Health Promotion In Taiwan Protection Prevention Promotion Bureau of Health Promotion Department of Health.

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Presentation transcript:

Health Promotion In Taiwan Protection Prevention Promotion Bureau of Health Promotion Department of Health

GDP ( Gross Domestic Product )

Economic Growth Rate

NHE ( National Health Expenditure )

Life Expectancy,

Natural Increase Rate

Age Composition of Taiwan Population ≧ 65 y/o 9.4% vs. 21.1% y/o 71.3% vs. 69.3% ≦ 14 y/o 19.3% vs. 9.6% ,00 persons

Children Born to Spouses of Foreign Origins ( )

。 Strategy development Oral health 、 Injury prevention 、 Risk health behavior 、 Sex education… Health school Safe community Health policy Supportive environment Community action Personal skills Reorient health services Ottawa Charter for Health Promotion Work place Health city Health community Health family Health hospital Development of Health Promotion Strategy

Neonatal & Infant Mortality Birth Reporting System,

Main Health Projects for Maternal in Taiwan Premarital stage Genetic health services Prenatal stagePostnatal stage Mother-child friendly medical institutions Breast-feeding promotion 10 free prenatal examinations Family planning

Department Of Health Ministry Of Education Policy-making 、 Set up internet resource 、 Stuffs training 、 Dentists participation Bureau of HealthBureau of Education Integrated related issues 、 Map out county projects 、 Set up local counseling system 、 Make policy decision collaboratively Health sector School Dental clinic 、 Health station 、 Community health promotion center Principle 、 Teacher 、 Student 、 Parents Central government Local government Oral Health Promoting School

Oral Health Promotion Plans Fluoride mouth rinse program Tooth brushing after meals program Professionally applied fluoride treatment under 5 years old Sealant application in remote area Annual oral exam for kindergarten and primary school Set up oral health information management system for schoolchildren

Index of DMFT

Main Health Projects for Infant and Young Children newborn 1day Newborn screening 1month 6 month1 year4 years infantPreschool children Early Detection and Reporting of Children with Retarded Development Children Vaccine preventive services Injury prevention and Safety Promotion Hearing Health Visual Health 6years Oral Health Child health check-up preventive services Management of Rare Diseases 3 years5 years Birth reporting system

Hamlet for motorcycle,1997 Sep 21 earthquake, 1999 Mortality of Accident and Adverse Effect

Safety Communities Home safety programs - Injury control and prevention for children - Fall prevention programs for the elderly Drowning prevention programs Health Promoting Schools schools participated HPS Safety communities

Safety Community Logo Urban Rural Mountain Aboriginal Seashore Aboriginal Safe community:4+9

Causes of Deaths in Taiwan, 2004

Mortality of Important Chronic Diseases

Health Education Case Management Integrated Preventive Health Service (IPHS) Community Integrated Screening Referral System Health Promotion Integrated Preventive Health Service

National Health Screening Programs ItemsAge/ Interval Health examination for children 0-7/1y for gravida for adult pregnancy 40-64/ 3y 65 + / y Pap Smear 30 + / 3y Mammogram 50-69/ 2y

Adult Smoking Rate in Taiwan  Health and Welfare Surcharge,2002  Import cigarettes, 1987  Tobacco Hazards Prevention Act, 1997

Tobacco Survey in Taiwan Global Youth Tobacco Survey (GYTS) Ages in 2004 Male : 7.4% Female : 3.2% Ages in 2005 Male : 15.6% Female : 4.6% Ages in 2006 (in progress) Adult Tobacco Survey Ages 18 and over in 2005 Male : 39.88% Female : 4.76%

Smoking-Cessation Assistance Services Outpatient Clinics Service Age >18, 10 cigarettes/d or Fagerstrom tolerance score ≧ 4 smoker/wk x 8wks/course × 2course/yr Begins in Sep, 2002 Results 21.37% point abstinence rate at 6 months. Smokers’ Helpline Service 23 dedicated phones are available 12 hours ( Monday- Saturday: 9AM ~ 9PM ) Begins in January, 2003 Results 23.1% point abstinence rate at 6 months

Performances of Tobacco Control Anti-tobacco media communication & programs ▪ Quit and Win international competition ▪ No selling tobacco to Youth Under18 project ▪ Media Anti-Smoking Image Creativity Contest

Healthy Community Building Build healthy public policy Reorient health services Create supportive environment Develop personal skills Strengthen community action Health Promotion 216 healthy communities, 5 healthy cities, 2005

Challenge in the Future on Health Promotion

The Age of Great Harmony The world community was equally shared by all. …. good neighborliness cultivated. people did not care for parents only their own parents, nor did they treat children only their own children.