The Development of Long-Term Care Systems for the Dependent Elderly in Nacharoen Sub-district Det-Udom District Ubonratchathani Province

Abstract

            This study was a participatory action research to study the situation of the dependent elderly care and to development of long-term care system for dependent elderly in Nacharoen Sub-district, Det-Udom District, Ubonratchathani Province. The 210 participants were selected according to the specified criteria. Academic sector consist of public health scholar. Local sector consists of subcommittee to support long-term care for the dependent elderly and committee of the elderly quality of life development center. Public sector consists of the dependent elderly, caregivers and village health volunteers. Data were collected by using the observation form participatory survey, questionnaire, recorded discussion and the data analysis group using descriptive statistics including percentage, mean and standard deviation.    The results of the study showed that dependent elderly care in Nacharoen Sub-district was started in 2018. The mainly co-operation are academic and local sector. But the public sector has unclear co-operation role. The readiness assessment and creating a process for development of long-term care system for the dependent elderly in Nacharoen Sub-district in 4 steps: 1) Studying context data and problem analysis of the dependent elderly. Appoint the subcommittee to support the long-term care for the dependent elderly and the committee of the elderly quality of life development center for workshop planning to define activities and projects to organize long-term care services for the dependent elderly. 2) Action to the project according to the established process with the participation of all sectors according to their roles and responsibilities. 3) All sectors participate in supervise, monitor, evaluate and support the implementation of all activity to their roles and responsibilities. 4) All sectors participate in summarizing the results of operations and making recommendations for further development. In doing so, the dependent elderly in Nacharoen Sub-district are cared by the dependent elderly long-term care system fund. The dependent elderly, caregivers and stakeholders were satisfied with the development of long-term care system for the dependent elderly. And the long-term care systems can pass the long-term care standard certification from Regional Health Promotion Center 10 Ubonratchathani.  The success factors are the co-operation and support from all sectors. This co-operation making the process of development of long-term care system for the dependent elderly has been the long-term care standard certification and continuity, suitable for the context of ​​Nacharoen Sub-district, Det-Udom District, Ubonratchathani Province.