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 , Thomas Gadsden , Jenny Stephens , Myriam Abel , Lindah Peter , Siwon Lee , Tsogzolmaa Bayandorj , Christopher Bates , 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 , Thomas Gadsden , Jenny Stephens , Myriam Abel , Lindah Peter , Siwon Lee , Tsogzolmaa Bayandorj , Christopher Bates , 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). 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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.
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.