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The project involved a study of 1910 subjects aged 60 + registered in the Geriatric Clinic of the Primary Health Centre, Kallandiri. The Study included, besides socio-demographic details, family composition, family integration, social integration, physical illness and handicaps and mental health assessment. Intervention measures were instituted and the subjects were followed-up for a period of three years. The project involved the training of PHC medical and paramedical staff in detection of physical, mental morbidity and family and other psychosocial factors in the aged and on health education and rehabilitation. The followup covered 97% of the probands. A significant improvement in health status and in family and social integration was noted following intervention. The mortality in the series was 5.7%. Two sub-sample surveys, one involving collection of data on the pattern of utilisation of health services and another on an evaluation of the geriatric services offered were conducted.

A preponderance of females over males in the ratio of 2 : 1 was noted. Almost two-thirds belonged to the 'not at all joint' family category (Khatri's scale) and one-fourth of the subjects were living alone. A good integration into the family was noted in 71% and into the community in 93%. Every elderly person had multi-diagnoses and multi-system involvement and the study revealed on an average a minimum of 3-4 symptoms and 2-3 clinical diagnoses simultaneously in any individual. Visual handicap and Degenerative Joint Diseases topped the morbidity list. The psychiatric illness occurred in 8.1% of the subjects. A state of well being was observed in nearly 20% of the subjects in the rural area.

The study has offered a feasible model for the total health care of the rural aged within the existing infrastructure with some extra inputs

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