Abstract
Now a day’s people are very much busy for their daily activities. People spent more time to earn money. People don’t care their old aged parents. For this reason old people don’t get proper care at old age. Old people suffer different complex diseases due to lack of care. However the present study has conducted to explore the geriatrics health care services at coastal areas in Bangladesh and to find out the problems regarding geriatrics health care services at coastal areas in Bangladesh. The study was a cross-sectional study. The study was conducted at Noakhali district in Bangladesh. Total 400 respondents were selected. The respondents were patients. A random sampling technique was used for the study. Patients of Noakhali District were the study respondents. Data were collected from primary sources and secondary sources. A self-administered questionnaire was used for data collection. Data were collected through interview method, i.e. Interviewers collected data from study participants through administered questionnaire by face - to - face interview. Obtained data were checked for error and data will be analyzed by using SPSS software. From the result it was found that older people are subject to multifaceted problems, which are basically physical, psychological, economic and health-related. These problems are inter-linked and mutually reinforcing, and all have implications on the health situations of older people. The study revealed that the problems of older people were given some attention by the government. Though very few NGOs are working on and with older people, their number is nominal as compared to the existing need. Yet, there is clear evidence for the shortcoming in terms of translating the policies into action. From the result it was also found that lack of a unit solely responsible for the planning, coordination and execution of older people-specific interventions is believed to contribute to the implementation problem. Government health recoding system lacks older people-specific health information, mainly because the health management information system (HMIS) is not disaggregated by age. In general, the HMIS is at its nascent stage. In terms of medical treatment, there is lack of drugs and trained personnel. Geriatric training is not given in any of the health training institutions in the country. While older people are vulnerable to various communicable diseases like anybody else, they are peculiarly more susceptible to NCD, especially to the most common ones such as diabetes, hypertension, eye and hearing impairment, cardiac ailments, arthritis and the like. However, getting medical service has never been an easy thing, since the health-care policy focuses on prevention of communicable diseases and also due to the fact that cost for medication and transportation to medical facilities is, nonetheless, unaffordable for most of them. It is also possible to learn from the findings of the survey that the physical setting of health facilities is not at all older people –friendly. Indeed, the very idea of older people-friendly physical structure was alien to many health facility workers, so much so that they showed some kind of bafflement when asked about this issue as if the questions were inappropriate. Many older people, both male and female, and urban and rural residents are visiting traditional healers. But, not all prefer traditional medicine because it is better than the “modern” one, but because it is easily accessible and much cheaper.