​​​​​​Health4All@Toa Payoh: Achieving Health Equality through Health Equity (Health4All@TP)

Singaporeans enjoy a long lifespan, but spend the last 10 years of their life in ill health. While the focus on health systems has traditionally been on improving clinical care to improve health, it has been estimated that non-healthcare factors (e.g., social, environmental, and behavioural factors) account for 80% of health outcomes. As individuals vary in their environmental and social exposures due to ascribed or achieved individual differences (e.g., socio-demographic characteristics), there is a need for a differentiated approach to achieve ​health equality in our population.

​Aims and Objectives

Health4All@Toa Payoh aims to improve the health of residents in Toa Payoh, by understanding and addressing the physical, mental, and social health inequalities in this community.
The key objectives are to:

• ​Identify groups in Toa Payoh with poor physical, mental, and/or social health and understand the biopsychosocial determinants of their health;
• Understand the online and offline social networks in Toa Payoh and how they can be leveraged to improve health; and;
• Harness social networks, novel technologies, new care models to improve health in Toa Payoh

There are three main strategic thrusts in Health4All@Toa Payoh:

Thrust 1: Feeling the pulse of the community and identifying health inequalities
Thrust 2: Understanding health inequalities in the community
Thrust 3: Innovative interventions to improve health literacy, self-care, and foster community social support

These are anchored by Health4All@Toa Payoh: The Community – a large representative resident cohort who will be followed up longitudinally, to obtain data on bio-psycho-social factors and changes in life circumstances to understand how they influence health outcomes over time.