e802c360cb869e2f98a1383d3&pid=1-s2.0-S266660652400172X-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Lancet Regional Health: Western Pacific\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S266660652400172X\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Lancet Regional Health: Western Pacific","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S266660652400172X","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

摘要

背景太平洋岛国瓦努阿图正处于人口老龄化的早期阶段。本研究通过对瓦努阿图 42 名老年人进行政策调查和半结构式访谈,旨在探索当前瓦努阿图老龄化的政策背景和老年人的优先事项,为制定国家健康老龄化对策的初步措施提供信息。研究结果虽然瓦努阿图的国家政策背景显示出对创造有利于健康老龄化环境的间接承诺,但缺乏明确的政策承诺和监测指标。研究结果突出表明,决策者和利益攸关方需要将初步战略努力的重点放在《区域行动计划》的选定组成部分上:证据生成、宣传/提高认识、筹资、社区参与和协调,以及以家庭为中心的赋权。为确保可接受性和可持续性,这些内容必须利用传统社区价值观的现有优势以及信仰和宗教在瓦努阿图老年人生活中的普遍作用。成果反映了作者和研究合作伙伴的讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Pathways to healthy ageing in Vanuatu: a qualitative evaluation of national policy priorities

Background

The Pacific Island country of Vanuatu is at the early stages of demographic ageing. The government is yet to develop a strategic approach to optimize the health and wellbeing of older indigenous Vanuatu residents (ni-Vanuatu).

Methods

Using policy mapping and semi-structured interviews with 42 ni-Vanuatu, this research aimed to explore the current policy context surrounding ageing in Vanuatu and the priorities of older adults to inform preliminary steps to develop a national response to healthy ageing. Analyses were grounded in the World Health Organization's Regional Action Plan on Healthy Ageing in the Western Pacific.

Findings

While the national policy context exhibited an indirect commitment to creating an environment conducive to healthy ageing, explicit policy commitments and monitoring indicators were lacking. Older persons reported numerous obstacles to healthy ageing, including financial insecurity, physical and psychological barriers to participation, and lack of community support.

Interpretation

Findings highlighted the need for policymakers and stakeholders to focus preliminary strategic efforts on select components of the Regional Action Plan: evidence generation, advocacy/awareness, financing, community engagement and coordination, and family-centred empowerment. To ensure acceptability and sustainability, it is vital that these leverage existing strengths of traditional community values and the prevailing role of faith and religion in the lives of older ni-Vanuatu.

Funding

This project was funded and supported by the World Health Organization (WHO) Regional Office for the Western Pacific (WPRO). Outcomes reflect the deliberations of authors and research partners.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
The Lancet Regional Health: Western Pacific
The Lancet Regional Health: Western Pacific Medicine-Pediatrics, Perinatology and Child Health
CiteScore
8.80
自引率
2.80%
发文量
305
审稿时长
11 weeks
期刊介绍: The Lancet Regional Health – Western Pacific, a gold open access journal, is an integral part of The Lancet's global initiative advocating for healthcare quality and access worldwide. It aims to advance clinical practice and health policy in the Western Pacific region, contributing to enhanced health outcomes. The journal publishes high-quality original research shedding light on clinical practice and health policy in the region. It also includes reviews, commentaries, and opinion pieces covering diverse regional health topics, such as infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, aging health, mental health, the health workforce and systems, and health policy.
期刊最新文献
The burden of type 2 diabetes attributable to air pollution across China and its provinces, 1990–2021: an analysis for the Global Burden of Disease Study 2021 Targeted lung cancer screening in the age of immunotherapies and targeted therapies – an economic evaluation for Australia Prevalence of blood-borne virus infections and uptake of hepatitis C testing and treatment in Australian prisons: the AusHep study School mental health prevention and intervention strategies in China: a scoping review Successful management of a multi-species outbreak of carbapenem-resistant organisms in Fiji: a prospective genomics-enhanced investigation and response
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1