1. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
“Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
May.2018
Technical Deep Dive on Aging Cities
TDD-AgingCities-May2018
2. ประชากรสูงวัยในประเทศไทย
ป 2 4 ประเท ไทยเริ่มเข้าสู่เกณ
สังคมสูงวัย ( ) ดยมี
สัดส่วนประชากรผู้สูงวัยถึงร้อยละ 0
10%
60+
20%
28%
สังคมสูงวัยระดับสุดยอด
ในป
ป 2 ประเท ไทยมีประชากร
ทั้งหมด ล้านคน ในจ�านวนนี้เปน
ผู้สูงอายุ ล้านคน หรือร้อยละ
ป 2 4 ประเท ไทยจะกลายเปน
สังคมสูงวัยอย่างสมบูรณ
( )
ป 2 4 ประเท ไทยจะกลายเปน
สังคมสูงวัยระดับสุดยอด
( )
SJ-TDD-AgingCities-May2018
“Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
Older population in Thailand
2005
2015
2021
2031
Aged Society
Aged Society
Complete
Aged Society
Super
Aged Society
https://waymagazine.org/family_aging_society/
Aging Society
Complete Aged Society
Super Aged Society
3. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018
4. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
0-14 yr 15-59 yr 60+ yr
15-59 yr
60+ yr
0-14 yr
SJ-TDD-AgingCities-May2018
Proportion of the population: Age group
5. Source:
- Survey of the Elderly, 2014. NSO
0
5
10
15
20
16.3%
9.5%
19.9%
8.2%
Municipal area Non-municipal area
% of elderly
Living alone
Living with spouse
SJ-TDD-AgingCities-May2018
“Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SITUATION OF THE THAI ELDERLY 2014
6. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
Increase old-age dependency ratio
In 2025: Thailand -> Aged Society
1/5 is an older person
SJ-TDD-AgingCities-May2018
7. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
Mahidol
Population Gazette
Institute for Population and Social Research, Mahidol University Vol. 27 January 2018
Male Female Total
1. Total Population (x 1,000) 32,454 33,780 66,234
2. Population by Area of Residence (x 1,000)
Urban area (population living in all types of cities and municipal areas) 16,209 16,947 33,156
Rural area (population living outside urban areas) 16,245 16,833 33,078
3. Population by Region (x 1,000)
Bangkok Metropolis 4,006 4,254 8,260
Central (excluding Bangkok Metropolis) 9,339 10,751 19,090
Northern 5,514 5,723 11,237
Northeastern 9,134 9,463 18,597
Southern 4,461 4,589 9,050
4. Population by Age Group (x 1,000)
Children (under 15 years) 5,885 5,541 11,426
Labor force (15-59 years) 21,256 21,782 43,038
Older persons (60 years and over) 5,313 6,457 11,770
Population of Thailand, 2018
Estimated Population at Midyear 2018 (1st
July)
Mahidol
Population Gazette
Institute for Population and Social Research, Mahidol University Vol. 27 January 2018
Male Female Total
1. Total Population (x 1,000) 32,454 33,780 66,234
2. Population by Area of Residence (x 1,000)
Urban area (population living in all types of cities and municipal areas) 16,209 16,947 33,156
Rural area (population living outside urban areas) 16,245 16,833 33,078
3. Population by Region (x 1,000)
Bangkok Metropolis 4,006 4,254 8,260
Central (excluding Bangkok Metropolis) 9,339 10,751 19,090
Northern 5,514 5,723 11,237
Northeastern 9,134 9,463 18,597
Southern 4,461 4,589 9,050
4. Population by Age Group (x 1,000)
Children (under 15 years) 5,885 5,541 11,426
Labor force (15-59 years) 21,256 21,782 43,038
Older persons (60 years and over) 5,313 6,457 11,770
Older persons (65 years and over) 3,498 4,421 7,919
Pre-school ages (0-5 years) 2,246 2,131 4,377
School ages (6-21 years) 6,830 6,439 13,269
Women of reproductive age (15-49 years) 16,598
Population of Thailand, 2018
Estimated Population at Midyear 2018 (1st
July)
5. Life Expectancy at Birth (average number of years a person could expect to live after birth) Male 72.2 years Female 78.9 years
6. Life Expectancy at Sixty (average number of years a person could expect to live after age sixty) Male 20.2 years Female 23.6 years
7. Life Expectancy at Sixty-Five (average number of years a person could expect to live after age sixty-five) Male 16.5 years Female 19.5 years
8. Vital Rates
Crude birth rate (per 1,000 population) 10.7
Crude death rate (per 1,000 population) 8.3
Natural growth rate (percent) 0.2
Infant mortality rate (per 1,000 live births) 9.8
Institute for Population and Social Research, Mahidol University Vol. 27 January 2018
Male Female Total
1. Total Population (x 1,000) 32,454 33,780 66,234
2. Population by Area of Residence (x 1,000)
Urban area (population living in all types of cities and municipal areas) 16,209 16,947 33,156
Rural area (population living outside urban areas) 16,245 16,833 33,078
3. Population by Region (x 1,000)
Bangkok Metropolis 4,006 4,254 8,260
Central (excluding Bangkok Metropolis) 9,339 10,751 19,090
Northern 5,514 5,723 11,237
Northeastern 9,134 9,463 18,597
Southern 4,461 4,589 9,050
4. Population by Age Group (x 1,000)
Children (under 15 years) 5,885 5,541 11,426
Labor force (15-59 years) 21,256 21,782 43,038
Older persons (60 years and over) 5,313 6,457 11,770
Older persons (65 years and over) 3,498 4,421 7,919
Pre-school ages (0-5 years) 2,246 2,131 4,377
School ages (6-21 years) 6,830 6,439 13,269
Women of reproductive age (15-49 years) 16,598
Population of Thailand, 2018
Estimated Population at Midyear 2018 (1st
July)
Woman: 78.9-year-oldMan: 72.2-year-oldLife Expectancy at birth
SJ-TDD-AgingCities-May2018
8. elderly with income under the poverty line
Source:
- Survey of the Elderly, 2002, 2011, and 2014. NSO
2014
income < 2,572 baht/month
2002
46.5% 2011
33.8%
2014:
34.3%
had incomes below
the poverty line
Poverty line “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018
2013:
Poverty line:
earned less than
2,572 Baht/month
30,864 Baht/year
2002:
Poverty line:
earned less than
1,607 Baht/month
19,284 Baht/year
SITUATION OF THE THAI ELDERLY 2014
9. Elderly still Employed
in 2000, 2005, 2010 and 2014
2000 2005 2010 2014
60-64 65-69 70-74 75 years and over
10
20
30
40
50
60
70
0
%
51.4
58.2
60.8
59.2
35.3
46.4 45.2 45.6
20.0
29.1
26.5 25.4
6.3
12.4 12.411.2
Age
“Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018SITUATION OF THE THAI ELDERLY 2014
10. of the Elderly and the Disabled, had studied the health status and problems of the
elderly. Thesurveywasconductedamong13,642personsin28provinces,covering
the12healthservicenetworksoftheMOPH. Thesurveyfoundthat1.5%ofelderly
were bed bound, 19.0% were home bound, and 79.5% were well elderly, i.e., they
could function independently inside and outside their home.
“Bed bound” denotes elderly who cannot perform essential daily functions
by themselves.
“Home bound” denotes elderly who can perform basic essential functions in
their home, but have limited mobility and cannot easily venture outside their
home.
“Well elderly” denotes elderly who can perform essential daily functions in
their home and also be able to perform social relations outside their home.
Ability of the elderly to perform daily functions
Ability of the elderly to perform basic daily functions, by age
79.5%
Well elderly
1.5%
Bed
bound elderly
19.0%
Home
bound elderly
80
100
85.8
11.9 13.3
19.6
33.7
0.9% 0.9% 1.6% 2.6%%
“Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018
SITUATION OF THE THAI ELDERLY 2014
11. Source:
- Survey of the Health Status among the Elderly, 2013, under the Health Promotion Program of the Elderly
and the Disabled, MOPH
Health Complaints of the Elderly, 2013
0 10 20 30 40 50 60
limited mobility
hearing impairment
vision impairment
learning disability
emotional or behavior problems
intellectual decline
%
57.8
23.8
19.2
2.6
2.2
3.7
“Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018SITUATION OF THE THAI ELDERLY 2014
RAMPS
12. with diabetes and 8.6% with osteoarthritis.
ChronicIllnessoftheElderlyin2013
examining prevalence of chronic disease by age group, it can be
osteoarthritis
0
15
30
45
diabeteshypertension
8.6
18.2
41.4
%
“Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018SITUATION OF THE THAI ELDERLY 2014
NCD: Non-communicable RAMPS
13. Remarks:
- These data refer to those who had been diagnosed with hypertension, and/or diabetes, and/or osteoarthritis
Source:
- Survey of the Health Status among the Elderly, 2013, under the Health Promotion Program of the Elderly
and the Disabled, MOPH
0
20
60
40 36.0
41.6
45.2 45.6
17.3 19.2 19.5 17.2
7.5 8.2 10.1 9.6
%
60-64 years 75 years and over65-69 years 70-74 years
hypertension diabetes osteoarthritis
“Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018SITUATION OF THE THAI ELDERLY 2014
15. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
The Development Plan of
Quality of Life
of Older Persons
in Bangkok
Phase 1
(2014 - 2017)
Vision
“Older persons have
good quality of life,
are valuable,
and happy”
SJ-TDD-AgingCities-May2018
Strategy 1: Preparation for old
age at every stage of life
Strategy 2: Promotion and
development of older persons
Strategy 3: Social protection
system for older persons
Strategy 4: Integrative
management system on geriatric
works
Strategy 5: Promoting and
developing research, databases,
technology, innovation, and
monitoring and evaluation
16. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
Strategy 1: Preparation for old age at every stage of life
The main objective is to push forward proactive work to prepare
population of all age groups in every aspect
SJ-TDD-AgingCities-May2018
The
Development
Plan
of Quality of
Life
of Older
Persons
in Bangkok
Phase 2
(2018 - 2021)
Age-friendly environment
http://www.dop.go.th/download/knowledge/knowledge_th_20161702101655_1.pdf
17. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018
Develop good attitude
19. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018
National Savings Fund
20. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018
National Savings Fund
21. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
Strategy 2: Promotion and development of older persons
The main objective is for older persons to become self-dependent in 3
domains: economics, social, health and are pushed forward to
participate in the social development for as long as possible
SJ-TDD-AgingCities-May2018
Healthy Lifestyle in the elderly
Community-Based
elderly centre
Model for the elderly home
Promotion the Elderly
Vocational chance
The
Development
Plan
of Quality of
Life
of Older
Persons
in Bangkok
Phase 2
(2018 - 2021)
22. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018
Promote Social
Awareness
Increase old-age
dependency ratio
23. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
Promote Social Awareness
SJ-TDD-AgingCities-May2018
No money!!!
Healthy lifestyle
in children and middle-age
group
24. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018
Physical activity
25. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018
Physical activity
Environmental factors
Nutritional
Mental Health
Physical Health
Economic factors
Social factors
27. Source : http://www.bts.co.th/corporate/th/02-structure02-3.aspx
The sky train system is undergoing expansion and, when fully
complete, there will be elevators in all stations (111 elevators
in 34 stations).
“Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018SITUATION OF THE THAI ELDERLY 2014
Environmental factors
28. 83
taxis
for the elderly in 2013-2014
Some elderly are disabled and/or require the use of a wheel chair to get around.
The Bangkok Metropolitan Administration (BMA) is collaborating with Krungthep
ThanakomCo.toimplementapilotprojectoftaxisfortheelderly&thedisabled.
This is being done by modifying taxis to accommodate the elderly and those who
need a wheel chair like the Japanese model.
Source: http://www.thanakom.co.th/thanakom/taxi.html
Hydrolic lift with
handles
Secured screws with safty belt
Extra 2 seats for followers
“Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018SITUATION OF THE THAI ELDERLY 2014
Environmental factors
29. Number of customers using Taxis for the elderly & the disabled
Source:
http://www.thanakom.co.th/thanakom/taxi.html
Dec2012
Sep2014
Oct2013
May2013
Apr2014
0
100
200
300
400
500
600
169
555
581
355
374
223
294
442
370
511
483
497
478
483
473
348
408
391
370
383
409
373
Number
“Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018SITUATION OF THE THAI ELDERLY 2014
30. 85
Low-riding buses
Another innovative concept that is under the development involves the
expansionofthefleetofBangkokMassTransitAuthoritybusesbyprocuringover3,000
low-riding buses which are wider and easier to mount and alight from. They will
also be equipped with a ramp to make them wheel-chair accessible. This concept
is being implemented with the elderly and other vulnerable populations in mind.
Thisnewdesignisalsointendedtoreduceaccidentandinjuryfromnegotiatingthe
high steps of the average bus in Bangkok today.
“Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
Sources:
- http://www.busandtruckmedia.com/page.php
- http://social.tnews.co.th/content/129647
58-10-051_001-128 Elderly2014-Eng_i new14-01 Uncoated.indd 85 1/14/16 5:1
SJ-TDD-AgingCities-May2018SITUATION OF THE THAI ELDERLY 2014
Environmental factors
31. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
Strategy 3: Social protection system for older persons
The main objective is for older persons to be able to live with dignity,
security and accessibility as well as to receive social welfares and basic
rights according to their needs
SJ-TDD-AgingCities-May2018
Tertiary frailty prevention
วัตถุประสงค์
เพื่อฟื้นฟูสมรรถภาพผู้ที่มีภาวะบกพร่องทางการ
ผู้ป่วยมีการพัฒนาศักยภาพในการดูแลตนเองแ
กาย จิต สังคม และอารมย์
เกิดเครือข่ายชมรมผู้มีภาวะบกพร่องทางการเค
HAPPY AGEING
ความรู้คู่นวัตกรรมเพื่อผู้สูงอายุ
The
Development
Plan
of Quality of
Life
of Older
Persons
in Bangkok
Phase 2
(2018 - 2021)
Frailty prevention model
Geriatric Clinic in the
public health centre
Home-health care
Caregive/
Care-manager
33. Symposium Frailty: IAGG2015
Nutrition for the community-living older people
Primary frailty prevention
Influenza vaccination annually
Booster dT vaccine every 10 years
45. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
Strategy 4: Integrative management system on geriatric works
The main objective is to create an integrative way of management
system on geriatric work between departments under BMA in every
level, including other stakeholders, in order to improve quality of life of
older persons
SJ-TDD-AgingCities-May2018
The
Development
Plan
of Quality of
Life
of Older
Persons
in Bangkok
Phase 2
(2018 - 2021)
Integration of works related to older persons
between departments at the central and
local levels
District Health Board
46. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
Strategy 5: Promoting and developing research, databases,
technology, innovation, and monitoring and evaluation
The objective is to implement BMA’s policies and works on geriatric
utilizing data, results, technology and innovation.
Additionally, to monitor and assess their works and results in order to
strengthen the effectiveness of the translation policies and works into
practice
SJ-TDD-AgingCities-May2018
The
Development
Plan
of Quality of
Life
of Older
Persons
in Bangkok
Phase 2
(2018 - 2021)
BMA referral system
The plan monitoring and evaluation must
conduct continuously with empirical database
47. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
Quality of life
and
Value of
older persons
Happiness
index
Indices to measure the impact of the implementation the plan on
older person’s quality of life
SJ-TDD-AgingCities-May2018
WHO-QOL-BREF-thai
50. “Management of frailty in
community-living older people”
Sukanya Jongsiriyanyong
The Health Department, Bangkok Metropolitan Administration, Thailand
21.Oct.2015
SJ-TDD-AgingCities-May2018
The
Public
Health Centre
58th
Successful
Aging
Center:
SAC
