Older people are at the heart of the strategy, and their responses and contributions will be vital to developing the plan further A linked-awareness that everyone has an interest in these developments, because we will be older in time, and hope to live in a community and a society that respects ,includes and cares for us It presents the vision of the new partnership, its aims and approaches, and an outline of practical and cost effective ways to achieve them through technology social and environment changes. DFI is determined to set standards and lead the way for other cities in India.

1. TOWARDS BUILDING AN AGE
FRIENDLY COMMUNITY
Dr Alakananda Banerjee
Founder Chairperson
Dharma Foundation of India
06/18/15 1
COMMUNITY AND HEALTH SERVICES

2. 06/18/15
Towards Building an Age Friendly
Community
2
The ageing of population is on the increase world over in recent
times
According to the Indian census 2001, the population of the elderly
(age 60 years and above) in India was 75.9 million, i.e. 7.4% of total
population.
It is projected to be 113 million, i.e. 8.9% of total population by the
year 2016.
Population Ageing

3. Why a new focus on older
people?
• The biggest achievement of the last century was greater longevity that
has resulted in an increasing aging population worldwide.
• The survival of an increasing number of people beyond their traditional
adult roles causes population aging.
• A healthy lifestyle is required during old age. But in the Indian context,
there exist different trends that are seriously threatening the chances of
meeting such needs.
• These are a rapidly growing elderly population; the gradual erosion of the
traditional joint family system .
• However, an aged person has the right to decide about personal needs
and aspirations, depending upon his/her capacity.
• Neither the government nor the public sector alone can formulate
requirements of the elderly in India; the private sector cannot develop it
in isolation either.
• Joint approaches and strategies will be required to design and build up a
robust old-age social security system.06/18/15
Towards Building an Age Friendly
Community
3

4. Have they been ever
asked ..what do they want?
Are elders treated like
expended resource of family
and community?
IT CANNOT GO ON!
06/18/15
Towards Building an Age Friendly
Community
4
Participation of older
persons in finding solutions
•Old age home
•Assisted living
•Age in place

5. Building Community and Health
Services
• Active Ageing: WHO Framework
• Active ageing is the process of optimizing opportunities for health, participation and security in order to
enhance quality of life as people age.
• The word “active” refers to continuing participation in social, economic, cultural, spiritual and civic
affairs, not just the ability to be physically active.
• Self management and Community Wellness Program
• Self-Management program consisted of education on home exercise and diet modifications for
prevention of chronic diseases by Community Physiotherapist
• The community program consisted of participation of subject’s in workshop and group exercises given
two and a half hours, once a week, in the space in the Wellness/Neighbourhood Rehab Clinic run by
community physiotherapist
5

6. A plan developed with older
people, not for them.
• Older people are at the heart of the strategy, and their responses and
contributions will be vital to developing the plan further
• A linked-awareness that everyone has an interest in these developments,
because we will be older in time, and hope to live in a community and a
society that respects ,includes and cares for us
• It presents the vision of the new partnership, its aims and approaches,
and an outline of practical and cost effective ways to achieve them
through technology social and environment changes.
• DFI is determined to set standards and lead the way for other cities in
India.
06/18/15
Towards Building an Age Friendly
Community
6

7. MODEL FOR
ELDERLY
IN INDIA

8. COMMUNITY CARE CENTRE (CCC)
SOCIAL, PHYSICAL AND MENTAL HEALTH OF OLDER PERSONS IN URBAN AND SEMI
URBAN INDIA
Voluntary Elders
-Coordinator of CCC
-Emergency Healthcare Duties
-Workshop scheduling
Ageing in
Place
Age Friendly Initiative of Dharma Foundation of India
(DFI)
Allied Health Professionals
• informing and encouraging people to stay
healthy and prevent illness(Prevention)
• Early Detecting health conditions
• Having the capacity to treat disease
(Curative)
•helping patients with rehabilitation
(Chronic/long term care)
Managed by
Education/Empowerment
-27 workshops on health and social
issues
- Distribution of booklets
Groups formation
-Selection of voluntary elder members as a
group leader/local supervisor
-10-15 elder in a group
Integration of community care and
hospital services through CCC
- Small space allocated by Senior
Citizen Organization (SCO)
-Neighborhood hospitals
Technology for active ageing
- mHealth
- Point of Care Testing

9. 2011:Focused area CHATTARPUR EXTENSION
Towards Building an Age Friendly
Community
9
ADOPTION OF SENIOR CITIZENS OF
VARISTHA NAGRIK KENDRA
SANSTHAN(VNKS)
Chattarpur Extension,New Delhi
PROGRAM MANAGED BY THE ELDERLY
VNKS : Patron Mr K K Vajpayee
•Street
•Water logging on
roads
•Road lights

10. HELP HEALTH:
•DFI has set up a COMMUNITY CARE CENTRE run for the
elders in a small space at the VNKS office.
•They have employed a Physiotherapist who visits the
centre for 3 hours/day.
•Educational Workshops in the centre by the
Physiotherapist.
•Physiotherapy takes care of elders in the centre and
visits homes of those who cannot visit the centre.
•The Physiotherapist hold small campaigns/projects
within the community.
•The organization pays a small fee of Rs 4000 to the
Physio therapist.
•Those who require her services for therapy session pay
her a small token amount.
•The Physiotherapist earns around Rs 7,000/month for
a 3 hours duty.
VNKS PARTICIPATION IN DFI
HEALTH PROJECTS

11. Collaborative sessions/Workshops for elders on
prevalent chronic diseases
Training of local supervisors by
health experts

12. Project 1:Effect of Smart breathe
in community elders
• Home based therapy program
• Group therapy
• Outcome measures: Pulse rate, Hypertension,
Community life, Respiratory Status(based on
International Classification of Functioning)
• N= 37 subjects (Male 69 %)
06/18/15
Towards Building an Age Friendly
Community
12

13. 06/18/15
Towards Building an Age Friendly
Community
13
Key Findings:
•Participation of elder women
•Better Social participation in group
activities
•Improved community life
Results
ICF- Function and activity
3
0
1
8
12
11
7
5
4
0
1
8
5
10
3
1
0
2
4
6
8
10
12
14
ICFb440 ICFb445 ICFb450 ICFb455 ICFb460 ICFd455 ICFd460 ICFd910
Item code
Disabilitycount
WEEK 1
WEEK 8
Improvement in Community Life
and Respiratory Status(ICF)

14. Effect of exercises and home modification
in fall prevention
• Home based therapy program
• Group therapy
• Outcome measures:, community life, fatigue, fall
efficacy scale.
• n= 120 male 73%
• Duration 15 months
06/18/15
Towards Building an Age Friendly
Community
14
PROJECT 2:BALANCE
AND FALLS IN ELDERS

15. EXERCISES
HOME MODIFICATION
INTERVENTION

16. PROJECT 3: Intergenerational
Bonding
06/18/15
Towards Building an Age Friendly
Community
16
•Create awareness about elder problems.
•Falls due to imbalance in elders.
•Introduce technology to prevent falls in
elders.
•Valuable future learning of their own life.
Workshop with youth:
falls in elderly

17. Community Wellness: Group
counselling
Brief Pain Inventory
Hypertension
Quality of Lif
•80 elder women members and spouse of members of VNKS
•Target disease: joint pain ,hypertension
Project 4:Self management and Community
Wellness Program
Home Visits to teach exercises and Diet Modificatio
OUTCOMES:
Brief Pain Inventory
Hypertension
Quality of Life

18. ALL HEALTH ACTIVITIES RUN BY
ELDERS THEMSELVES
With introduction of the Active Ageing Program at
Chattarpur Extension Enclave the DFI utilized the
inexplicable resource of the elder members of VNKS
through self care, mutual help and self promotion
Feedback of Elders:
• Increased exercise.
• Better coping strategies and symptom management.
• More energy and less fatigue.
• Looking forward, positive approach

19. 06/18/15
Towards Building an Age Friendly
Community
19
2011-2014
Focused Area: Chattarpur Today
LETS WORK TOGETHER TOWARD
BUILDING AN AGE FRIENDLY
COMMUNITY