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Health Promotion In Taiwan
Protection
Prevention
Promotion
Bureau of Health Promotion Department of Health
GDP （ Gross Domestic Product ）
TaiwanUS$15,969
South Korea
US$14,144
Singapore
US$26,833
Hong Kong
US$ 25,623
China US$1,273
0
5,000
10,000
15,000
20,000
25,000
30,000
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Year
Economic Growth Rate
Taiwan 4.3%
South Korea 5.7%
Singapore 5.3%
Hong Kong 7.3%
China 9.9%
-10
0
10
20
30
40
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Year
%
NHE （ National Health Expenditure ）
6.2%
4.6%
920
338.4
4
4.5
5
5.5
6
6.5
199119921993 199419951996 19971998 199920002001 200220032004 Year
%
0
100
200
300
400
500
600
700
800
900
1,000US$
Health Expenditure as of GDP％ Per Capita Health Expenditure (US$)
Life Expectancy, 1980-2010
2010
75.9 y/o
2004
73.6 y/o
1980
69.6 y/o
1980
74.5 y/o
2010
81.75 y/o2004
79.4 y/o
62
64
66
68
70
72
74
76
78
80
82
84
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010 Year
MaleFemale
Natural Increase Rate
2.92
9.06
15.58
5.316.13
10.27
0
2
4
6
8
10
12
14
16
18
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Year
1/1
000
Crude birth rate Crude death rate Natural increase rate
Age Composition of Taiwan Population
2004 2026
≧65 y/o9.4% vs. 21.1%
15-64 y/o71.3% vs. 69.3%
≦14 y/o19.3% vs. 9.6%
25 20 15 10 5 10,00 persons 5 10 15 20 25
Children Born to Spouses of Foreign Origins (1998-2005)
。
Strategy development
Oral health 、 Injury prevention 、 Risk health behavior 、 Sex education…
Health school
Safe community
Health policy
Supportive environmen
t
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
2.883.30
12.61
5.065.36.43
31.41
0
5
10
15
20
25
30
35
1962 1972 1982 1992 2002
Year
1/10
00
neonatal infant
Birth Reporting System, 1994
2010
Main Health Projects for Maternal in Taiwan
Premarital stage
Genetic health services
Prenatal stage Postnatal stage
Mother-child friendly medical institutions
Breast-feeding promotion
10 free prenatal examinations
Family planning
Family planning
Department Of Health
Ministry Of Education
Policy-making 、Set up internet resource 、
Stuffs training 、Dentists participation
Bureau of Health
Bureau of EducationIntegrated 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 governm
ent
Local governm
ent
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
4.95
4.22
3.31
2.72.3
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
1990 1995 2000 2005 2010 Year
Inde
x of
DM
FT
Main Health Projects for
Infant and Young Children newborn
1day
Newborn screening
1month 6 month 1 year 4 years
infant Preschool 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 years 5 years
Birth reporting system
37.33
50.2552.2260.37
25.62
32.7
47.4249.56
66.21
20
30
40
50
60
70
80
1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010
YEAR
1/1
00,0
00
mortality SMR
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 2005
- 318 schools participated HPS
Safety communities
Safety Community Logo
Urban
Rural Mountain Aboriginal
Seashore Aboriginal
Safe community:4+9
Causes of Deaths in Taiwan , 2004
Cancer
27%
CVD
9%
Heart Dis
10%Nephrotic Dis
4%
Suicide
3%
Hepatic Dis
4%DM
7%Injury
6%
Hypertension
1%
Pneumonia
4%
Others
25%
Mortality of Important Chronic Diseases
65
39.3
39.7
41
36.9
52.7
33
29.9
43.2
20
25
30
35
40
45
50
55
60
65
70
1995 2000 2005 2010Year
1/1
00000
CVD Heart Dis DM
Health Education
Case Management
Integrated Preventive Health Service (IPHS)
Community Integrated Screening
Referral System
Health Promotion
Integrated Preventive Health Service
National Health Screening Programs Items Age/ 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 13-15 in 2004
Male : 7.4%
Female : 3.2%
Ages 15-17 in 2005
Male : 15.6%
Female : 4.6%
Ages 13-15 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.