Residential Care Home for Elderly People in Nepal: Prof. Dr Lochana Shrestha MBBS, MD (community Medicine), MIPH (Australia) Chairman, Health Home care Nepal

First Model Care Home Run by Doctor for Senior Citizen in Nepal

Background Population ageing depleting socio-cultural value system higher mobility of economically active persons replacing existing joint family system by nuclear family system severely limited trained human resources/ fund lack of efficient implementation of the legal and institutional provisions developed by Government. social and physical problems for the elderly people in Nepal

Population growth rate Percent of elderly(+60) Census Year Population (60+) Population growth rate Percent of elderly(+60) Total (%) Elderly (%) Total Male female 1961 489346 1.65 1.79 5.2 4.8 5.6 1971 621529 2.07 2.42 5.4 5.3 5.9 1981 857061 2.66 3.26 5.7 5.5 1991 1071234 2.1 2.26 5.8 2001 1504311 2.24 3.4 6.5 6.4 6.3 2011 2154410   8.1 6.8 7.1 Source: CBS, 2003, census report, 2001, 2011

Government initiations Madrid Plan of Action on Ageing, 2002, the Government of Nepal has formulated National Plan of Action on Ageing 2062. The Government of Nepal enacted the Senior Citizen Act, 2063 to ensure the social, economic and human rights of the elderly citizens. The Senior Citizens Regulations 2065 Old–Age–Allowance (OAA)

Initiation to establish the solid comprehensive institution and programme to provide comprehensive package services for needy elderly people, step has been taken privately by establishing and running the Residential Health Care Home for elderly people for Nepal in March 2012 catering small group which would be represented from any part of the country.

Our goals: Provide comprehensive package services (Lodging, food, nursing care, recreation facilities, physiotherapy and health care) addressing human ailments of needy elderly people.

Objectives: Provide residential care services targeting minor geriatric health and social problems focusing on nursing care for Elderly people • Provide recreational facilities for social and mental peace for Elderly people •Create home environment responding daily needs that makes comfortable for elderly people

Beneficiaries:  The beneficiaries of this care home are Healthy as well as Unhealthy Elderly people above 60 years from all levels of society who need social and medical care that could be handled at home environment with the help from trained nurses under supervision of medical doctor.

Strategy:   In relation to target market, this care home though it is private it is targeted to provide social service for the noble cause in this universe. Strategy is to expand the service in parallel to occupy the elderly people from affordable as well as non affordable groups.

Types of services: Residential Health and Social care Mobile service for lab tests and Home health care. Day Care Referral and linkages for health care

Human Resources:

1. Residential Health and Social care 62 elderly people Three couples and two residents are staying here for the last one year

Residents:

Health Care:

Care By nurses:

Recreational Activities

Day Care Activities:

Outcomes: 60-70 yrs group occupy only 9%, 71 to 80 yrs 77% and above 80 yrs 16% . 50% of the residents don’t have family care providers (out of country) and others have family care providers but couldn’t manage proper care at home. Only 13% of the residents can walk in their own, remaining needs assisted for moving.

Health Problems: 100% of the residents have medical problems that varied from hypertension (70%), diabetes (36%), COPD (29%) and chronic osteoarthritis (43 %). 70% of the residents had Dementia. 3 residents had Parkinsonism.

Note: In this path of service it is viewed that in Traditional bounded society Advocacy is needed for better care for this group of people making their remaining life comfortable with expanding quality elderly friendly service.

Note: In this path of service it is viewed that in Traditional bounded society Advocacy is needed for better care for this group of people making their remaining life comfortable with expanding quality elderly friendly service.

Thank You