Dr. ADEBUSOYE Lawrence. A Director, Geriatric Centre Ibadan, Nigeria IBADAN GERIATRIC CENTRE and LONGTERM CARE FACILITIES IN IBADAN, NIGERIA Dr. ADEBUSOYE Lawrence. A Director, Geriatric Centre Ibadan, Nigeria

IBADAN GERIATRIC CENTRE The Ibadan Geriatric Centre was commissioned on the 17th November, 2012. Endowed by Chief Tony Anenih Management of older patients (≥ 60 years) commenced on the 13th December, 2012. 10,785 older persons (≥ 60 years) have been registered till date. 80 – 110 older persons seen at the OPD daily.

Administrative building

Outpatient building

GIS showing the spread of Older Patients registered at the Geriatric Centre

LONGTERM CARE FACILITIES IN IBADAN There are 3 LTCs in Ibadan, Nigeria. These are; Rossetti Care Home (Private) Emmanuel Alayande Rehabilitation centre (PPP) Senior Citizen Home (NGO)

ROSSETTI CARE HOMES Located at Moniya, Ibadan, Nigeria Established in 2012 Client capacity: 36 older persons Special interest: Dementia Care Private-for-profit home-based nursing care Training: In-house training

ROSSETTI HOMES

ROSSETTI CARE HOMES-contd Fees: N 75,000 (≈ $ 150 per month) Accommodation Meals Personal care Healthcare: relations source for the preferred hospital Registration: Corporate Affairs Commission of Nigeria Ministry of Women affairs, Oyo state, Nigeria. Collaboration with Geriatric centre: Informal

ROSSETTI HOMES

AIMS & APPROACHES Aims of integration: To sustain improved health and well-being of older persons in comfortable surroundings. Approaches used: Informal Transfer of older persons from the LTC to the Geriatric centre and vice versa. Co-ordination: both parties. Geriatric centre through the MSW unit LTC: through the administrator.

REFLECTIONS Positives: Challenges: Geriatric centre was involved during the construction of the care home. Available for all clients irrespective of the religion, creed & diversities The founder has experience with care homes. The care plan, fees etc well spelt-out and available online [www.rossetticare.com]. Challenges: Formal agreement between the LTC & Geriatric centre is on-going Logistic problems

IMPACTS ON OLDER CLIENTS Positives: Good care plan (well spelt-out) Integration of cultural values in care management. Good healthcare integration with Geriatric centre. Clients are involved in decisions on their care. Not so positives: Logistics

THE FUTURE Completion of the formal agreement More training collaborations. Key lessons: LTC is an integral part of the care of older persons Both parties have some form of training in the care of older persons The LTC was registered with Government.

ROLES OF STAKEHOLDERS Government: All LTCs should be registered & monitored by the Government Carers of older persons should receive formal training (Certificated courses) from accredited institutions. Establishment of the care commission for the older persons. Older persons’ bill should be passed & signed into law

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