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ELDERLY CARE IN INDIACHANGING PERSPECTIVES

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Title: ELDERLY CARE IN INDIACHANGING PERSPECTIVES


1
ELDERLY CARE IN INDIA-CHANGING PERSPECTIVES
  • DR. K.L.SHARMA
  • INDIAN GERONTOLOGICAL ASSOCIATION, INDIA

2
TRADITION SPEAK
  • One who always serves and respects elderly is
    blessed with four things Long Life, Wisdom,
    Fame and Power
  • Manusmriti Chapter 2121

3
Worldwide Trend of Population of 60 Years and
Above 1980-2020
United Nations,World Demographic Estimate and
Projections
4
Proportion of Aged 60 and Over Population (in Per
cent) 
United Nations,World Demographic Estimate and
Projections
5
Elderly Population-Facts!
  • Aging of population is an end product of
    demographic transition.
  • The number of elderly people in developing
    countries is almost 3-4 times of that of
    developed countries.
  • The developed countries have already experienced
    the consequences of this transition.

6
Elderly Population-Facts!
  • World population of 6.1 billion at the dawn of
    21st century is likely to become 9.3 billion in
    2050 (UN 2004).
  • Global aged population from 595 million to 2
    billion a four fold rise-by 2050!
  • In terms of proportion -10 in 2000, 15 by 2025,
    rising to 21.6 by 2050.

7
Elderly Population-Facts!
  • 73 of deaths in the elderly are related to
    heart diseases, smoking and cancers.
  • 20 of doctors visits, 30 of hospital days and
    50 of bedridden days are ascribed to elderly
    patients.
  • Expansion of morbidity even though increased
    life expectancy due to chronic non-communicable
    diseases.

8
Elderly in India -Facts!
  • 24 million in 1961 increased to 77 million in
    2001
  • Projected to rise to 179 million in 2031 and 301
    million in 2051.
  • 70 and above projected to increase from 29
    million in 2001 to 132 million in 2051.
  • 80 would be fastest to grow 8 million in 2001
    to 32 million in 2051.

9
Elderly in India -Facts!
  • 2nd largest elderly (60) population in the world
    (2001)
  • 80 are in rural areas
  • 40 are below poverty line
  • over 73 per cent are illiterate.
  • about 90 of the old people have no official
    social security (i.e., without PF, Gratuity and
    Pension etc).

10
Elderly in India -Facts!
  • Life expectancy 31.7 years in 1941 increased to
    60.5 years in 2000.
  • 55 of the women of 60 years and above are
    widows.
  • Older women most vulnerable.
  • Elderly poverty is a major risk of ageing in
    developing countries.

11
Not just the numbers
  • Family structure is changing to nuclear/small
    unit families.
  • Without the safe, secure and dignified status in
    the family, the elderly are finding themselves
    vulnerable.
  • Welfare of the elderly has been a low priority
    with the state

12
Distribution of Aged Persons by State of Economic
Dependence (n1000)
National Sample Survey 52nd Round Survey, 1995-96
13
Distribution of  Care Provider of Economically
Dependent Aged
National Sample Survey 52nd Round Survey, 1995-96
14
The Support
  • The major thrust has been on improving the health
    status of children and women
  • Geriatric services are largely unorganized.
  • There are 186 old age homes, 233 day care centers
    and 28 medical vans
  • These are managed by NGO/network of PHC and
    subentries in the rural areas.

15
Geriatrics in India
  • Most hospitals do not have a special geriatric
    facility. At present most elderly patients are
    still being treated in general medical wards.
  • There is only one hospital in Chennai that gives
    post-graduate (M.D.) education in geriatric
    medicine!
  • Similarly the nursing and other para-medical
    staff are not formally trained in providing care
    for elderly patients.

16
Distribution of Chronic Diseases in Aged (n1000)
National Sample Survey 52nd Round Survey, 1995-96
17
Distribution of Physical Disability in
Aged (n1000)

National Sample Survey 52nd Round Survey, 1995-96
18
The policy Initiative in India
  • 1999 Indian Government announced a National
    Policy on Older Persons
  • policy implementation is to be monitored by 
    National council for Older Persons (NCOP).
  • joint responsibility of the state and Central
    governments
  • in December 2007 Indian parliament has passed a
    bill known as Maintenance of parents and Senior
    citizens Act

19
Policy aims to.
  • to encourage geriatric units in hospitals and
    clinics
  • infirmary care units
  • emphasis on family care of the aged through
    incentives and schemes for the needy families
  • promotion of values through formal education and
    media
  • subsidizing old age homes and day care centers

20
Geriatric Nursing Care Workshop (November 07)
  • In collaboration with NICE/ICCE
  • 5 day workshop
  • Attended by nursing staff of different hospitals
    in the state of Rajasthan, India.

21
Aims of the Workshop
  • Provide improved ideas and practices in the Care
    of elderly
  • Refine existing practitioners skill in the care
    of elderly
  • Draw attention of general practitioners to the
    needs of care of elderly
  • Positively influence Government policy
    initiatives on geriatric care

22
Indian Gerontological Associationwww.gerontologyi
ndia.com
  • Established in 1968
  • Devoted to well being of Senior citizens
    research on ageing
  • Indian Journal of Gerontology -1969
  • Affiliated to IAGG in 1971

23
Indian Gerontological Association
  • Runs a Day Care Centre
  • Runs a counselling centre for elderly
  • Organises training for family care givers
  • Organises lectures on diseases common in old age
  • Consultancy for NGOs working for elderly

24
In Summary
  • Elderly population in India is increasing.
  • Status of elderly changing in family.
  • Geriatrics is in incipient stage.
  • NGOs have important role to play in creating
    awareness, imparting information and training of
    support services.
  • We need to learn from the model of geriatric care
    in the developed countries.

25
THANKS
By Dr. K.L. SHARMA
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