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ELDER ABUSE IN THE HEALTH CARE SERVICES IN …

ELDER ABUSE IN THE HEALTH care SERVICESIN KENYAA study carried out by HelpAge International Africa Regional DevelopmentCentre and HelpAge kenya with Support from:The World HEALTH Organization (WHO) and the International Network for thePrevention of ELDER ABUSE (INPEA)September 2001iTABLE OF CONTENTS1. The Challenge Of ELDER ABUSE In The HEALTH Sector Research Purpose Research Methodology Preparatory Work Data Collection Data Processing And Analysis Limitation 42.

ELDER ABUSE IN THE HEALTH CARE SERVICES IN KENYA A study carried out by HelpAge International – Africa Regional Development Centre …

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1 ELDER ABUSE IN THE HEALTH care SERVICESIN KENYAA study carried out by HelpAge International Africa Regional DevelopmentCentre and HelpAge kenya with Support from:The World HEALTH Organization (WHO) and the International Network for thePrevention of ELDER ABUSE (INPEA)September 2001iTABLE OF CONTENTS1. The Challenge Of ELDER ABUSE In The HEALTH Sector Research Purpose Research Methodology Preparatory Work Data Collection Data Processing And Analysis Limitation 42.

2 FINDINGS AND DISCUSSIONS Objective Findings Role And Importance Of The Elderly In The Issues Of ELDER ABUSE Identified In The Research Consequences Of ELDER ABUSE 163. INTERVENTIONS Interventions Available Interventions Within The Community Interventions Within HEALTH Institutions Interventions Recommended By Discussants Recommended Interventions 20 REFERENCES 21iiACKNOWLEDGEMENTHelpAge International

3 Africa Regional Development Centre is immensely grateful toThe World HEALTH Organisation (WHO) and International Partnership Against ElderAbuse (INPEA) for the support that enabled the successful undertaking of the thanks go to the researchers and staff from HelpAge International AfricaRegional Development Centre and HelpAge kenya for their sterling efforts in making thestudy a but in no way the least, HelpAge International is greatly indebted to the olderpersons who participated in the study and the staff of the HEALTH institutions that took partin the NhongoRegional Representative - HelpAge International Africa Regional Development CentreiiiLIST OF TABLEST able 1.

4 Categories of ELDER ABUSE ---------------------------------------- ----------------------- 1 Table 2: Characteristics of Focus Group Discussions ---------------------------------------- -- 3 Table 3: Consequences of ELDER ABUSE on ---------------------------------------- -------------- 16 LIST OF ABBREVIATIONSFGDsFocus Group DiscussionsHAI-ARDCHelpAge International - Africa Regional Development CentreHAKHelpAge KenyaHIV/AIDSH uman Immuno-Deficiency Virus/Acquired Immunity DeficiencySyndromeINPEAI nternational Network for the Prevention of ELDER AbuseNGONon-governmental OrganisationSTIsSexually Transmitted InfectionsWHOW orld HEALTH OrganizationivABSTRACTThis study has analysed views on ELDER ABUSE in the HEALTH sector in kenya .

5 Data has beencollected using focus group discussions and some in-depth interviews. Informationgathered from focus group discussions reveal that ELDER ABUSE does exist not only in thehealth sector but also in the wider community in kenya . Type, causes and consequencesof ELDER ABUSE that were vividly described in focus group discussions clearly reveal thatolder persons are denied a range of rights. The ABUSE is therefore the antithesis of thespirit of the United Nations Principles for Older Persons: independence, participation, care , self-fulfillment and dignity. There are a number of interventions in society butoverall, they were deemed inadequate (by discussants) given the magnitude of theproblem.

6 It is strongly recommended that further research be undertaken so as to enablebetter understanding of the problem and planning for its intervention. The survey wouldinclude an analysis of the magnitude and various dimensions of ELDER ABUSE , anassessment of the effectiveness of existing interventions and the status of implementationof global and national policy/action instruments in on intervention include:a. Establishment of specialist facilities for the elderly (geriatric units/institutions) andother Special and/or additional training for HEALTH workers in the area of Possibility of the government of kenya providing free or highly subsidized healthcare scheme for the needy Support for the care of the elderly in institutions and at Collaboration, integration and partnerships beyond the HEALTH Development of long- and short-term packages of Challenge of ELDER ABUSE in the HEALTH SectorElder ABUSE refers to the mistreatment of older people by those in a position of trust,power or responsibility for their care (Swanson 1999).

7 This is a global problem that islikely to intensify in view of the increasing number of older people and the changingsocio-economic and environmental conditions worldwide (Randel et al. 1999).Through out the experience of HAI, access to HEALTH care has always been of majorconcern to elderly. HelpAge International ( : 8) has strongly emphasized: Access tohealth SERVICES is not a benevolent act but is a basic human right for any human beingregardless of age . Earlier evidence adduced that the attitude and behaviour of somehealth workers towards older people was negative.

8 Elderly respondents taking part infocus group discussions reported that public HEALTH providers utter discouraging remarks,for example: Wewe si mgonjwa, shida yako ni uzee , translated into English as: Youare not sick, your problem is old age (Ochola et al. 2000: 55).Viable intervention strategies, we opine, must have basis on multi-sectoral approacheswith primary focus on attitudes and the 1: Categories of ELDER Abuse1 TypeDescriptionExamplesPhysicalInflictin g physical discomfort, pain , hitting, punching, beating, burning,sexual assault and rough the identity, dignity andself-worth of older calling, yelling, insulting, threatening,imitating, swearing, ignoring, isolating,excluding from meaningful events anddeprivation of of money or money or possessions, forging asignature on pension cheques or legaldocuments, misusing the power of attorney.

9 And forcing or tricking an older adult intoselling or giving away his or her of a caregiver to meet theneeds of an older adult who is unableto meet those needs of food, water, medication, medicaltreatment, therapy, nursing SERVICES , healthaids, clothing and : Swanson (1991) 1 The categorization of ELDER ABUSE presented in Table 1 is not mutually exclusive. The reality is that anabused older adult may experience more than one type of ABUSE at any given time (Swanson 1999). Thecategories presented in Table 1 are based on research carried out in the highly industrialised countries.

10 Theyneed to be treated with caution, especially when applying them to developing countries as context in thehighly industrialised countries is not the same as that prevailing in developing Research PurposeThe purpose of this study is to analyse views of older people and HEALTH workers onindicators, context, causes and interventions in ELDER ABUSE in primary HEALTH care inKenya. This study is aimed at helping one understand the dynamics of ABUSE of olderpersons rights within the primary HEALTH care system in kenya . The report is thus largelya collection of voices on ELDER ABUSE .


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