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Understanding needs and solutions to promote healthy ageing and reduce multimorbidity in Rwanda: a protocol paper for
Alemayehu Amberbir1, Callixte Cyuzuzo1, Michael Boah1
1Center for Population Health, University of Global Health Equity, Kigali, Rwanda.
This study investigates the needs of older adults in Rwanda, assessing healthcare access and system capacity to promote healthy ageing. Findings will inform interventions for older populations in sub-Saharan Africa.
Area of Science:
- Gerontology and Public Health
- Global Health Equity
- Healthcare Systems Research
Background:
- Ageing populations face increased chronic diseases, multimorbidity, and frailty, necessitating enhanced clinical and social care.
- The UN Decade of Ageing and WHO's Healthy Ageing initiative highlight the need for interventions, yet data from sub-Saharan Africa is limited.
- Understanding the specific needs and healthcare experiences of older adults in Rwanda is crucial for developing targeted support.
Purpose of the Study:
- To identify the current needs of older people in Rwanda, evaluate health system capacity, and propose solutions for unmet needs.
- To inform the prioritization of interventions for healthy ageing in Rwanda and similar low- and middle-income countries.
- To contribute to the UN Decade of Ageing by providing evidence-based strategies for supporting older adults.
Main Methods:
- A mixed-methods approach combining household surveys (urban/rural) on multimorbidity, frailty, and care experiences.
- Secondary analysis of the Rwandan STEPs survey (2021) and health facility readiness assessments.
- In-depth interviews with older adults and a healthcare provider survey, analyzed using the Three Delays framework.
Main Results:
- The study will determine the prevalence of multimorbidity and frailty among older Rwandans.
- It will identify specific gaps in health system capacity and barriers to accessing quality healthcare for older adults.
- Experiences and responsiveness of the healthcare system from the perspective of older individuals will be elucidated.
Conclusions:
- This research will provide a comprehensive understanding of healthcare challenges faced by older adults in Rwanda.
- Findings will guide the development of contextually appropriate interventions to promote healthy ageing.
- The study establishes a framework for sustainable healthy ageing research and policy engagement in Rwanda and beyond.
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