The National Programme for Health Care of the Elderly: A Review of its Achievements and Challenges in India

Vaishnav, Lokesh Mukut; Joshi, Shiv H; Joshi, Abhishek; Mehendale, Ashok M

doi:10.4235/agmr.22.0062

Cited by 20 publications

(12 citation statements)

References 51 publications

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“…The National Programme for Health Care of the Elderly (NPHCE) in India has been envisaged to provide promotional, preventive, curative, and rehabilitative services in an integrated manner for the elderly in various government health facilities. However, the challenges in implementation include providing acute services, establishing infrastructure, and ensuring enabling environment for healthy ageing [28]. Only recently was a nationally representative survey of older persons in India undertaken and released this year, 2022 [29].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Non-Communicable Diseases and Its Associated Factors Among Urban Elderly of Six Indian States

Chobe¹,

Chobe²,

Dayama³

et al. 2022

Cureus

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The aim of this study is to investigate the prevalence, impact of health determinants on non-communicable diseases (NCDs), and multimorbidity among urban elderly in India. MethodsThis is a cross-sectional study involving a total of 1,671 (870 male and 801 female) respondents aged 60-80 years. Multistage sampling was used for the recruitment of the participants. A total of 12 sample areas from 12 cities of six southern states of south India were selected. Through survey form, information regarding demographic characteristics, health-influencing lifestyle factors, and history of nine NCDs was collected. ResultsThe mean age of participants was 68.5 ± 6.01 years.. The prevalence of hypertension was 40.4%, followed by diabetes (31.2%), arthritis (22.1%), sensory impairment (10.1%), heart diseases (7.8%), and dyslipidemia (7.0%). 74.1% of participants had at least one morbidity, and 40.0% of people had multimorbidity. Being overweight is the highest risk health determinant for hypertension, diabetes, heart disease, high cholesterol, stroke, and joint pain. Obese people have 64% more risk of hypertension than people with normal BMI. People with disturbed sleep have increased risk of hypertension, high cholesterol, and joint pain by more than 80% compared to people with proper sleep. Among the modifiable health determinants of obesity, disturbed sleep, constipation, and physical activity up to 30 minutes were positively associated with multimorbidity. Those in the age group of 70 to 80 years have a high risk for NCDs and multimorbidity compared to those in the age group of 60 to 70 years. ConclusionsA healthy lifestyle is necessary to reduce the burden of NCDs among the elderly. Developing holistic health policies seems an urgent need.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Non-Communicable Diseases and Its Associated Factors Among Urban Elderly of Six Indian States

Chobe¹,

Chobe²,

Dayama³

et al. 2022

Cureus

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“…16 Under the National Programme for Health Care of the Elderly (NPHCE) there is a dedicated OPD day once a week, especially for elderly individuals at primary health care and twice a week at every community healthcare center and taluk hospital of the district. 17 Elderly care equipment such as walking sticks wheelchairs etc. is provided at the healthcare centers.…”

Section: Accountabilitymentioning

confidence: 99%

Barriers to access healthcare among the elderly population in rural regions of India

Zaidi,

Sharma,

Chaudhary

et al. 2023

Int J Community Med Public Health

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Aging care is critical. Hence, the best-known newly developed technologies must be provided to the older population. This paper explains the need for mapping of strategies that must address preventive and promotional care and sickness management, empowering geriatric services, and guaranteeing optimal rehabilitation for the elderly population of India. Databases considered to carry out the literature review was Scopus, PubMed and Web of Science. Scientific articles published in English were only considered. Apart from scientific articles, government report, and newspaper articles, were also reviewed. Data was managed in Mendeley software. Articles based on elderly residing in urban populations and other age groups were excluded from the study. There are multiple barriers between the elderly beneficiaries and the healthcare services which stop the utilization of healthcare services. It can be demographic, aging, geographic, economic, accessibility, psychological, housing, transportation, medical, and social. Financial security is the top reason for not availing of healthcare services, followed by the perception that the ailment is not serious enough. The second reason was the unavailability of accessible healthcare facilities. Therefore, elderly people residing in rural regions, are more prone to varying diseases and are vulnerable to health inequity among other age groups in India. Considering the projected demography, it will only get worse until there is an intervention and feasible infrastructure, healthcare facilities, and services are provided in collaboration with local stakeholders and program monitors.

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“…India has a steadily growing geriatric population, estimated to increase to 194 million (17% of the total population) by 2031. With increasing longevity, age-related illnesses result in greater health and social care needs [ 1 ]. Self-care is assumed to be important as the initial health response in these resource-constrained communities before individuals seek external care [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Self-Care Practices and Health-Seeking Behaviors Among Older Adults in Urban Indian Slums: A Mixed Methods Study

Murugan,

Parmar,

Hirani

et al. 2024

Cureus

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Background Effective self-care is crucial for maintaining health among older adults in resource-constrained communities. This study examined self-care practices, health-seeking behaviors, and associated factors among older adults in urban slums in India. Materials and methods A mixed methods study was conducted among 432 adults aged ≥65 years. Participants were selected through multistage random sampling from five slum areas. Self-care practices, health-seeking behaviors, demographic information, chronic conditions, self-efficacy, and health literacy were assessed through interviews. The qualitative data was explored through in-depth interviews with 30 participants. Results Inadequate health literacy (194, 45%) and low self-efficacy (162, 37.5%) were common. While 324 (75%) had an adequate diet and 378 (87.5%) took medications properly, only 86 (20%) monitored diabetes complications. Only 194 (45%) of the patients underwent recommended cancer screening, and 324 (75%) of the patients saw doctors ≥twice a year. Age, sex, education, income, comorbidities, self-efficacy, and health literacy had significant associations. Alongside facilitators such as social support, barriers such as limited healthcare access and suboptimal prevention orientation emerged. Conclusion Suboptimal prevention orientation and overreliance on secondary care instead of self-care among elderly people are problematic given the limited use of geriatric services. Grassroots health workers can improve health literacy and self-efficacy through home visits to enable self-care. Healthcare access inequities for vulnerable groups merit policy attention.

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The National Programme for Health Care of the Elderly: A Review of its Achievements and Challenges in India

Cited by 20 publications

References 51 publications

Prevalence of Non-Communicable Diseases and Its Associated Factors Among Urban Elderly of Six Indian States

Prevalence of Non-Communicable Diseases and Its Associated Factors Among Urban Elderly of Six Indian States

Barriers to access healthcare among the elderly population in rural regions of India

Self-Care Practices and Health-Seeking Behaviors Among Older Adults in Urban Indian Slums: A Mixed Methods Study

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