Ashokkumar, T (2006) Needs Assessment of the Elderly People in a Rural Community in Coimbatore. Masters thesis, PSG Institute of Medical Sciences and Research, Coimbatore.
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Abstract
INTRODUCTION : All over the world the life expectation of people is increasing. Population Ageing is the result of demographic transition with reduction in fertility leading to Decline in the proportion of young in the population and at the same time there is Increasing longevity. It indicates the triumph of public health and advancement of Medical technology; this demographic transition is under way throughout the world. Unfortunately, the rapidity of population ageing is expected to continue to outpace Social and economical development in developing countries particularly in Countries like India. Today, worldwide, there are some 600 million persons aged 60 and over; This total will double by 2025 and will reach virtually two billion by 2050 when there Will be more people aged 60 and over than children under the age of 15. From a mere 5.1% in 1901, the elderly will become 21% of the population By the year 2050, estimates a United Nations projection. Most of them will be living In developing countries which are often least prepared to meet the challenges of Rapidly ageing societies. In other words WHO says “Developing countries will Become old before they become rich while industrialized countries became rich While they were growing old.” 2. OBJECTIVES 1. To assess the extent of physical disabilities, the morbidity load and unmet needs in physical disabilities for care of Elderly in a rural community. 2. To identify the predictors of unmet needs in physical disabilities of elderly so that they can act as surrogate markers to identify those in need of the services. CONCLUSIONS : 1. Since there is high morbidity load among the rural elderly, hence it is recommended that we need to provide them with elderly-friendly primary geriatric care services. 2. Since it is also clear that large number of needs of the disabled are unmet, there is a need for a new policy initiative focusing on strengthening of Community Based Rehabilitation Services (Family oriented programs, day care centers), support for family caregivers and social support interventions. 3. Greater, targeted efforts are needed to identify at-risk elderly people living in the community and to provide services (e.g. home care, community based rehabilitation services) that may reduce the burden of unmet need. 4. There were large number of undiagnosed diseases (Hypertension, Cataract etc..) and so there is a need for starting simple screening programs among the elderly like blood pressure measurement, eye camp for cataract screening, simple blood investigations to detect diabetes and anemia and oral cavity examination-for detection of precancerous lesion in mouth, taking pap smear -a simple procedure of detecting early cancer cervix.. 5. Availability of tools like the Stanford Health Assessment Questionnaire in all the major Indian languages to identify functional disability and unmet needs will provide an opportunity to do a comparable study in different parts of India. 6. This study identified broad socio-demographic and health status factors which could act as surrogate markers (predictors of unmet needs) which are simple enough to be used by Primary care workers. Data thus generated can then be used to plan and provide quality care services to the rural elderly who need it most.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Needs Assessment ; Elderly People ; Rural Community ; Coimbatore. |
| Subjects: | MEDICAL > Community Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 24 Jul 2017 07:31 |
| Last Modified: | 24 Jul 2017 07:31 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/1281 |
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