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
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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。
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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.

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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.
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