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EASY Care study among elderly in Kosovo

EASY Care study among elderly in Kosovo. Naim Jerliu, MD, MPH. National Institute of Public Health of Kosovo. National Institute of Public Health of Kosovo. A transitional country in Western Balkans Declaration of Independence 2008. Kosovo in context. Population in total , 1.733.872

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EASY Care study among elderly in Kosovo

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  1. EASY Care study among elderly in Kosovo Naim Jerliu, MD, MPH National Institute of Public Health of Kosovo National Institute of Public Health of Kosovo

  2. A transitional country in Western Balkans Declaration of Independence 2008

  3. Kosovo in context Population in total, 1.733.872 (2011 census, preliminary) Life expectancy: 75 years(2003 est.) Age distribution, total 0-14 years 28 % 15-64 years 65 % 65 and older 7 %

  4. Kosovo in context Median age (2011 est.) -total:26.7 years -male:26.3 years -female:27.2 years Unemployment, around 45% Kosovo's citizens are the poorest in Europe with 30% of population below poverty line(2010 est.) Most of Kosovo's population lives in rural settlements

  5. Legislation and policies on elderly No policy on elderly No institutional care Law on Basic Pensions guarantees financial benefits for virtually every Kosovo citizen reaching the age of 65 years Amount of monthly pension =45 Euro Law on Health Full coverage of health care in publicly owned health institutions for people 65 years +

  6. Aim of the EASY-Care study To assess the health status of elderly people in Kosovo undergoing a difficult period of political and socioeconomic changes.

  7. Methods: • A nationwide population-based survey • Kosovo in January-March 2011 • Age-sex and-residence stratified random sample of 1,890 individuals aged 65 years and over. • 83.5% response rate

  8. Methods: • EASY Care Instrument was used to assess the self-perceived health status. • Furthermore, a comprehensive questionnaire, tapping socio-demographic and socioeconomic aspects of elderly people, was employed.

  9. Translation and adaptation of the EASY-Care instrument • Translation and preliminary adaptation in Albanian-speaking settings namely Albania and Kosovo (country/culture). • Translation/ Back-translation • Discrepancies between the original and back-translated versions were reconciled • Alterations/amendments were incorporated accordingly in the final version of the questionnaire (in Albanian).

  10. Pre-testing and cognitive interviewing • The EASY-Care instrument was initially pre-tested using a community-based (convenient) sample of elderly people (60+ years): • Kosovo: N=20 • Albania: N=18

  11. Incorporating additional (socioeconomic) aspects to the EASY-Care assessment

  12. Results

  13. General characteristics of the sampleGender

  14. Age

  15. Place of residence

  16. Marital status

  17. Living arrangements

  18. Education

  19. Adequacy of monthly pension to meet monthly needs

  20. Adequacy of family finances to meet monthly needs

  21. Health statusChronic conditions

  22. Seeing, hearing and communicating

  23. Seeing, hearing and communicating

  24. Seeing, hearing and communicating Based on “need for care and support” summary scores and on the present cut-off points, it can be concluded that 18% and 8% of participants are in moderate and high need for care and support, respectively

  25. Seeing, hearing and communicating

  26. Looking after yourself Based on “risk of hospital admission” summary scores and on the present cut-off points, it can be concluded that 24% and 8% of participants are in moderate and high risk of hospital admission, respectively

  27. Looking after yourself

  28. Looking after yourself

  29. Looking after yourself

  30. Looking after yourself

  31. Looking after yourself

  32. Getting around

  33. Getting around

  34. Conclusions • These preliminary results from Kosovo indicate that EASY Care Instrument could be an appropriate tool for discriminating among elderly with high and/or special needs also in transitional countries of Southeast Europe.

  35. THANK YOU! FALEMINDERIT! (Albanian version)

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