Health Need Assessment Of Geriatric Patients In Rural Wardha, Central India: A Mix Method Study

Background: The phenomenon of population ageing is inevitable. United Nations has defined Population 'ageing or graying nation' where 7% of total population is over 60 years of age. India already has crossed the bar with 8% population above 60 years of age as per census 2011. To address ever growing needs of geriatric population, the first step is to identify and assess those needs. Present study is conducted with objective to assess the health, psychosocial and financial needs of geriatric population in rural Wardha. Methods: This is a community based cross sectional study using mix methods. The Present mix method study had two components - a. Quantitative component: comprising of details on socio-demography, psychosocial needs and financial dependency measured in all 60 participants using predesigned questionnaire and b. Qualitative component: comprises of 10 In Depth Interviews (2 IDI per ward) of elderly participants in community and 5 exit interviews of elderly participants those availed services at PHC. Content analysis of qualitative data was done manually while quantitative data is reported using frequency and percentages. Results: PHC was the first point of contact for 65% of elderly, but most of them were not satisfied with the services and the reason for dissatisfaction was long queue for OPD registration, long waiting period, no sitting arrangement while waiting, frequent non- availability of medicine. Irregular availability of medicine was reported as reason for skipping medicines and out of pocket expenditure. Financial dependency on children limits elderly in healthcare decision making. The recreational activities were limited to taking care of their grand-children, watching TV, and engaging in household activities. Conclusions: Elderly have very basic needs that can be addressed in present setting like a separate queue for registration, adequate sitting arrangement in waiting area, regular availability of medicines. Complete Healthcare insurance of elderly may be a solution to prevent out of pocket expenses.