Presentation is loading. Please wait.

Presentation is loading. Please wait.

Ageing in Lebanon Research and Policies Long Term Health Facilities Bristol Hotel Beirut September 2007 September 20071Dar Al-Ajaza Al-Islamia Hospital.

Similar presentations


Presentation on theme: "Ageing in Lebanon Research and Policies Long Term Health Facilities Bristol Hotel Beirut September 2007 September 20071Dar Al-Ajaza Al-Islamia Hospital."— Presentation transcript:

1 Ageing in Lebanon Research and Policies Long Term Health Facilities Bristol Hotel Beirut September 2007 September 20071Dar Al-Ajaza Al-Islamia Hospital in Beirut

2 Azzam Houri Director of Dar Al-Ajaza Al-Islamia Hospital in Beirut September 20072Dar Al-Ajaza Al-Islamia Hospital in Beirut

3 Definitions (1/3) Old age: The last stage in life. Senility: Weakening of the physical and mental faculties due to elderly. A third age person: A person who is above 64 but is still independent. A fourth age person: A person who is above 64 but is dependent and needs aid physically and/or psychologically. September 20073Dar Al-Ajaza Al-Islamia Hospital in Beirut

4 Definitions (2/3) Dependence is defined as: The situation of an individual needing, to accomplish his/her daily life activities, (to feed himself/herself, move around, put clothes on, assure his/her hygiene) some form of human or technical aid at home or in a care institution. September 20074Dar Al-Ajaza Al-Islamia Hospital in Beirut

5 Definitions (3/3) Social insurance: insurance coverage in case of illness or social situation. Social legislations: is the group of laws and regulations intervening in favor of individuals and homes. Elderly insurance law: a project that is part of the social security law. This project was initiated for the first time in 1963. September 20075Dar Al-Ajaza Al-Islamia Hospital in Beirut

6 Hospitals and Elderly Home care Institutions in Lebanon Why? For whom? To ensure medical services, infirmary services and a social protection. To protect the society and citizens of certain risks. To reduce the pain of the elderly. To welcome the ill. To protect, monitor, and re-educate the handicapped and the elderly. For students and researchers. September 20076Dar Al-Ajaza Al-Islamia Hospital in Beirut

7 I invite you I invite all the citizens, the different organizations, from Lebanon, the Arab world and the international community to visit the elderly care institutions to be up to date on their activities and to recognize the importance of their services to the society September 20077Dar Al-Ajaza Al-Islamia Hospital in Beirut

8 Institutions provide the following services to the elderly (1/2) Medical services –Geriatric cabinet// dental cabinet. –General medicine cabinet// Others Sanitary and therapeutic services – pharmacotherapy// physiotherapy. –Psychotherapy// ergotherapy. Diagnostic services –Laboratory// radiology// echography. –E.E.G. // E.C.G// psychological tests. September 20078Dar Al-Ajaza Al-Islamia Hospital in Beirut

9 Institutions provide the following services to the elderly (2/2) Infirmary services Social services: –Entertainment (TV, music, garden, etc..). –Intellectual activities (chess, reading, etc.). –Sport// drawing// crafts. –Ceremonies and anniversaries. –Excursions. Hotelier services –Dietetic and kitchen section –Laundry and tailoring section September 20079Dar Al-Ajaza Al-Islamia Hospital in Beirut

10 Financial resources (1/2) Elderly care institutions depend essentially on two resources to assure their continuity: –Contracts with official institutions: Ministry of Health. Ministry of social affairs. Municipalities. Others. –Donations, contributions and aids. September 200710Dar Al-Ajaza Al-Islamia Hospital in Beirut

11 Financial resources (2/2) The ministry of health pays 15,600 LBP per day per dependent elder, whereas the expenses vary between 40,000 and 50,000 LBP per day depending on the elder’s needs and his/her physical or mental situation. The ministry of social affairs pays 4,100 LBP per day per independent elder. September 200711Dar Al-Ajaza Al-Islamia Hospital in Beirut

12 1.A coherent family. 2.Services provided: by elderly care and socio-medical care institutions. 3.Legislations and necessary laws related to the elderly subject. In order to grow older decently, with acceptable standards of living and socio-medical guarantees, 3 conditions need to be satisfied: September 200712Dar Al-Ajaza Al-Islamia Hospital in Beirut

13 –Residential Institutions: offering socio- medical or care services. –Day Care Centers: offering social activities services. –Home Care: offering services in the home of the elderly. The number of elderly care institutions in Lebanon is around 40 and which according to their services are: September 200713Dar Al-Ajaza Al-Islamia Hospital in Beirut

14 Classification The ministry of health and the ministry of social affairs have never classified the elderly care institutions even though all the hospitals in Lebanon are classified and are submitted to accreditation. There are no specific criteria to classify or evaluate the institutions in Lebanon. Each institution has a different way of practice. September 200714Dar Al-Ajaza Al-Islamia Hospital in Beirut

15 The Work Team with the Elderly must be Specialized: –Geriatrics. –Specialized infirmary. –Social assistance. –Physiotherapy. –Ergotherapy. –Dietetics. –Psychometrics. –Others. Very few institutions have complete specialized teams September 200715Dar Al-Ajaza Al-Islamia Hospital in Beirut

16 In the early 20 th century, the foundation of elderly homes started. But the role of these institutions was very limited, covering food services, meals and housing along with some fixed medical consultations. Later, the different Lebanese religious communities took care of this layer of the society (both the dependent and independent elderly) and they founded the specialized institutions. History (1/2) September 200716Dar Al-Ajaza Al-Islamia Hospital in Beirut

17 The services of these institutions continued to grow till they reached a satisfactory medical level in addition to specialized hospitality services and infirmary care services. At the end of the 20 th century, Lebanon already has developed and specialized institutions along with the foundation of day care centers. It is important to mention that most of these institutions are non-governmental. History (2/2) September 200717Dar Al-Ajaza Al-Islamia Hospital in Beirut

18 Chronological sequence of founding the institutions in Lebanon September 200718Dar Al-Ajaza Al-Islamia Hospital in Beirut

19 Number of beds per institutions September 200719Dar Al-Ajaza Al-Islamia Hospital in Beirut

20 September 200720Dar Al-Ajaza Al-Islamia Hospital in Beirut

21 Chronological sequence of founding the institutions in Lebanon (1/4) 1.Foyer St. Georges - Beyrouth1874 2.Beit Sayidat Al-Alam - Guedras1904 3.Hôpital Assaydeh – Antelias1920 4.Association Kahel - Bourj Hammoud1923 5.Association Hamilat At’tib 1936 6.Hôpital Dar Al-Rahmeh – Ain Saadeh1949 7.Ma’wa Al-Ajaza Al-Marouni – Fourn Chebbak1950 8.Association des services sociaux - Tripoli1951 9.Dar Jesus le Roi – Zouk Mosbeh1952 10.Hôpital Dar Al-Ajaza Al-Islamia - Beyrouth1954 September 200721Dar Al-Ajaza Al-Islamia Hospital in Beirut

22 Chronological sequence of founding the institutions in Lebanon (2/4) 11.Maison de vieillard malade – Mansourieh1965 12.Dar Al-Istiraha Mar Cherbel – Khahaleh1967 13.Dar Diafet Sami Al-Kodsi – Al-atchana1967 14.Hamline - Hammana1971 15.Deir Mar Youssef - Jrabta 1973 16.Têtes Blanches – Baabdat1979 17.Beit Al-Inaya al-Ilahiya – Zgorta – Arjes1982 18.Beit Al-Chaykhoukha – Tripoli – Almina1984 19.Dar Al-Karama - Beyrouth1985 20.Dar Al-Raha – Mejdlaya1985 September 200722Dar Al-Ajaza Al-Islamia Hospital in Beirut

23 Chronological sequence of founding the institutions in Lebanon (3/4) 21.Dar As-Salam - Saida 1989 22.Markaz Ri’aya Al-Moussinine - Ain wazen 1989 23.Longue Vie - Bhersaf1989 24.Hôpital Dar As-Sahel linnakaha 1990 25.Association Mar Mansour –Ozanam –Batroun1991 26.Mabarrat Al-Imam Al-Mahdi – Baalbeck1992 27.Al-Omr Al-Madid 1992 28.Beit Assindianeh – Shayleh1993 29.Sayedat Om Al-Marahem – Meziara1994 30.Hôpital Bhanness – St. Florian – Bhanness1995 September 200723Dar Al-Ajaza Al-Islamia Hospital in Beirut

24 Chronological sequence of founding the institutions in Lebanon (4/4) 31.Association Crechendo – Achrafia1998 32.Association Riaayat Al-moussine – Verdun1998 33.Dar Assaada Lil-Mousinine – Ksara1999 34.Association Rahbat Assalib – Shlifa1999 35.Darouna – Fourn Achoubak2001 36.Centre Medico-Social – Baytouna2001 37.Association Catholique – Zahle 38.Association Dar Al-inaya – Jbeil - Hboub September 200724Dar Al-Ajaza Al-Islamia Hospital in Beirut

25 The Permanent National Committee for the Elderly was founded in 1997 and is composed of representatives from the governmental, non- governmental, private sector institutions and experts in the elderly area. On October 1 st, 2003, the committee initiated 33 day care centers in all Lebanese regions to provide activities, social relations, medical care and family relations. September 200725Dar Al-Ajaza Al-Islamia Hospital in Beirut

26 Difficulties faced by the institutions Despite the limited resources of these institutions, the costs are high: –Electricity bills –CNSS fees –Drugs prices –Salaries –Installments paid by the concerned ministries cover only 40% of the fees. September 200726Dar Al-Ajaza Al-Islamia Hospital in Beirut

27 Numbers and Ratios The number of institutions in Lebanon is around 40 The number of residents in these institutions is around 3400. The number of personnel in these institutions is around 1450. The ratio (personnel/resident) (1/ 2.34) The ratio (institution/resident) (1/ 85) September 200727Dar Al-Ajaza Al-Islamia Hospital in Beirut

28 To improve the quality of care in geriatric services: Daily cost paid by the ministries need to be revised in function of the services offered by each institution. Demographically, the population in our society is growing older and we are reaching the 13% threshold in few years, which necessitates a radical change in the command of this population. September 200728Dar Al-Ajaza Al-Islamia Hospital in Beirut

29 Thank you Merci شكراً September 200729Dar Al-Ajaza Al-Islamia Hospital in Beirut


Download ppt "Ageing in Lebanon Research and Policies Long Term Health Facilities Bristol Hotel Beirut September 2007 September 20071Dar Al-Ajaza Al-Islamia Hospital."

Similar presentations


Ads by Google