Health care for the elderly in Duc Hue district, Long An province

VIETNAM ACADEMY OF SOCIAL SCIENCES

Academy of Social Sciences

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TRAN QUOC BAO

HEALTH CARE FOR THE ELDERLY IN DUC HUE DISTRICT, LONG AN PROVINCE

MASTER'S THESIS IN SOCIOLOGY

HANOI, 2019

VIETNAM ACADEMY OF SOCIAL SCIENCES

Academy of Social Sciences

TRAN QUOC BAO

HEALTH CARE FOR THE ELDERLY IN DUC HUE DISTRICT, LONG AN PROVINCE

Major: Sociology Code: 8 31 03 01

SCIENTIFIC INSTRUCTOR: ASSOCIATE PROFESSOR, DR. NGUYEN DUC CHIEN

Hanoi, 2019

INDEX

INTRODUCTION 1

Chapter 1: THEORETICAL AND PRACTICAL BASIS 14

1. Theoretical basis 14

1.1. Concepts 14

1. 2. Theories 16

1.2.1. Merton's role system theory 16

1.3. Views of the Party and State on health care for the elderly 19

1.4. Practical basis 24

1.5. Socio-economic situation of Duc Hue district 26

Chapter 2: MENTAL HEALTH CARE FOR THE ELDERLY IN DUC HUE DISTRICT 29

2. Some characteristics of the elderly 29

2.1. Overview of the elderly in Long An province 29

2.2. Overview of elderly health in Duc Hue district through survey results.32

2.2.1. Some characteristics of the elderly in district 32

2.2.2. Physical health 35

2.2.3. Mental health of the elderly in district 37

2.3. Physical and mental health care for the elderly 42

2.3.1. Family and clan care 42

2.3.2. Promoting mental health in healthy aging 45

2.3.3. Elderly care in Duc Hue district 46

Summary of chapter 51

Chapter 3: Factors affecting mental health care activities for the elderly in Duc Hue district 53

3.1. Personal factors (low education, poor health) 53

3.2. Family circumstances 54

3.3. State policies implemented in district 58

3.4. The role of locality 63

Summary of chapter 64

CONCLUSION AND RECOMMENDATIONS 67

LIST OF REFERENCES

PHOTO LIST

Figure 2.1. Elderly people in Vietnam 30

Figure 2. 2. Medical examination for the elderly in district 47

Figure 2.3. Wishing longevity to the elderly in district 48

Figure 2.4. Health club participating in competition 49

LIST OF CHARTS

Chart 2.1. Elderly people in district 32

Chart 2. 2. Activity

g entertainment and recreation for the elderly

..................... 38

Figure 2.3. Feelings of anxiety in the elderly 41

Figure 3.1. Subjects of elderly care 56

Figure 3.2. Treatment measures for mental illness 57

Chart 3.3. Caring for social protection in district 61

Chart 3.4. Longevity greetings and celebrations 61

LIST OF TABLES

Table 2.1. Summary of participation in economic activities 33

Table 2.2. Results of medical examination and treatment in 2018 36

Table 3. 1. Circumstances of the elderly in district 55

INTRODUCTION

1. Urgency of the topic

According to forecasts, by 2038, the elderly in Vietnam will account for about 20% of the total population - a three-fold increase within 24 years, by 2050, our country will become a "super-aged" country. While the elderly in many countries after retirement still have the need to work, have the opportunity, are encouraged to continue contributing and minimize their dependence on their families, the majority of the elderly in Vietnam still have the mindset that old age means running out of assets, enjoying old age; after retirement, they need to rest, spend time with their children and grandchildren, take care of their gardens, be supported and cared for by their children and grandchildren, and be cared for, respected and cared for by society and the State. This is a reality that deserves attention and also a challenge for current elderly policy researchers.

Caring for the elderly, building social security and health policies for the elderly must be one of the priorities in the coming time, especially building policies suitable for population aging, in the context of our country's economy still being a low-middle income country; especially the elderly in rural families today. The structure, scale and changes of rural families have affected the elderly not based on ethical norms, traditions and national culture (Bui Nghia and Nguyen Huu

Hoang, social magazine 2018).

Long An province currently has 159,453 elderly people (EC), accounting for 10.3% of the province's total population (of which males: 76,303 people, accounting for 47.9%; females: 83,150 people, accounting for 52.1%). Total number of members of the Association of the Elderly: 137,452 members; of which the Association of the Elderly under 60 years old: 15,953 members (Report of the Department of Labor - Invalids and Social Affairs of Long An province, 2017).

Duc Hue district alone has 7,256 elderly people, accounting for 10.5% of the district's population (7,256/68,697), of which 4,115 are male, accounting for 56.7%, and 3,141 are female.

accounting for 43.2%; Total number of elderly members 5,364, number of elderly people from 60

– 79 years old is 5,569 accounting for 76.7%, the number of elderly people from 80 - 99 years old is 1,245 accounting for 17.1% of the district's elderly (Report of the Department of Labor - Invalids and Social Affairs, 2017).

However, people's living standards are still low, the district's elderly are facing some difficulties, the district's poor households in 2018 accounted for 10.23%; most of the elderly have no income or low income, social benefits are limited, especially the community living space for the elderly is limited in quantity and quality, the elderly do not enjoy the rights and obligations of care, are adopted and cared for in the community or in elderly care facilities, or are cared for through models.

receive care and nurturing in the community. Communes and towns do not have models yet.

appropriate form to care for and promote the role of the elderly in the participating area

participation and benefit. The management and implementation of social security policies for

NCT according to

g rules

h of the State, the district has not had a scientific approach

study in mental health care for the elderly....This practice raises

There are many questions that need to be researched to clarify the current situation and needs of mental health care and entertainment for the elderly in Duc Hue district - especially in rural and border areas at present and in the coming years. This is the reason why the author chose the topic "Health care for the elderly in Duc Hue district, Long An province" .

2. Research overview

Some foreign studies

“Population aging” is a term that has been mentioned a lot in recent years, which has had a significant impact on social life, especially the elderly, and has affected the socio-economic development strategies of many countries. Therefore, research on the elderly is of interest to many scientific fields.

interest: such as psychology, medicine, social work, sociology. Each science has a different approach, sometimes the research is interdisciplinary in order to implement social security policies; to propose appropriate policies, new models in caring for the elderly. And this work has been carried out since the 50s of the 20th century in European and Asian countries, especially Japan, Korea, China, Singapore...

According to MT Yasamy, T. Dua, M. Harper, S. Saxena World Health Organization, 2013, The world population has never been older. The number of people aged 60 and over is more than 800 million. This number is estimated to increase to more than 2 billion by 2050. People aged 60 can expect to live another 18.5 to 21.6 years. Soon, the number of older people in the world will outnumber children. Contrary to popular belief, the majority of older people live in low- and middle-income countries, and the rate of aging will grow fastest in these regions.

The United Nations uses the age of 60 to refer to older people (UNFPA, 2012). However, in many high-income countries, the age of 65 is considered older because of the social security benefits available to older people. This higher age may not be appropriate for developing countries, including Africa, where life expectancy is typically lower than in high-income countries.

Research on the health of the elderly:

Author Bui The Cuong in the research work "Population aging in Vietnam and issues raised for elderly policy" published in 2001 pointed out that the population aging process in Vietnam is taking place rapidly. This will put great pressure on the policy system for the elderly. According to the author, although there are many legal regulations

Health care for the elderly in Duc Hue district, Long An province - 1

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