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SUDIJANTO KAMSO

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Title: SUDIJANTO KAMSO

1
Aging and Reproductive Health (In Public Health
Perspective)
SUDIJANTO KAMSO
2
INTRODUCTION

Projected increase of elderly, in
Indonesia 2020 ? 28,8 million.
60 living in Rural, minimum access to health
care facility
Consequences related to health, economy, and
socio-cultural problem.

3
Health Problems in The Aged

Cardiovascular diseases
Higher evidence of cancer
Osteoporosis
Decline in cognitive function
Depression in Menopause

4
Declining of Estrogens level in aging and some
CVD risk factors

Grundy, 1991

5
Burden of Cardiovascular Disease

If we cant cope now, how will we cope in the
coming years?
What can we do to prevent the attack of CV
disease?
Are we just delaying the inevitable? Compressing
morbidity?

6
Cancer in the Elderly

Risk of cancer increases with age
Close to 60 of all new cancers and 70 of deaths
are in elders over 65
Increases in life expectancy means more older
adults will experience cancer.

7
Leading Causes of Cancer
Source The Harvard Report on Cancer Prevention
8
Cancer in the Elderly

Why is it more common?Why are death rates so
high?
?
Longer duration of carcinogen exposure?
Reduced participation in cancer screening
programs ?
Health care access issues ?
Nutritional issues ?

9
Osteoporosis

Prevalence in Indonesia 19,7.
Five provinces with high risk of osteoporosis
are South Sumatera (27,7), Central Java
(24,02), DI Yogyakarta (23,5), North Sumatera
( 22,82), East Java (21,42) and East Kalimantan
(10,5).

10
Osteoporosis

Risk Factors ?
Fracture complication
High cost

11
Decline in cognitive function

For at least one in every 12 elderly people, the
decline in cognitive function is so severe, they
have difficulty performing the normal activities
of daily living, and eventually, cannot live
independently
Severe cognitive impairment may be diagnosed as
dementia, and about 65 percent of dementia
patients have Alzheimers disease.

12
Decline in cognitive function

The loss of cognitive function among older
foreshadows a potentially enormous social and
economic burden on individuals, families,
communities, and the nation

13
Menopause

Menopause is one of the major areas of concern in
a womans reproductive health.
Menopause symptoms are generally discomforting as
hormonal alterations take place.
Depression during menopause and the aging years
is one of the crucial matters concerning
reproductive health

14
Public Health Aspects

What factors are associated with a faster or
slower of each health problem? What are the
recent trends? The answers to these questions are
relevant for policymaking in a wide variety of
areas

15
Public Health Perspective

More attention to important health issues
associated with aging population
Preventive health measures (Health/Nutrition/Lifes
tyle education)
Program directed to maintain physical and mental
health of the aging population

16
What has been done in Faculty of Public
HealthUniversity of Indonesia?
17
To cope with the above problems ?Developed
course, entitledHealth and Reproductive
systemin the aged
18
The topics of the course designed to meet the
following goals

Students are presented with a comprehensive
theoretical overview of the field of aging. The
interdisciplinary and integrative nature of aging
is emphasized.
There are opportunities for students to have
practical or hands-on experiences with older
adults in the form field visit.

19
Topic of the course