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Population Ageing: Health and Social Care of Elderly Persons


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1 Tata Institute of Social Sciences (TISS), Deonar, Mumbai 400088, India
     

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India has over 100 million older persons (Census 2011), which is projected to triple by 2050. The growing cohort of elderly especially the 'oldest-old', has implications for the health and social systems, as they have greater demand for long term care. Given the changing social-cultural context withering intergenerational bonding and filial piety, the State will have to play a greater role in caring for them. This paper examines the role of age, morbidity, limitations in ADL and IADL, disability and dementia among elderly viz-a-vis long-term care availability and unmet needs in terms of both health and social-care by presenting a situational analysis of health and care needs of elderly people. It presents the factors leading to changing demand, access to and supply of care that need to be considered while designing care models for them. Strengthening primary health care and innovative community based models can be a possible solution to address their needs.
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  • Alzheimer’s and Related Disorders Society of India, ARDSI (2010),The Dementia India Report: Prevalence, Impact, Costs and Services for Dementia: Executive Summary, (Eds.) Shaji K.S., Jotheeswaran A.T., Girish N.,SrikalaBharath, Amit Dias, MeeraPattabiraman and Mathew Varghese, ARDSI, New Delhi, Accessed online at http://www.alzheimer.org.in/assets/dementia.pdf.
  • Arokiasamy, Perianayagam, et. al. (2012), Longitudinal Aging Study in India: Vision, Design, Implementation, and Some Early Results, in Aging in Asia: Findings from New and Emerging Data Initiatives, James P. Smith and Malay Majmundar (Ed.).
  • Campolina, A.G., F. Adami, J.L.F. Santos, M.L. Lebrão, A.G. Campolina, F. Adami, … Lebrão, M.L. (2014), Expansion of Morbidity: Trends in Healthy Life Expectancy of the Elderly Population, Revista Da Associação MédicaBrasileira, 60(5), 434–441, Fahey, C.J. (1996), Social Work Education and the Field of Aging, Gerontologist, 36(1): 36-41.
  • Ghosh, S. and P. Arokiasamy (2009), Morbidity in India Trends, Patterns and Differentials, Journal of Health Studies/ II/ pp. 136-148.
  • Gupta, Nidhi (2013), Models of Social and Health Care for Elderly in Norway, Indian Journal of Gerontology, 27(4): 574–587.
  • ---------- (2015), Physical and Psychological Health of Older Women in Urban India, Indian Journal of Gerontology, Vol 29(1), pp. 23-45.
  • ---------- (2016), Development, Elder abuse, Quality of life: A case of older women in India' in International Journal on Ageing in Developing Countries, Vol 1(2) :158-173, https://doi.org/10.1590/1806-9282.60.05.011
  • Levesque, et. al. (2013), Patient-centred Access to Health Care: Conceptualising Access at the Interface of Health Systems and Populations International, Journal for Equity in Health, 12:18 accessed online at http://www.equityhealthj.com/content/12/1/18 on 27 March 2017.
  • Marengoni, A., et. al. (2011), Aging with Multimorbidity: A Systematic Review of the Literature, Ageing Research Reviews, 10(4): 430-439.
  • Ministry of Health and Family Welfare (India) (2011), Operational Guidelines: National Programme for Health Care of the Elderly, Retrieved from http://mohfw.nic.in/ WriteReadData/l892s/2612656526Operational_Guidelines_NPHCE_final.pdf
  • MoHFW (2017), National Health Policy, 2017: Ministry of Health and Family Welfare, Retrieved March 26, 2017, from http://www.mohfw.nic.in/showfile.php?lid=4275
  • Munsur, Ahmed Mohammad, Tareque, Ismail, and Rahman, K.M. Mustafizur (2010), Determinants of Living Arrangements, Health Status and Abuse among Elderly Women: A Study of Rural Naogaon District, Bangladesh. Journal of International Women's Studies, 11(4): 162-176, accessed at http://vc.bridgew.edu/jiws/vol11/iss4/12.
  • National Policy for Older Persons (NPOP) (1999), http://socialjustice.nic.in/npopcomplete.php.
  • National Programme for the Health Care of Elderly (NPHCE) (2011), Accessed online at: http://mohfw.nic.in/showfile.php?lid=1403.
  • NHP (2015), Draft National Health Policy, http://www.mohfw.nic.in/showfile.php?lid=3014
  • NSSO (2014), Social Consumption: Health, NSS 71st Round Data: Jan - June 2014, from www.mospi.gov.in.
  • Registrar General and Census Commissioner of India (2013), Census of India 2011, C-13 Tables Age Data New Delhi: Office of the Registrar General.
  • Srinivasan, K., M. Vaz and T. Thomas (2010), Prevalence of health related Disability among Community Dwelling urban Elderly from Middle Socioeconomic Strata in Bangaluru, India, Indian J Med Res, 131 (April 2010): 515-521 accessed online at http://icmr.nic.in/ijmr/2010/april/0406.pdf.
  • UNFPA (2012), Living Arrangements and Family Relationships, Report on Status of Elderly in in Selected States of India, 2011, United Nations Population Fund, New Delhi. p. 71.
  • United Nations, Department of Economic and Social Affairs, Population Division (2015), World Population Prospects: The 2015 Revision, Key Findings and Advance Tables, Working Paper No. ESA/P/WP.241, Accessed online on 20 January 2016 at: (http://esa.un.org/unpd/wpp/publications/files/key_findings_wpp_2015.pdf)
  • Uppal, S. and S. Sarma (2007), Aging, Health and Labour Market Activity: the Case of India, World Health and Population, 9(4): 79-97.

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  • Population Ageing: Health and Social Care of Elderly Persons

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Authors

Nidhi Gupta
Tata Institute of Social Sciences (TISS), Deonar, Mumbai 400088, India

Abstract


India has over 100 million older persons (Census 2011), which is projected to triple by 2050. The growing cohort of elderly especially the 'oldest-old', has implications for the health and social systems, as they have greater demand for long term care. Given the changing social-cultural context withering intergenerational bonding and filial piety, the State will have to play a greater role in caring for them. This paper examines the role of age, morbidity, limitations in ADL and IADL, disability and dementia among elderly viz-a-vis long-term care availability and unmet needs in terms of both health and social-care by presenting a situational analysis of health and care needs of elderly people. It presents the factors leading to changing demand, access to and supply of care that need to be considered while designing care models for them. Strengthening primary health care and innovative community based models can be a possible solution to address their needs.

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DOI: https://doi.org/10.21648/arthavij%2F2016%2Fv58%2Fi4%2F153078