ELDERLY HEALTH SERVICES BASED ON THE NEEDS AND EXPECTATIONS OF THE ELDERLY AND PROVIDER'S ABILITY
Amount: ELDERLY HEALTH SERVICES BASED ON THE NEEDS AND EXPECTATIONS OF THE ELDERLY AND PROVIDER'S ABILITY
Authors: Sri Hartiningsih
Item Type: Thesis
Memberships: Master of Management Study Program, Faculty of Economics and Business Universitas Airlangga Surabaya, Indonesia
Publisher: Airlangga University
Abstract
In Indonesia, there has been a demographic transition, in 1999 the number of elderly was 7,8% of the total population, the number of people aged under 1 year was 2,36%. In the district. Gubeng in 1999 the number of elderly was 6,2% of the total population, the number of under 1 year old was 3,2%. The elderly are a high risk group, but the utilization of health services by the elderly is low. Data from the Mojo Health Center in 2000, BP visits by the sick elderly was 18,09%, the Posyandu visits by the elderly were not sick 2,09%. The general objective of this research is to develop elderly health services based on the needs and expectations of the elderly as well as the ability of the provider. This research is a cross sectional survey and is a case study in the working area of Mojo Health Center, Gubeng District, Surabaya City. There are 2 types of research subjects, the first subject is 371 elderly in the working area of the Mojo Health Center, taken by multistage cluster random sampling, the second subject is all medical officers of the Mojo Health Center as many as 7 officers. This study analyzes the needs of the elderly for promotive, preventive curative and rehabilitative services. Analyzing the expectations of the elderly on how to implement promotive, preventive curative, rehabilitative and social activities, as well as analyzing the capabilities of the Mojo Health Center. The results of this study indicate that the needs of the elderly for health services are: counseling, regular body checks, treatment and home visits for care, encouragement or exercise. The elderly's expectations for health services are: group counseling with elderly health materials and the frequency is once a month, the elderly come alone for periodic checks, tablet or pill forms of medicine, there are home visits from officers for the elderly who cannot walk, officers in white uniforms, morning service schedule at 08.00, there are glasses aids, there are blood and urine tests, and there are religious activities, sports, recreation. Planning for the Elderly Program at the Mojo Health Center has been implemented, but support at the sub-district level is still needed. The implementation of the Elderly Program Planning at the Mojo Health Center has carried out promotive, preventive, curative, referral services, but it is still necessary to change the free curative services into curative services at the rates of the Puskesmas. Coaching, Assessment, Development of Elderly Programs at the Mojo Health Center, has not been able to carry out the development of the elderly posyandu due to limited personnel, because the burden of coaching at the Posyandu for toddlers is very high (143 posts). The facilities for the Posyandu for the elderly do not yet exist, they need support from the Surabaya DKK through APBD II. The FGD implementation resulted that health cadres in the working area of the Mojo Health Center agreed to establish 2 (two) posts for the Elderly Posyandu in each kelurahan, for promotive services to be carried out by cadres under the guidance of the Puskesmas, and the cadres hoped that the Puskesmas would be willing to provide preventive services, curative referrals. and rehabilitation at the Posyandu for the elderly. Based on the results of the research and the implementation of the FGD, recommendations were made for Mojo Health Center, namely: 1. Increase the activities of the Mojo Health Center with the elderly poly, and schedule its services on certain days, for example twice a week. 2. Helping health cadres to realize the Posyandu for the elderly in each kelurahan in the working area of the Puskesmas as many as 2 (two) posts, with group counseling activities by cadres once a month with elderly health materials, periodic checks with KMS guidelines for the elderly, treatment for sick elderly by paying according to the tariff Puskesmas and medicines in tablet or pill form. Referral services, as needed, are directed to Puskesmas, government and private hospitals, including laboratory services. Fostering elderly gymnastics activities.
Keywords: Health Services, elderly, needs, expectations.
sources: http://repository.unair.ac.id/34806/
