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Pengpid, Supa
- Multimorbidity Increases the Risk of Falling among Indonesian Elderly Living in Community Dwelling and Elderly Home : A Cross Sectional Study
Authors
1 University of Indonesia, ID
2 Department of Research & Innovation, University of Limpopo, Polokwane, ZA
3 HIV/AIDS/STIs and TB Research Programme, Human Sciences Research Council, Pretoria, ZA
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 2263-2267Abstract
The prevalence of fall increases with increasing ages. Falling is significant health problem in elderlyand the risk increases significantly when they have chronic diseases such as, cardiovascular diseases, metabolic problem, urogenital diseases, digestive diseases, respiratory diseases, musculoskeletal and malignant diseases. elderly also vulnerable on suffering multiple chronic illness. This study aimed to identify the influence of multimorbidity to the incidence of fall in elderly.
A cross sectional approach was used for this research, and, based on simple random sampling, a total of 427 elderly individuals (>60 years old). The data collection was based on the use of one set of questionnaires consisting of the demographic characteristics (age, gender, education background and economic status), the list of fifteen common chronic illness including suffered by the elderly as the risk factor for fall, and the incidence of fall within the las 12 month as the outcome.
This study demonstrated that fall incidence among the elderly is significantly linked to the presence of chronic illness. The number of chronic conditions is significantly influencing the incidence of fall among elderly. The elderly who have more than two of chronic illness likely to have fall 2 times higher that those who have less than two chronic illness.
Keywords
Chronic Illness, Multimorbidity, Elderly, Fall.- Competency-Based Assessment of Public Health Professionals in the Northeastern Region, Thailand:An Exploratory Factors Analysis
Authors
1 Doctor of Public Health Program Student, Faculty of Public Health, Mahasarakham University, Mahasarakham, TH
2 Faculty of Public Health, Mahasarakham University, Mahasarakham, TH
3 ASEAN institute, Mahidol University, Nakhon Pathom, TH
4 Public Health Official, Mahasarakham Provincial Public Health Office, TH
Source
Indian Journal of Public Health Research & Development, Vol 11, No 1 (2020), Pagination: 1735-1740Abstract
Competency-based assessment of health professionals is important required for human resource for health development in Thailand. There are various efforts to improve a professional standard in public health professionals, but there is a lack of understanding of the competency of public health professionals, especially the competency-based assessment suitable for public health professionals. This study aimed to investigate the competency of public health professionals at the primary care service level in Northeastern, Thailand.
This research is a quantitative cross-sectional survey. Data collected by a questionnaire was conducted in 862 public health professionals in the northeast of Thailand. The exploratory factor analysis (EFA) method was applied to analyze the correlation effects of the 30 estimating competency-based assessment.
The results were revealed that their competency-based assessment as three aspects following: (1) Health care analysis and management (2) Public Health Professional Sciences (3) Basic Health Sciences. Additionally, The 3 groups of competency-based assessment were included 30 items suitable for the current sample. These factors accounted for 66.60% of the variance.
In conclusion, this finding is significantly recommendations to policy makers to improve and initiate a new policy or guidelines for public health education and human resource for health production and management in Thailand on the basis of their specific needs. Especially, the competency-based assessment from this research provide an excellent framework for developing a public health curriculum in the future in Thailand.