Ensure healthy lives and promote well-being for all at all ages
This city has been implementing the Healthy City Project in accordance with the World Health Organization（WHO）of the United Nations since 2002 to fulfill its mission of serving its residents and promoting urban innovation and achieve the goal of “Health for All” set by the WHO in 1986. The healthy city and safe community concepts are implemented in six administrative districts respectively with reference to international indicators and the needs assessment of city residents. As of 2011, the city was fully committed to participation in international organizations. In addition, the 12 administrative districts of the city started to jointly promote the Age-Friendly City concepts in response to the rapidly growing ageing population in 2012.
Community health building has been adopted as a pioneering model for the integration of the three major concepts of healthy city, age-friendliness, and safe community to successfully deal with problems associated with urbanization and population ageing. The initiative which aims to promote the healthy city concept and align with the global agenda is divided into the five dimensions of ecological sustainability, convenience and prosperity, safety and security, friendly culture, and health and vitality.
City’s Current UN Sustainable Development Targets
By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being.
Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.
Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States.
Establishing a Government-Level Suicide Prevention Center
In view of the extensive suicide causes, the city has established a government-level suicide prevention center to building capacity for suicide prevention, integrate the bureaus and offices and private resources, provide diverse planning and integrative measures, and set up a comprehensive network of suicide prevention to effectively curb suicide behaviors.
The suicide prevention strategies include conducting relevant activities to strengthen health education and promotion, continuing to develop the professional skills of center staff, strengthening care visitation services for attempted suicides and high-risk cases, coordinating professional private organizations to provide cases with continuous visitation services, compiling the “Safety Manual for Falling Prevention” to prevent suicides from jumping from heights while strengthening the promotion of community building fall safety in order to restrict access to lethal means.
Providing Free Vaccination for High-risk Groups
Since vaccination proves to be the most effective intervention measure for infectious diseases, in order to enhance protection for infants, children, the vulnerable, elderly, and high-risk groups, the city has continued to carry out influenza vaccination, rotavirus vaccination, pneumococcal vaccination, routine vaccination policies to maintain high vaccination completion rates and gradually introduce new vaccination plans. At the same time, vaccination effectiveness, vaccination service quality, and related infectious disease prevention and control effectiveness have been comprehensively enhanced to protect citizen health and reduce the threat of disease.
Promoting the Community
Integrated Care Service Plan
With the city’s accelerating population ageing and increased long-term care and medical needs, the existing long-term plan services each have its own norms and service situations, lacking cross-disciplinary, cross-departmental, and cross-medical system integration. In order to integrate the expertise of health and social administrative units and properly carry out labor of division, new community integrated care service plans have been promoted. Through integrative medicine and mobile home services, the frequency of elderly hospital visits and repeated medication administration can be reduced to avoid medical resource waste, thereby providing more comprehensive and convenient medical and care services despite long-term care manpower shortages and limited subsidies.
Since the promotion of this plan in September 2016, cross-disciplinary teamwork, health and social administrative resources have been integrated. With the case service-centered single portal, integrative services are provided to people with disabilities. Since the readjustment of the community integration care system ABC service mode under the long term care policy of the Ministry of Health and Welfare in December 2017 into the medical and care integrative services beginning April 2018, the complex cases requiring professional teamwork were targeted to provide integrative services, establish a family care support service mechanism, construct community resource networks, and advocate long-term care services.
The plan has set up bases in Datong, Songshan, Neihu, Zhongzheng, and Wenshan districts since 2017. Beginning April 2018, the service bases have been extended to all 12 administrative districts of Taipei City. In 2017, 453 people received services; in 2018, 1,081 cases of persons with disability were found through the mobile home service, the case by-case service was offered to 1,448 persons, 6,762 persons accessed online inquiries. Service bases were set up within the consigned regions, and health promotion and family caregiver support activities were held three times a week, accounting for 1,417 sessions in total and 19,304 persons. In 2019, activities will continue to be promoted and conducted to benefit more long-term care service cases and their families.
Cancer Screening and Advocacy
Cancer has ranked number one among the ten leading causes of death in Taiwan for 46 years. According to research data, large-scale pop smear can reduce the incidence and mortality of cervical cancer by 60-90%, while periodic mammography and fecal occult blood examination and oral mucosal examination can also effectively reduce mortality rates of breast cancer, colorectal cancer, and oral cancer. In order to protect the city residents from the threat of cancer and improve their health, the city continues to actively promote the screening of four cancers（cervical cancer, colorectal cancer, oral cancer, and breast cancer）in order to detect cancer early for early treatment.
The city has gathered the white power including medical institutions and medical associations, as well private resources such as non-governmental organizations （NGO）and groups to build health stations and link the strengths of the masses to “serve city residents and innovate for the city” in concerted efforts. A diversity of channels are used to actively provide city residents with cancer prevention health education advocacy, screening, referral, or health consultation services, including betel nut health hazard prevention advocacy, periodic screening reminder service for the city residents, the promotion of integrative community and workplace cancer screening, etc. Additionally, the “Cancer Screening Management Center” has been set up to carry out referrals after establishing cases tested positive, thereby effectively monitoring and evaluating the number of high risk group screenings.
Elderly Social Participation Services
In order to encourage the elderly to continue promoting and enhancing social participation to prevent or delay ageing, the communities provide local services, coupled with relevant welfare resources, the provision of care visitations, telephone greetings and inquiries, referral services, catering services, health promotion, and other diverse services, so as to establish a continuous care system. As of 2018, the number of care service bases totaled 395 locations. Through subsidies for private groups, bottom-up public participation, safe communities that safeguard elders have independently formed, which protect the living safety and mental and physical health of elders, which enhance their quality of life.
Drug Use Prevention Strategy for Minors
In order to control the recidivism of juvenile drug offenders, the city has developed all-rounded services and multi-modal treatments to cope with the issue. The relevant bureaus and divisions have also been integrated to develop preventive strategies and cooperate in undertakings. The Ministry of Education adopts three levels of preventive measures, namely, prevention advocacy, inspection and screening, and community service counseling, to execute campus drug abuse prevention work; police stations also strengthen investigation on whole class drug crimes, while the Juvenile Affairs Division of Taipei City Police Department（Juvenile Counseling Section）conducts juvenile crime prevention, counseling services for juveniles displaying deviant behaviors, counseling for juvenile groups, education advocacy, and so on; after the Department of Social Welfare, Taipei City Government receives related reports, the Juvenile Welfare Service Center and relevant private groups will provide services and disciplinary parenting education targeting parents whose children use drugs.
For more serious juvenile cases, “special youth: youth integrative drug addiction treatment and medical subsidy services” are provided. Through case management services, protection, assistance, and addiction abstinence medical resources are integrated to provide the youth with drug abstinence services, develop addiction prevention community building, set up a drug addiction prevention system, hold cross-bureau and cross-division meetings, set up communication software groups, establish referral mechanisms, strengthen contact and information exchange among police stations and schools, etc., thereby strengthening horizontal links.
Establishing a Dementia Support Network
In order to provide comprehensive, high-quality and high-accessibility medical services for dementia patients, the city’s seven hospitals and united hospitals have signed a contract to provide dementia checkups, diagnoses, and related medical services to citizens aged above 65. Targeting suspected dementia cases, initial screening, confirmed diagnosis, case requirement assessment, and other services are provided to monitor the cases and log in the city’s dementia case management system, in the hope of enhancing care and quality of life for patients with dementia and their families.
Expand Nursery Service Model
Population growth is an important factor contributing to the sustainable development of a nation. An observation of Taiwan’s demographic trends in recent years shows that the challenge of “low birth rates” has directly led to a population growth slowdown, resulting in a drastic decrease in the young and middle-aged population, affecting the country’s future tax revenues, labor, and economic growth, which pose a threat to national development and competitiveness. It is the city’s goal to resolve the problem of day care for double income families, encourage childbirth, and construct a friendly childbirth and child rearing environment.
In order to lessen the burden of child rearing and child care on parents and provide childbirth and child rearing incentives to encourage the population at the right age to get married and have children.
The city plans to through advancing construction expansion set up additional small and large public nursery facilities （including two modes: private management of public nursery centers and community public nursery homes） in social housings, campus free spaces, urban renewal feedback welfare facilities, and other bases. As of 2018, 70 locations were set up, accommodating 1,425 infants and toddlers and providing affordable, high-quality, community-based, high-accessibility preschool services and care to families with children rearing needs. At the same time, through multi-policy incentives, high-quality private nursery centers and home nannies are encouraged to join the city’s publicization service units, construct public-private cooperative care, expand the city’s overall nursery service supply momentum, and move toward the goal of making parents rest assured that they can send their children to nursery and go to work with peace of mind.