No abstract

Background: With increasing life expectancy, number of old age people increased throughout the world, particularly more in the developing countries like India. Globally there are an estimated 605 million people aged 60 years and above. As the ageing population is increasing, the burden of their health problems is on a rise. To provide appropriate care for them there is a need to attain information about their morbidity pattern. Objectives: to study the morbidity pattern among the geriatric patients attending outpatient department of RHTC, Maner of IGIMS, Patna and to find out the difference in health problems between males and females, if any.Methods: This hospital based cross-sectional study was conducted during September 2017 to February 2018 among 98 elderly patients, aged 60 years or above, who  attended first time at the Out Patient Department of  rural health training center, Maner of IGIMS, Patna and who fulfilled inclusion criterion.Results: In this study majority had normal nutritional status. Amongst morbidity, prevalence of locomotors problems was highest (63.26%) followed by depression (42.85%), refractive error (20.4%), hearing loss (18.2%) and cataract (15.3). Locomotors problems were significantly higher in women (93.75%) as compared to the men (34%). However, the prevalence of depression, refractory error, hearing loss and cataract were not significantly associated with gender.Conclusions: There is a need to deliver comprehensive geriatric health care services for prevention and control of chronic diseases and address the dual burden of disease among the elderly to promote healthy ageing.

Background: Ayushman Bharat Program was announced by Government of India in February 2018 with a vision, which is supposed to deliver comprehensive primary health care services to the entire population. Objectives: To obtain views of FLWs about their changing role at health & wellness centre and the challenges being faced by them in service delivery. Methods: A qualitative study done in 10 Health and wellness centres selected nearby Narayan Medical College & Hospital of Rohtas District of Bihar. The frontline workers posted in the selected HWCs were the study participants. Total duration of the study was 10 months. IDI of FLWs were done and the analysis of the verbatims was done using ATLAS-Ti (Free trial version) software. Results: After analysis of the verbatims two broad themes were made and there were several domains & codes under which the result was stated. It was observed that the frontline workers posted at the selected health & wellness centres were aware of the expanded range of services like yoga, school health, geriatric & palliative care being provided but they were also facing some challenges like manpower, equipment, working hour in service delivery.