Application of WHO 10-Minute Comprehensive Screening Tool in Age- friendly Primary Health Care (AFC) Center in Sub-urban area

Introductions: World Health Organization (WHO) has recognized the critical role of primary health care (PHC) centers in caring of age people. With the rapidly increasing number of age population in the community, the services are more diverse, complex and challenging for PHC centers. The 10-minute comprehensive screening tool for elderly was developed by WHO. It is a practical tool for screening elderly health care in the primary care setting. Methods: We started a pilot project based on WHO age-friendly primary health care toolkits at 3 sub-urban communities in Eastern Taiwan. The project included programs of training for staffs and volunteers, screening for every elderly visiting the health care center for the four geriatrics giants-memory loss, urinary incontinence, depression and falls, and improving the elderly friendly physical environment. Results: The preliminary results of the screening for ‘geriatrics giants' showed that the incidences of urinary incontinence and depression are 32.6% and 13% respectively. Experience of falls in recent year is 26.9%. The history of falling were related with urinary incontinence(p<0.05) and depressive moods(p<0.05). Conclusions: The WHO age-friendly primary health care toolkits are easily to use in the primary care setting. The 10-minute screening tool can be completed by trained volunteers, and the health care team can manage patients' problems depending on the abnormal screening results. This study showed a high prevalence of urinary incontinence and fall in primary care center in sub-urban area.