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All Journal Humaniora The Indonesian Journal of Public Health
Schröder-Butterfill, Elisabeth
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Humanities Public Health

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Older People Living Alone and Their Strategies to Face Life: Case Studies from Yogyakarta and West Sumatra Insriani, Hezti; Mitra, Robi; Schröder-Butterfill, Elisabeth
Humaniora Vol 36, No 1 (2024)
Publisher : Faculty of Cultural Sciences, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jh.92323

Abstract

Across Indonesia, the dominant model for care and support in later life is for older people to live with or near younger family members. However, coresidence with an adult child or other close relative is not always attainable or preferred. There are conditions where older people live alone and cannot fully depend on their family members for care and support, be it for matters related to physical, economic, psychological, or spiritual needs. We examine how older people who live alone, live their lives and what strategies they pursue in facing life. The data presented in this paper are a subset of a larger comparative study on Older People’s Care Networks, which covered five disparate sites across Indonesia. This article focuses on evidence from West Sumatra and Yogyakarta. As our case studies illustrate, older people living alone is a diverse category, ranging from those with children, to those who are de facto childless or actually childless. Their security or vulnerability cannot simply be deduced from their household composition, but they require the understanding of how people create, maintain, and develop supportive networks and how they use agency in actively managing dependence, independence, and interdependence over the life course and in later life.
Community Volunteers’ Care for Older Adults (Lansia) in Indonesia: The Symbolic Efficacy of Community Health Meetings (Posyandu) Porath, Nathan; Schröder-Butterfill, Elisabeth; Insriani, Hezti; Larastiti, Ciptaningrat
Humaniora Vol 36, No 1 (2024)
Publisher : Faculty of Cultural Sciences, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jh.93198

Abstract

Community healthcare in Indonesia relies on volunteers who engage their clients outside fixed health facilities with limited resources and formal training. These volunteers are called cadres who learn their tasks to improve community wellbeing through ongoing engagement and without prior formal skills. They are drawn from the community to serve the community. This paper is based on field research carried out with cadres through interviews and visits to integrated health meetings (posyandu lansia) held by primary healthcare centres for older adults in villages in Jakarta and Yogyakarta. The paper first discusses the recruitment requirements and incentives for being a healthcare volunteer. It suggests that both recruitment and incentives are rooted in community values of helping and doing good for the community. Volunteer cadres must have a direct normative and semiotic connection with clients, as they must be members of the community who speak the same language and understand local norms. In line with this community-centred approach, the paper then focuses on the health efficacy of posyandu by viewing them as a recurring, structured symbolic event held in the village. The argument is made that a more qualitative approach should be taken to understanding the efficacy of these meetings, drawing on research methods from the anthropology of ritual (symbolic and therapeutic) healing.
THE ROLE OF FUNCTIONAL ABILITY, MULTIMORBIDITY, AND DEPRESSION TO QUALITY OF LIFE OF INDONESIAN OLDER ADULTS Handajani, Yvonne Suzy; Vinsalia, Thania; Schröder-Butterfill, Elisabeth; Turana, Yuda
The Indonesian Journal of Public Health Vol. 20 No. 3 (2025): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v20i3.2025.538-551

Abstract

Introduction: Multimorbidity significantly affects older adults' quality of life (QoL). Its prevalence among adults aged ≥60 years ranges from 24% to 83%, increases with age and is closely linked to progressive physical and functional decline. A|ims: To investigate the determinants of QoL among community-dwelling older adults in urban Jakarta, Indonesia. Methods: A cross-sectional study was conducted in several community-based home care centers in West Jakarta, Indonesia, in 2023. From a database of 2,000 older adults, 600 individuals were selected using simple random sampling for screening. After applying inclusion and exclusion criteria, 501 older adults aged ≥60 years were included in the analysis. Sociodemographic and health-related data were collected using structured interviews and direct measurements. Mult|ivar|iate log|ist|ic regress|ion analysis was performed to identify factors associated with QoL. Results: A total of 501 older adults were analyzed; most were female (67.1%) and had multimorbidity (85.6%). The mean WHOQOL-BREF scores exceeded 60, with the highest score in the psychological domain (66.8). Physical health was significantly associated with multimorbidity (OR=2.08; p=0.013), exercise (OR=1.51; p=0.029), IADL (OR=3.54; p=0.007), ADL (OR=1.69; p=0.021), and balance (OR=1.92; p=0.044). Exercise increased the likelihood of better QoL (OR=1.47; p=0.037), while depression predicted poorer quality of life (OR=1.75; p=0.020). Conclusion: Multimorbidity, functional disability, balance impairment, depression, age, and exercise were significantly associated with QoL. Improving chronic disease management, maintaining independence, promoting regular exercise, and supporting mental health can enhance older adults’ well-being. Community-based programs encouraging active lifestyles and balance training may further improve QoL in this population.
Co-Authors Hezti Insriani Larastiti, Ciptaningrat Mitra, Robi Porath, Nathan Vinsalia, Thania Yuda Turana Yvonne Suzy Handajani