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All Journal Jurnal NERS Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Amnatsatsue, Kwanjai
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Health Professions Nursing Public Health

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Experiences of Elderly Living with Noncommunicable Diseases in Utilizing Health Services in Myanmar During the COVID-19 Pandemic Chei, Nway Eint; Amnatsatsue, Kwanjai; Chansatitporn, Natkamol; Bunngamchairat, Ariya
Kesmas Vol. 20, No. 3
Publisher : UI Scholars Hub

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Abstract

The COVID-19 pandemic and armed conflicts in Myanmar have intensified the challenges in accessing and utilizing health services, particularly for noncommunicable diseases (NCDs) among older adults. This qualitative study explored the experiences of the elderly with NCDs regarding health service accessibility and utilization in secure areas with fully operational health facilities by conducting in-depth interviews with 20 eligible older adults in Myanmar; data were analyzed using content analysis. Four key themes emerged: NCD service utilization patterns; unmet needs; preferences and hesitancy toward NCD services; and disparities, barriers, and opportunities. The findings revealed widespread underutilization of NCD services due to several factors, including geographic inaccessibility, lack of telemedicine, absence of nearby primary health care, inaccessibility of preferred specialists, quality of care issues, high costs, inadequate communication by providers, and insufficient support for healthcare appointments. In conclusion, strengthening elderly-friendly NCD services in Myanmar requires improving accessibility, affordability, care quality, and communication to reduce unmet needs and support healthy aging.
Understanding perspective on community health literacy for promoting the health of older adults with hypertension: a qualitative descriptive study Saenyabutr, Chanissara; Lagampan, Sunee; Powwattana, Arpaporn; Amnatsatsue, Kwanjai
Jurnal Ners Vol. 19 No. 2 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i2.51151

Abstract

Introduction: This study aimed to understand the community people's experience of access, understanding, evaluation, and application of health information for self-care of hypertensive older adults, and explore the community's perspective on promoting community health literacy (CHL) on caring for hypertensive older adults. Methods: This was a qualitative descriptive study. Data were collected through focus groups and in-depth interviews in one sub-district municipality in Mahasarakham, Thailand. A total of 37 participants from older adults with hypertension, families of older adults with hypertension, and community committees were recruited based on inclusion criteria using purposive sampling. Data were then analyzed using a five-step thematic analysis. Results: Four main themes of community people's experience  emerged 1) access to health information limited by the healthcare personnel at the primary care unit (PCU), 2) understanding the health information because it is clear and familiar, and can ask the medical personnel directly, 3) do not evaluate the health information received from healthcare personnel because they trust them, and 4) applied health information to practice only taking medicine and doctor's appointments. Three main themes to promote CHL are 1) usual healthcare activities, 2) community action, and 3) nurses at PCU, village health volunteers, and community committees should be involved in playing a key role in promoting CHL. Conclusions: Cooperation with community leaders is important to promote CHL by using active learning education and creating a supportive environment focusing on encouraging older adults to perform self-care to control their health conditions.
Co-Authors Bunngamchairat, Ariya Chansatitporn, Natkamol Chei, Nway Eint Lagampan, Sunee Powwattana, Arpaporn Saenyabutr, Chanissara