Barriers to access healthcare among the elderly population in rural regions of India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20233498Keywords:
Accessibility, Elderly, Geriatric, Psychological, SocialAbstract
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.
References
Nair MR. Plight of senior citizens: No strength in numbers for them. 2015. Available at: https:// www.hindustantimes.com/ -strength-in-numbers-for-them/story-msscZzfYz4njBuUSOgkS. Accessed on 09 September 2023.
Adhikari H. Successful Aging and Poor Rural Elderly Population in India. J Gerontol Geriatric Res. 2016;05(02).
Prasad R. Problems of senior citizens in India. Int J Humanities Soc Sci Res. 2017;3(1):35-7.
World Health Organization. Active Ageing: The Concept and Rationale. In: Active Ageing A Policy Framework. Available at: http://whqlibdoc.who. int/hq/2002/WHO_NMH_NPH_02.8.pdf?ua=1. Accessed on 09 September 2023.
Indian Census 2011. Senior citizens - status in India. Available at: https://vikaspedia.in/social-welfare/ senior-citizens-welfare/senior-citizens-status-in-india. Accessed on 09 September 2023.
Gupta I, Dasgupta P, Sawhney M. Health of the Elderly in India. Journal of health & Population in developing countries. Washington (DC): National Academies Press (US). 2012.
India Ageing Report. 2017. Available at: GOI-UNFPA.PDF. Accessed on 09 September 2023.
Coffey D, Gupta A, Hathi P, Khurana N, Spears D, Srivastav N, et al. Revealed Preference for Open Defecation. 2014;(38):13.
Srinivas Goli (JNU). Rural-Urban Divide in Health Status. India Enumerated. Geography and you. 2012;54-5.
Bowman V. Global health. The Guardian (International Edition). 2017. Available at: https://www.theguardian.com/global-development/ 2017/dec/14/almost-100-million-people-a-year-choose-food-healthcare-extreme-poverty. Accessed on 09 September 2023.
European Commission. Ageing Report 2012. Available at: https://ec.europa.eu/economy_finance/ publications/european_economy/2012/pdf/ee-2012-2_en.pdf. Accessed on 09 September 2023.
Blazer DG. Social support and mortality in an elderly community population. Am J Epidemiol. 1982;115(5):684-94.
Bowling A. Aspirations for Older Age in the 21st Century: What is Successful Aging? Int J Aging Human Develop. 2007;64(3):263-97.
Animasahun VJ, Chapman HJ. Psychosocial health challenges of the elderly in Nigeria: a narrative review. Afr Health Sci. 2017;17(2):575.
Ram U, Jha P, Gerland P, Hum RJ, Rodriguez P, Suraweera W, et al. Age-specific and sex-specific adult mortality risk in India in 2014: analysis of 0•27 million nationally surveyed deaths and demographic estimates from 597 districts. Lancet Glob Health. 2015;3(12):e767-75.
Ministry of AYUSH. New Delhi, India: Government of India. 2021. Guidelines for Yoga practitioners for COVID 19. Available at: https://www.ayush.gov. in/docs/yoga-guidelines.pdf. Accessed on 09 September 2023.
Vaishnav LM, Joshi SH, Joshi AU, Mehendale AM. The National Programme for Health Care of the Elderly: A Review of its Achievements and Challenges in India. Ann Geriatric Med Res. 2022;26(3):183-95.
