Guidelines for Medical and Health Protection of Older People in Africa

Ousseynou Ka; Abdoul Aziz Ndiaye; Awa Gaye; Ndeye Fatou Ngom; Mountaga Elimane Dia; Martial Coly Bop; Cheikh Tacko Diop; Alioune Badara Tall; Boubacar Gueye; Papa Gallo Sow; Lamine Gueye

doi:doi:10.11648/j.cajph.20190504.12

Guidelines for Medical and Health Protection of Older People in Africa

Ousseynou Ka, Abdoul Aziz Ndiaye, Awa Gaye, Ndeye Fatou Ngom, Mountaga Elimane Dia, Martial Coly Bop, Cheikh Tacko Diop, Alioune Badara Tall, Boubacar Gueye, Papa Gallo Sow, Lamine Gueye

Published in Central African Journal of Public Health (Volume 5, Issue 4)

Received: 12 May 2019 Accepted: 11 June 2019 Published: 24 June 2019

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Abstract

To cope with the aging of the population on the horizon in Africa and in particular in Senegal, it is important to set up geronto-geriatric policies adapted to our socio-economic and health context. Thus, in the field of health, the medical and health protection of the elderly, should have a double requirement which consists on the one hand, to prevent the loss of autonomy and on the other hand, in case of illness, even minor, to early diagnosis and appropriate treatment before cascading lesions occur. The main principles or guidelines for a geriatric strategy in Senegal in particular and in Africa in general could be articulated around a policy of home care; the integration of geronto-geriatrics with primary health care, specialized consultation, psychomotor rehabilitation, traditional medico-surgical hospitalization and housing for the elderly. However, any medical and health action in favor of the elderly must first give priority to prevention without neglecting the curative aspect. Thus, this action to be effective should focus on maintaining the home and the family of the elderly, through an urbanization policy that should make possible the cohabitation of ages. On the other hand, the creation of services exclusively reserved for the elderly should for the moment be excluded, since it is culturally inappropriate and economically difficult to implement. It should be emphasized that this medical and health protection for the elderly will require the provision of additional financial resources. However, the organization that will have to cover the cost of this care has yet to be defined.

Published in	Central African Journal of Public Health (Volume 5, Issue 4)
DOI	10.11648/j.cajph.20190504.12
Page(s)	142-148
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Aging, Older People, Health Care Protection, Home Care, Prevention, Senegal, Africa

References

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[2]	Ministère du plan, Agence Nationale de la Statistique et de la Démographie (ANSD). Recensement général de la population et de l’habitat, de l’agriculture et de l’élevage (RGPHAE) 2013. Dakar: Ministère du Plan ANSD; 2014. 36 p. [Visité le 20/01/2016]. En ligne: http://www.gouv.sn/IMG/pdf/Rapport_provisoire_ RGPHAE_2013.pdf.
[3]	National Agency for Statistics and Demography. Senegal: General Census of Population and Housing Agriculture and Livestock RGPHAE, Report, 2013. http://www.ansd.org.
[4]	Antoine P, Fall S. Population and poverty in Dakar. In: Daffé G, Diagne A, editors. Senegalfacing the challenges of poverty: the forgotten of growth. Paris: Karthala; Dakar: CRES, CREPOS; 2008. pp. 29-50. (Men and Companies).
[5]	Kâ O. GeriatricGerontology in Senegal: emergence of problems and search for solutions [Thesis of Medicine]. Dakar: Cheikh AntaDiop University; 1991. 188 p. [Visited on the 20/01/2016]. En ligne: http://www.keneya.net/fmpos/theses/2007/med/ df/07M113.pdf.
[6]	Gningue S: "The times of oldage in Senegal: intergenerational misunderstanding", Sociologies [Online], Theories and research, posted on March 07, 2014, accessed on January 17, 2017. URL: http://sociologies.revues.org/4618.
[7]	O. Ka, M. Coume, C. T. Diopb, N. F. Ngomb, A. Faye, M. M. M. Leye, A. Gaye, A. A. Ndiaye, P. G. Sow, I. Seck Medico-social survey among the elderly in the gerontology and geriatrics center, Ouakam, Senegal NPG Neurologie Psychiatrie Gériatrie (2017) 17, 223—229. http://dx.doi.org/10.1016/j.npg.2016
[8]	Diallo C S O: Home care for elderly people living in Ouakam: Relevance and feasibility, Dakar. Ucad, Thesis Med 2013 (04). bibnum.ucad.sn
[9]	Ka O, Leye MMM, Awa Gaye, Sow PG, Tal Dia A, Diop SN and Sow AM: Towards a Geriatrics Policy Integrated to the Primary Health Care’s in Africa (The Case of Senegal). J Gerontol Geriatr Res 2016, 5: 1 http://dx.doi.org/10.4172/2167-7182.100274
[10]	M. Camara, I. Diagne, A. Danfa, EHM Ba et al: Psychogeriatrics in Senegal: Experience of a 10-year follow-up in a mental health center. Psychiatry, Geriatrics, Neurology; 2017, 17: 235-240.
[11]	Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Coordinating care across diseases, settings, and clinicians: a key rôle for the generalist in practice. Ann Intern Med. 2005; 142 (8): 700-8
[12]	National Federation of Home Care Facilities (FNEHAD). Activity Report 2013. Paris: FNEHAD; 2013.
[13]	Shepperd, S, Iliffe, S, Doll, HA, Clarke, MJ, Kalra, L, Wilson, AD and Goncalves-Bradley, DC. Admission avoidance hospital at home. Cochrane Database Syst Rev, 2016; 9. DOI: https://doi.org/10.1002/14651858.CD007491.pub2
[14]	Goncalves-Bradley, DC, Iliffe, S, Doll, HA, Broad, J, Gladman, J, Langhorne, P, Richards, SH and Shepperd, S. Early discharge hospital at home. Cochrane Database Syst Rev, 2017; 6. DOI: https://doi.org/10.1002/14651858.CD000356.pub4
[15]	Clément Gendrault, Anne-Laurence Caudie and Catherine Massoubre. Sequentialhospitalization: therapeuticinterest in attachmentdisorders. Psychiatric Information 2015; 5 (91): 365 to 372.
[16]	Kâ O, Gaye A, Mbacké Leye MM, Ngom NF, Dia AT, Diop SN, Sow AM. Personnes âgées et prise en charge préventive des pathologies gériatriques en milieu africain. Geriatr Psychol Neuropsychiatr Vieil 2016; 14 (4): 363-70 doi: 10.1684/pnv.2016.0617
[17]	15 OMS. Vieillir en bonne santé: stratégie et plan d’action. Rapport mondial de l’OMS sur le vieillissement et la santé. Genève: OMS, 2015, www.who.int/ageing/global-strategy/fr/.

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APA Style

Ousseynou Ka, Abdoul Aziz Ndiaye, Awa Gaye, Ndeye Fatou Ngom, Mountaga Elimane Dia, et al. (2019). Guidelines for Medical and Health Protection of Older People in Africa. Central African Journal of Public Health, 5(4), 142-148. https://doi.org/10.11648/j.cajph.20190504.12

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ACS Style

Ousseynou Ka; Abdoul Aziz Ndiaye; Awa Gaye; Ndeye Fatou Ngom; Mountaga Elimane Dia, et al. Guidelines for Medical and Health Protection of Older People in Africa. Cent. Afr. J. Public Health 2019, 5(4), 142-148. doi: 10.11648/j.cajph.20190504.12

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AMA Style

Ousseynou Ka, Abdoul Aziz Ndiaye, Awa Gaye, Ndeye Fatou Ngom, Mountaga Elimane Dia, et al. Guidelines for Medical and Health Protection of Older People in Africa. Cent Afr J Public Health. 2019;5(4):142-148. doi: 10.11648/j.cajph.20190504.12

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@article{10.11648/j.cajph.20190504.12,
  author = {Ousseynou Ka and Abdoul Aziz Ndiaye and Awa Gaye and Ndeye Fatou Ngom and Mountaga Elimane Dia and Martial Coly Bop and Cheikh Tacko Diop and Alioune Badara Tall and Boubacar Gueye and Papa Gallo Sow and Lamine Gueye},
  title = {Guidelines for Medical and Health Protection of Older People in Africa},
  journal = {Central African Journal of Public Health},
  volume = {5},
  number = {4},
  pages = {142-148},
  doi = {10.11648/j.cajph.20190504.12},
  url = {https://doi.org/10.11648/j.cajph.20190504.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20190504.12},
  abstract = {To cope with the aging of the population on the horizon in Africa and in particular in Senegal, it is important to set up geronto-geriatric policies adapted to our socio-economic and health context. Thus, in the field of health, the medical and health protection of the elderly, should have a double requirement which consists on the one hand, to prevent the loss of autonomy and on the other hand, in case of illness, even minor, to early diagnosis and appropriate treatment before cascading lesions occur. The main principles or guidelines for a geriatric strategy in Senegal in particular and in Africa in general could be articulated around a policy of home care; the integration of geronto-geriatrics with primary health care, specialized consultation, psychomotor rehabilitation, traditional medico-surgical hospitalization and housing for the elderly. However, any medical and health action in favor of the elderly must first give priority to prevention without neglecting the curative aspect. Thus, this action to be effective should focus on maintaining the home and the family of the elderly, through an urbanization policy that should make possible the cohabitation of ages. On the other hand, the creation of services exclusively reserved for the elderly should for the moment be excluded, since it is culturally inappropriate and economically difficult to implement. It should be emphasized that this medical and health protection for the elderly will require the provision of additional financial resources. However, the organization that will have to cover the cost of this care has yet to be defined.},
 year = {2019}
}

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TY  - JOUR
T1  - Guidelines for Medical and Health Protection of Older People in Africa
AU  - Ousseynou Ka
AU  - Abdoul Aziz Ndiaye
AU  - Awa Gaye
AU  - Ndeye Fatou Ngom
AU  - Mountaga Elimane Dia
AU  - Martial Coly Bop
AU  - Cheikh Tacko Diop
AU  - Alioune Badara Tall
AU  - Boubacar Gueye
AU  - Papa Gallo Sow
AU  - Lamine Gueye
Y1  - 2019/06/24
PY  - 2019
N1  - https://doi.org/10.11648/j.cajph.20190504.12
DO  - 10.11648/j.cajph.20190504.12
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 142
EP  - 148
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20190504.12
AB  - To cope with the aging of the population on the horizon in Africa and in particular in Senegal, it is important to set up geronto-geriatric policies adapted to our socio-economic and health context. Thus, in the field of health, the medical and health protection of the elderly, should have a double requirement which consists on the one hand, to prevent the loss of autonomy and on the other hand, in case of illness, even minor, to early diagnosis and appropriate treatment before cascading lesions occur. The main principles or guidelines for a geriatric strategy in Senegal in particular and in Africa in general could be articulated around a policy of home care; the integration of geronto-geriatrics with primary health care, specialized consultation, psychomotor rehabilitation, traditional medico-surgical hospitalization and housing for the elderly. However, any medical and health action in favor of the elderly must first give priority to prevention without neglecting the curative aspect. Thus, this action to be effective should focus on maintaining the home and the family of the elderly, through an urbanization policy that should make possible the cohabitation of ages. On the other hand, the creation of services exclusively reserved for the elderly should for the moment be excluded, since it is culturally inappropriate and economically difficult to implement. It should be emphasized that this medical and health protection for the elderly will require the provision of additional financial resources. However, the organization that will have to cover the cost of this care has yet to be defined.
VL  - 5
IS  - 4
ER  -

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Author Information

Ousseynou Ka

Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Abdoul Aziz Ndiaye

Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Awa Gaye

Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Ndeye Fatou Ngom

Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Mountaga Elimane Dia

Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Martial Coly Bop

Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Cheikh Tacko Diop

Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Alioune Badara Tall

Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Boubacar Gueye

Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Papa Gallo Sow

Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal
Lamine Gueye

Department of Community Health of the Sustainable Health and Development Training and Research Unit of Alioune Diop University of Bambey, Bambey, Sénégal

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APA Style

Ousseynou Ka, Abdoul Aziz Ndiaye, Awa Gaye, Ndeye Fatou Ngom, Mountaga Elimane Dia, et al. (2019). Guidelines for Medical and Health Protection of Older People in Africa. Central African Journal of Public Health, 5(4), 142-148. https://doi.org/10.11648/j.cajph.20190504.12

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ACS Style

Ousseynou Ka; Abdoul Aziz Ndiaye; Awa Gaye; Ndeye Fatou Ngom; Mountaga Elimane Dia, et al. Guidelines for Medical and Health Protection of Older People in Africa. Cent. Afr. J. Public Health 2019, 5(4), 142-148. doi: 10.11648/j.cajph.20190504.12

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AMA Style

Ousseynou Ka, Abdoul Aziz Ndiaye, Awa Gaye, Ndeye Fatou Ngom, Mountaga Elimane Dia, et al. Guidelines for Medical and Health Protection of Older People in Africa. Cent Afr J Public Health. 2019;5(4):142-148. doi: 10.11648/j.cajph.20190504.12

Copy | Download

@article{10.11648/j.cajph.20190504.12,
  author = {Ousseynou Ka and Abdoul Aziz Ndiaye and Awa Gaye and Ndeye Fatou Ngom and Mountaga Elimane Dia and Martial Coly Bop and Cheikh Tacko Diop and Alioune Badara Tall and Boubacar Gueye and Papa Gallo Sow and Lamine Gueye},
  title = {Guidelines for Medical and Health Protection of Older People in Africa},
  journal = {Central African Journal of Public Health},
  volume = {5},
  number = {4},
  pages = {142-148},
  doi = {10.11648/j.cajph.20190504.12},
  url = {https://doi.org/10.11648/j.cajph.20190504.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20190504.12},
  abstract = {To cope with the aging of the population on the horizon in Africa and in particular in Senegal, it is important to set up geronto-geriatric policies adapted to our socio-economic and health context. Thus, in the field of health, the medical and health protection of the elderly, should have a double requirement which consists on the one hand, to prevent the loss of autonomy and on the other hand, in case of illness, even minor, to early diagnosis and appropriate treatment before cascading lesions occur. The main principles or guidelines for a geriatric strategy in Senegal in particular and in Africa in general could be articulated around a policy of home care; the integration of geronto-geriatrics with primary health care, specialized consultation, psychomotor rehabilitation, traditional medico-surgical hospitalization and housing for the elderly. However, any medical and health action in favor of the elderly must first give priority to prevention without neglecting the curative aspect. Thus, this action to be effective should focus on maintaining the home and the family of the elderly, through an urbanization policy that should make possible the cohabitation of ages. On the other hand, the creation of services exclusively reserved for the elderly should for the moment be excluded, since it is culturally inappropriate and economically difficult to implement. It should be emphasized that this medical and health protection for the elderly will require the provision of additional financial resources. However, the organization that will have to cover the cost of this care has yet to be defined.},
 year = {2019}
}

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TY  - JOUR
T1  - Guidelines for Medical and Health Protection of Older People in Africa
AU  - Ousseynou Ka
AU  - Abdoul Aziz Ndiaye
AU  - Awa Gaye
AU  - Ndeye Fatou Ngom
AU  - Mountaga Elimane Dia
AU  - Martial Coly Bop
AU  - Cheikh Tacko Diop
AU  - Alioune Badara Tall
AU  - Boubacar Gueye
AU  - Papa Gallo Sow
AU  - Lamine Gueye
Y1  - 2019/06/24
PY  - 2019
N1  - https://doi.org/10.11648/j.cajph.20190504.12
DO  - 10.11648/j.cajph.20190504.12
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 142
EP  - 148
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20190504.12
AB  - To cope with the aging of the population on the horizon in Africa and in particular in Senegal, it is important to set up geronto-geriatric policies adapted to our socio-economic and health context. Thus, in the field of health, the medical and health protection of the elderly, should have a double requirement which consists on the one hand, to prevent the loss of autonomy and on the other hand, in case of illness, even minor, to early diagnosis and appropriate treatment before cascading lesions occur. The main principles or guidelines for a geriatric strategy in Senegal in particular and in Africa in general could be articulated around a policy of home care; the integration of geronto-geriatrics with primary health care, specialized consultation, psychomotor rehabilitation, traditional medico-surgical hospitalization and housing for the elderly. However, any medical and health action in favor of the elderly must first give priority to prevention without neglecting the curative aspect. Thus, this action to be effective should focus on maintaining the home and the family of the elderly, through an urbanization policy that should make possible the cohabitation of ages. On the other hand, the creation of services exclusively reserved for the elderly should for the moment be excluded, since it is culturally inappropriate and economically difficult to implement. It should be emphasized that this medical and health protection for the elderly will require the provision of additional financial resources. However, the organization that will have to cover the cost of this care has yet to be defined.
VL  - 5
IS  - 4
ER  -

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