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Community based program in Ethiopia: from CBD to massive, state-run health extension program
Item Type: Conference or Workshop Item
Author: 
Haile, Genet Mengistu and
Author: 
Editor: 
Year:  00/00/2012
Abstract:  The Family Guidance Association of Ethiopia (FGAE) pioneered a Community-based FP Distribution [CBD] program in Ethiopia in 1991. The CBD agents were selected by the community members through prior set selection criteria including interest and willingness to volunteer for community work and sufficient knowledge about the socio-economic and cultural context of the community. The CBD program was very widely replicated by many other institutions as a low cost, effective strategy to increase access to modern contraceptive services in under-served communities. Considering the challenges related to distance and access to fixed health facilities among women with high unmet needs and the lessons drawn from project based success stories of the CBD programs, the government of Ethiopia initiated the Health Extension Program (HEP) in 2003 to accelerate utilization of primary health care services in rural communities. The HEP is implemented by trained health extension workers or practitioners at the community level with strong focus on health promotion and disease prevention and empowering community members to make decisions and take actions on their own health. The Health Extension Workers (HEW) were recruited from the community among those who completed high school and trained for one year. Currently, two female HEWs are assigned at each kebele (the lowest administrative unit) and to implement a package of 16 primary health care services including FP and maternal health. A total of about 35,000 rural HEWs and 4,800 urban Health Extension Professionals [Graduate Nurses] are deployed by MoH as government employees throughout the country. The program has created a better opportunity, particularly for rural women and young people to access health services including FP/RH.
 
 
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Population ageing and social protection in Malaysia
Item Type: Conference or Workshop Item
Author: 
Abd. Samad, Suhaimi and
Awang, Halimah and
Mansor, Norma and
Author: 
Editor: 
Year:  00/00/2012
Abstract:  With rapid increase in number of older persons, Malaysia is faced with multitude issues of graying population resulting from declining birth rate and rising life expectancy. In 2010 4.7% of the population was above 65 years old and the life expectancy was 71.7 years for males and 75 years for females. The New Economic Model for Malaysia (NEM) 2010 defines inclusiveness, high income and sustainability, as the three prong objective towards a developed nation in 2020. The underlying principle of the inclusiveness objective is to enable every Malaysian to have access to opportunities in order to contribute to the economy and to ensure that essential needs of the people are met. At least ten policy measures were recommended to improve the well being of the bottom 40% of the population, which has been identified as underserved. The question is, to what extent is the existing social safety net policy adequate to support every Malaysian to sustain a decent living? What are the issues and gaps with social safety net for older people? This paper attempts to answer these questions and to examine other related issues. It is divided into three parts: the first parts is an assessment of the existing social safety net in Malaysia; the second part looks at some case studies of NGO’s working with the older people and the final part offers some policy recommendations as a way forward.
 
 
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Financing old age in a rapidly ageing high income city state: the case of Singapore
Item Type: Conference or Workshop Item
Author: 
Asher, Mukul G. and
Author: 
Editor: 
Year:  00/00/2012
Abstract:  Singapore, an affluent city state, is among the most rapidly ageing society globally. This is due to low fertility rate (TFR of 1.2 in 2011); and increasing life expectancy (18.3 years for men and 21.8 years for women at age 65 in 2011). Its support ratio (working age persons/elderly) is projected to decline from 7.9 in 2011 to 2.2 by 2030, representing a steep decline. It primarily relies on a mandatory savings tier to finance old age. This tier is administered by a statutory Board called Central Provident Fund (CPF) under the Ministry of Manpower. The CPF has over the years been used not just for retirement, but for housing health care, and other purposes. Its wide scope and mandate has resulted in considerable complexity. This paper provides an assessment of the extent to which the current old age financing arrangements are likely to address longevity, inflation, and survivors’ risks faced by individuals in their old age. Not only each person will need support for a longer period in old age, but societal and individual expectations about old age support are also changing, reflecting the affluent society.
 
 
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