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All Journal Journal of Community Empowerment for Health Berita Kedokteran Masyarakat
Hariyanti, Tatik
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Education Health Professions Medicine & Pharmacology Nursing Public Health

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Navigating older adults care: insights from caregivers and community health workers in Ngestiharjo, Bantul, Yogyakarta Hafidz, Firdaus; Monanda, Adelia Pramudita; Fitriani, Dewi Caesaria; Hariyanti, Tatik; Jamiah , Erni
BKM Public Health and Community Medicine Vol 40 No 09 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i09.10389

Abstract

Purpose: This study aimed to elucidate the knowledge, attitudes, and practices of older adult caregivers in Ngestiharjo, Bantul, Yogyakarta, Indonesia, towards older adult care and to discern the role of Community Health Workers (CHWs). Methods: A mixed-methods approach was employed between April and June 2023, encompassing quantitative data collection with a cross-sectional approach from 253 older adult caregivers via a pretested questionnaire and qualitative insights with a descriptive approach from focus group discussions with seven CHWs. The data were analyzed using descriptive analysis and thematic analysis. Results: The caregivers were predominantly female (67.2%) and over the age of 50 (46.6%), with the most common occupation being housekeeping (34.8%). Knowledge deficits were noted in several areas, with mean scores of 0.53 for depression signs, 0.56 for physical exercise, 0.73 for sleep quality, and 0.79 for fall risk. Caregivers' sleep quality and fall risk knowledge were better than depression and physical exercise. Attitude scores averaged 82.42 ± 20.42 (out of 125), showing moderate confidence in caregiving activities. Practices related to older adult care showed promising results, especially in maintaining a clean living environment (mean Score: 4.08 ± 0.86). The pivotal role of CHWs in bridging this knowledge gap and facilitating healthcare access was underscored. Conclusion: The study highlights the need for targeted educational programs to improve the knowledge and practices of caregivers, particularly in physical exercise and mental health areas. Strengthening the role of CHWs is essential to enhancing caregiving outcomes.
Assessment of health status, utilization, and out-of-pocket expenditure among the elderly in Ngestiharjo, Bantul, Yogyakarta Hafidz, Firdaus; Monanda, Adelia Pramudita; Hariyanti, Tatik; Jamiah, Erni
Journal of Community Empowerment for Health Vol 7, No 1 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.86497

Abstract

Background: As the population ages, it is increasingly crucial to develop community-centered health interventions. This study aims to describe and assess sociodemographic information, health characteristics, health utilization, and out-of-pocket expenses among older people in Ngestiharjo Village, Bantul, Yogyakarta. It was part of an initiative to empower community health workers to understand and address the health needs of older people. Methods: A cross-sectional survey was conducted from April to July 2023 involving 330 participants, with a targeted sample size of 356 elderly individuals. Data on sociodemographics, health status, health utilization, and expenditure were collected through interviews with older people or their companions. Results: Preliminary data showed that most participants were female (58.77%), married (64.91%), and primarily received health information from health workers (47.37%). Hypertension and joint and bone diseases were prevalent, with 16.67% likely experiencing depression. 11.4% of the respondents were hospitalized in the past year, with an average of 2.15 hospitalizations. Private hospitals (69.23%) were the most common healthcare facilities used for hospitalization, and 76.92% consistently utilized health insurance. The average out-of-pocket expenditure for hospitalization was 437,500 IDR. Community health centers (36.36%) and private hospitals (45.45%) were predominantly used for outpatient care, and 77.27% always used health insurance. The average out-of-pocket expenditure for outpatient care was 126,200 IDR. Conclusions: The study underscores the importance of empowering community health workers to effectively disseminate health information, fortify integrated health posts, manage common health issues, and tackle barriers to healthcare utilization and expenditures among older people.
Co-Authors Firdaus Hafidz As Shidieq Fitriani, Dewi Caesaria Jamiah , Erni Jamiah, Erni Monanda, Adelia Pramudita