Exploring Public Health Requirements and Service Provision for Community Geriatrics: A Mixed Method Approach Aimed at Advancing Universal Health Care

Abstract

Background

Introduction

Ageing of population, an inescapable and irreversible demographic reality is associated with felt need for added,

enhanced and quality support mechanisms in place for wellbeing and medical care of elderly especially among the

resource poor population. There is rapid rise in the ascending trends of population size, distribution and associated

facility demands, with the increase in quality of life, life expectancy and declining fertility rates. The study aimed to

assess the community health needs of geriatric population for achieving Universal Health Coverage.

Methods

This questionnaire-based study using Participatory Action Research based, in-depth interviews supported by

quantitative data collection through snow ball sampling technique was conducted in a tertiary healthcare center.

This study was conducted during September 2020 to February 2021 among 90 study participants. The study

participants were program managers, supervisors, implementers and beneficiaries. Those consenting to participate

in the study were included herein.

Results

The observed phenomenon of highest prioritization for health resource capacity (90%), access to care (90%) and

leadership policy and governance (75%) as responded by program managers is presented as factual percentages.

However, these are challenged by the felt grim scenario reported by beneficiaries, who indicated public health

(92.5%), leadership policy and governance (85%), and IEC and access to care (72.5% each) as areas of concern.

Conclusions: The comprehensive concerted and result oriented inputs for Universal Health Care are needed to be

addressed in line with the Sustainable Development Goals of United Nations