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

Ageing in Lebanon Research and Policies Long Term Health Facilities Bristol Hotel Beirut September 2007. Azzam Houri Director of Dar Al-Ajaza Al-Islamia Hospital in Beirut. Definitions (1/3). Old age : The last stage in life.

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

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

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

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

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

  13. The number of elderly care institutions in Lebanon is around 40 and which according to their services are: • 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. Dar 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. Dar 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 Dar Al-Ajaza Al-Islamia Hospital in Beirut

  16. History (1/2) • In the early 20th 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. Dar Al-Ajaza Al-Islamia Hospital in Beirut

  17. History (2/2) • 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 20th 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. Dar Al-Ajaza Al-Islamia Hospital in Beirut

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

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

  20. Dar Al-Ajaza Al-Islamia Hospital in Beirut

  21. Chronological sequence of founding the institutions • in Lebanon (1/4) • Foyer St. Georges - Beyrouth 1874 • BeitSayidat Al-Alam - Guedras 1904 • Hôpital Assaydeh – Antelias 1920 • Association Kahel - BourjHammoud 1923 • Association HamilatAt’tib 1936 • Hôpital Dar Al-Rahmeh – Ain Saadeh 1949 • Ma’wa Al-Ajaza Al-Marouni – FournChebbak 1950 • Association des services sociaux - Tripoli 1951 • Dar Jesus le Roi – Zouk Mosbeh 1952 • Hôpital Dar Al-Ajaza Al-Islamia - Beyrouth 1954 Dar Al-Ajaza Al-Islamia Hospital in Beirut

  22. Chronological sequence of founding the institutions • in Lebanon (2/4) • Maison de vieillard malade – Mansourieh 1965 • Dar Al-Istiraha Mar Cherbel – Khahaleh 1967 • Dar Diafet Sami Al-Kodsi – Al-atchana 1967 • Hamline - Hammana 1971 • Deir Mar Youssef - Jrabta 1973 • Têtes Blanches – Baabdat 1979 • Beit Al-Inaya al-Ilahiya – Zgorta – Arjes 1982 • Beit Al-Chaykhoukha – Tripoli – Almina 1984 • Dar Al-Karama - Beyrouth 1985 • Dar Al-Raha – Mejdlaya 1985 Dar Al-Ajaza Al-Islamia Hospital in Beirut

  23. Chronological sequence of founding the institutions • in Lebanon (3/4) • Dar As-Salam - Saida 1989 • MarkazRi’aya Al-Moussinine - Ain wazen 1989 • Longue Vie - Bhersaf 1989 • Hôpital Dar As-Sahel linnakaha 1990 • Association Mar Mansour –Ozanam –Batroun 1991 • Mabarrat Al-Imam Al-Mahdi – Baalbeck 1992 • Al-Omr Al-Madid 1992 • BeitAssindianeh – Shayleh 1993 • Sayedat Om Al-Marahem – Meziara 1994 • Hôpital Bhanness – St. Florian – Bhanness 1995 Dar Al-Ajaza Al-Islamia Hospital in Beirut

  24. Chronological sequence of founding the institutions • in Lebanon (4/4) • Association Crechendo – Achrafia 1998 • Association Riaayat Al-moussine – Verdun 1998 • Dar AssaadaLil-Mousinine – Ksara 1999 • Association RahbatAssalib – Shlifa 1999 • Darouna – FournAchoubak 2001 • Centre Medico-Social – Baytouna 2001 • Association Catholique – Zahle • Association Dar Al-inaya – Jbeil - Hboub Dar 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 1st, 2003, the committee initiated 33 day care centers in all Lebanese regions to provide activities, social relations, medical care and family relations. Dar 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. Dar 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) Dar 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. Dar Al-Ajaza Al-Islamia Hospital in Beirut

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

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