scholarly journals Unmet health care needs of elderly residing on urban areas of Sunsari District, Nepal. A Cross Sectional Study

2020 ◽  
Author(s):  
Mukesh Poudel ◽  
Asmita Ojha ◽  
Deepak Kumar Yadav ◽  
Ram Bilakshan Sah ◽  
Avaniendra Chakravartty ◽  
...  

Abstract Background: The global aging population is in increasing trend. Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. There can be various types of issues such as health problems, health care utilization, physical and social care which should be carefully assessed and addressed. This study aimed to assess the unmet health care needs among elderly. Methods: A Community based, House to House, Cross-sectional study was conducted in urban areas of the sunsari district using face to face interviews. The sample size of 530 elderly was selected by a systematic proportionate random sampling technique. Results: This study unfurled the prevalence of unmet need for consultation for Nearsightedness 52.3%, Farsightedness 53.7%%, Hearing 79.7%, Dental 79.4%, Hypertension 6.7%, Diabetes 3.9%, CVD 5.3 % among those with these specific health needs and of at least one Unmet Health care need to be 64.9% among the studied participants. At least one unmet health need was significantly associated with higher odds among elderly age more than 70, of dalit and janajati ethnicity, illiterate, poor, those with difficulty leaving home, the distance of health facility > 30 mins, and those with depressive symptoms. Conclusion: The study highlighted the higher prevalence and associated factors related to unmet health care needs among the elderly which should be addressed to promote healthy ageing. There is an urgent need to promote geriatric health services and make it available at the primary health care level the first level of contact with a national health system.

2019 ◽  
Author(s):  
Mukesh Poudel ◽  
Asmita Ojha ◽  
Deepak Kumar Yadav ◽  
Ram Bilakshan Sah ◽  
Avaniendra Chakravartty ◽  
...  

Abstract Background : Global ageing population is in increasing trend. Morbidity increases with age and enhances the burden of health problems that results in new challenges to meet the additional demands. There can be various types of issues such as health problems, health care utilization, physical and social care which should be carefully assessed and addressed.Objective : This study aimed to assess the unmet health care needs among elderly.Methodology : A Community based, House to House, Cross sectional study was conducted in urban areas of sunsari district using face to face interview. Sample size of 530 elderly were selected by Systematic proportionate random sampling technique.Results : This study unfurled the prevalence of unmet need for consultation for Near vision 52.3%, Far vision 53.7%%, Hearing 79.7%, Dental 79.4%, Hypertension 6.7%, Diabetes 3.9%, CVD 5.3 %, and of at least one Unmet Health care need to be 64.9%. At least one unmet health need was significantly associated with higher odds among elderly of age more than 70, of dalit and janajati ethnicity, illiterate, poor, those with difficulty leaving home, distance of health facility > 30 mins, and those with depressive symptoms.Conclusion : The study highlighted higher prevalence and associated factors related to unmet health care needs among elderly. There is an urgent need to promote geriatric health services and make it available at the primary health care level.


Author(s):  
Akanksha Lazarus ◽  
Aarti Sahasrabudhhe ◽  
V.K. Arora

Background: Population ageing is global phenomenon. In India, size and share of elderly population is growing fast. The elderly due to increased morbidity from chronic disease have long term health care needs. The cost of the health care during old age appears to be very high. Objectives: 1. To determine health seeking behaviour of elderly rural population of Indore.        2. To assess their out of pocket expense. Methods: A Cross sectional study was conducted at Field practice area of Index Medical College, Indore in November 2017 to February 2018. A semi structured questionnaire was administered using the interview technique. Sample Size calculated was 250 by Simple Random Sampling. Elderly 60 years of age and above were included in the study. Study variables included sociodemographic parameters such as age, sex, education, occupation, socioeconomic status, and marital status. Data entry and statistical analysis used SPSS version 20.0.  Results:  Out of 250 participants 139 were males and 111 were females.76.2% elderly suffering from chronic illness were on regular treatment, Prevalence of chronic illness (75.9%) was highest in participants who were above 80 years. The reason for not taking regular treatment in 57.7% elderly was expensive medicines and 29.6% showed ignorance towards health seeking in terms of treatment prescribed, 62% participants get the money from their children or other family members for their health care needs. Conclusions: Out of the total expenditure on health care, nearly half of it is towards medicines. Treatment cost for chronic morbidities is also quite high. When older persons are economically dependent, increasing health expenditure adds to the economic burden on the family. Elderly patients should be encouraged to visit government health setups and avail the benefits of various government health policies. Keywords: Ageing, elderly, rural, health seeking, out of pocket expenses.


2020 ◽  
Vol 18 ◽  
pp. 101074 ◽  
Author(s):  
Y.J. Evers ◽  
C.J.P.A. Hoebe ◽  
N.H.T.M. Dukers-Muijrers ◽  
C.J.G. Kampman ◽  
S. Kuizenga-Wessel ◽  
...  

CMAJ Open ◽  
2017 ◽  
Vol 5 (2) ◽  
pp. E354-E358 ◽  
Author(s):  
Anna Oda ◽  
Andrew Tuck ◽  
Branka Agic ◽  
Michaela Hynie ◽  
Brenda Roche ◽  
...  

2007 ◽  
Vol 44 (8) ◽  
pp. 1296-1303 ◽  
Author(s):  
Maud M. Heinen ◽  
Anke Persoon ◽  
Peter van de Kerkhof ◽  
Marisol Otero ◽  
Theo van Achterberg

Author(s):  
K. Kriti Bhat ◽  
M. C. Yadavannavar

Background: With the increasing life expectancy, the population around the world is growing old at a higher rate. Ensuring their quality of life and addressing their health care needs is a major challenge ahead. Elderly women are more vulnerable and there is a dearth for information regarding their health problems in India. Therefore, this study was undertaken focusing on the health problems of rural elderly women. The objective of the study was to assess the morbidity pattern of rural elderly women.Methods: A community based cross-sectional study was conducted in the rural field practice area of Shri B M Patil Medical College, Vijayapura from November 2015 to February 2016. A house-to-house survey was done and 200 women aged ≥60 years were included in the study. They were interviewed using pretested and predesigned questionnaire after obtaining informed consent. Information regarding demographic profile, present or past illness, economic history and physical activity of daily living were collected. Analysis was done using SPSS v.16 and data was represented using proportions and percentages.Results: Majority of the participants were illiterate (96.4%). Most (83.6%) of them were financially dependent. Most common chronic illness was arthritis (73.3%) and visual problem (58.8%).Conclusions: Our study reveals majority of the elderly women are suffering from one or multiple chronic illnesses. As a matter of fact, there is an urgent need to develop better health care services for the elderly women residing in rural areas.


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