7 results
Search Results
Now showing 1 - 7 of 7
Publication Open Access Management of aging society in Kobe, Japan(2016) Phetcharee Rupavijetra; Jiraporn Chompikul; Ploypailin Rupavijetra; เพ็ชรี รูปะวิเชตร์1 2 และ3; จิราพร ชมพิกุล; พลอยไพลิน รูปะวิเชตร์; Mahidol University. ASEAN Institute for Health Developmentons at all levels have responded to this matter by initializing policies and plans for the management of the elderly society. This research aimed to describe the following issues: (1) long-term care insurance for the elderly and (2) health care services for the elderly. The research was based on the principles of documentary and qualitative research. The data were collected via document research and interviews with the Kobe Municipal officers which was composed of the chief and three staff members of the Elderly and Welfare Section for policies, plans, and management of the aging society in the Kobe Municipality during October- November, 2014. In addition, the data were collected from interviews with twenty elderly Japanese people who participated in Shiawase–no-mura (the Comprehensive Welfare Complex). Content analysis was used to analyze the data. The research findings were as follows: (1) long-term care insurance for the elderly is a policy that provides care for the elderly, and is based on “Welfare Law for the Elderly” which was designed for low income elderly who have no family to care for them. However, the new long-term care insurance departs from past practices with respect to the following: (a) shifting the major responsibility for care giving from family to the state; (b) integrating medical care and social services via unified financing; (c) enhancing consumer choice and competition by allowing free choice of providers; (d) requiring older persons themselves to share the costs via insurance premiums as well as copayments; and (e) expanding local governmentautonomy and management capacity in social policy. (2) As far as health care services for the elderly is concerned, the Japanese government’s initiative, the Welfare Law for the Elderly, has a special system for the elderly, called “Health Service System for the Elderly.” The facility services in special nursing homes and home care aid services are funded by taxes. For, the Kobe Municipal has policies, plans, and management designed for the aging society: the long-term care insurance is that in which Kobe city is equipping itself to manage effectively the trend of increasing numbers of aging people by launching the statement, “keep life and take care” as well as planning for aged people with Alzheimer’s disease and aged people who are isolated. Kobe established the “Shiawase–no-mura”: the Comprehensive Welfare Complex designed for the elderly including the disabled and all the members in the family, and the program called Kobe Senior Citizens’ College or “Silver College,” which provides for the elderly to maintain life-long learning. The curriculum is composed of a general course which provides general education, sports, and health management studies, and the special courses include welfare community, living environment, international exchange, cooperation, and general art. The research finding suggested that long-term care insurance, health care services and colleges for the elderly should be promoted to improve the quality of their life.Publication Open Access Relationship between child rearing and child nutritional status during the first year of life in Thailand(2016) Mai Beniko; Aroonsri Mongkolchati; Jiraporn Chompikul; Rutja Phuphaibul; Mahidol University. ASEAN Institute for Health Developmentrearing style age 6 months among this population effect to nutritional status for children first year of life. Therefore, health policy and education regarding to appropriate child rearing pattern toward among parents in Thailand should be promoted.Publication Open Access Factors associated with quality of life among the elderly in Baglung District, Nepal(2017) Pradeep GC; Sariyamon Tiraphat; Jiraporn Chompikul; ประดีพ จีซี; ศริยามน ติรพัฒน์; จิราพร ชมพิกุล; Mahidol University. ASEAN Institute for Health DevelopmentThis community based cross-sectional study was conducted to investigate the factors associated with quality of life among the elderly in Baglung district, Nepal. The sample size was 403 elderly selected by multi-stage cluster sampling from Baglung district. The data were collected by face to face interview using structured questionnaires. The outcome variable was the World Health Organization Quality of Life (WHOQOL-BREF), while independent variables included socio-demographic factors and neighbourhood social and environmental factors. Descriptive statistics were used to describe the characteristics of the sample. Chi-square test and multiple logistic regressions were used to determine the association between independent variables and quality of life among the elderly. The finding showed that approximately half of the elderly (51.1%) had high quality of life. Factors associated with the quality of life included age, gender, marital status, religious, family structure, social capital, neighbourhood aesthetic and crime. After adjusting other factors, high quality of life was detected among the elderly who were perceived high neighbourhood social capital (Adj OR = 2.52, 95% CI = 1.48-4.29), perceived high neighbourhood aesthetic (Adj OR = 3.16, 95% CI = 1.91-5.23) and perceived low crime (Adj OR = 3.94, 95% CI = 2.31-6.72) in neighbourhood comparing to their counterparts. From the results of this study, interventions that can promote active aging, such as designing of age-friendly public spaces and pleasant social environments should be considered. Moreover, policy to improve quality of life towards the elderly should be seriously implemented.Publication Open Access Performances of village health volunteers in elderly care in Muang District, Nakhon Ratchasima Province, Thailand(2014) Osamu Watanabe; Jiraporn Chompikul; Aroonsri Mongkolchati; Nuanpan Pimpisan; Mahidol University. ASEAN Institute for Health DevelopmentA cross-sectional study was conducted to examine an association between performance levels of Village Health Volunteers (VHVs) in elderly care and related factors. The performances referred to the levels of activities for the assigned roles and tasks related to elderly care which composed of three scales: Instrument Active Daily Living scale (IADL), Active Daily Living scale (ADL) and other home cares. A total of 415 self-administered questionnaires were distributed to VHVs in February, 2014. Chi-square tests and multiple logistic regression were employed to identify significant predictors of VHVs performances. Approximately 26 % of VHVs were classified into high performances in elderly care. When adjusting for working hours per day and having experience of taking care of the elderly, significant predictors were: number of trainings that VHVs participated in Adj OR=2.54, 95% CI=1.45-4.45), levels of knowledge (Adj OR=2.51, 95% CI= 0.94-6.75 for good level and Adj OR = 1.41, 95% CI = 0.56-3.57 for moderate level) and high satisfaction with working in elderly care (Adj OR: 2.10, 95% CI= 1.14-3.88). VHVs who had good knowledge about elderly care were nearly three times more likely to show high performances than those who had poor knowledge. The findings suggested that two significant key factors to gain high levels of VHVs’ performance in elderly care are providing a variety of refresher courses related to elderly care to increase knowledge and skills, and also improving the work place support system and incentives to promote satisfaction of VHVsPublication Open Access Predictors of HIV preventive behaviors among migrants living in the transportation crossroads of Myawaddy Township, Myanmar(2018) Htet Ko Ko Aung; Bang-on Thepthien; Jiraporn Chompikul; เท็ด โก โก อ่อง; บังอร เทพเทียน; จิราพร ชมพิกุล; Mahidol University. ASEAN Institute for Health DevelopmentMigration and infrastructure development help fuel the transmission of HIV infection among migrants, and behavior change increases migrants’ vulnerability to HIV/AIDS. This study aimed to assess a proportion of having HIV preventive behaviors and its associated factors among migrants at Myawaddy Township in the Thailand-Myanmar border area. A community-based cross-sectional study was conducted among 358 migrants aged 18-49 years who were recruited by two-stage cluster sampling. Data collection was carried out by trained interviewers using a structured questionnaire during the first and second week of April, 2017. The Chi-square test and multiple logistic regression were performed to examine factors associated with HIV preventive behaviors among migrants. The study revealed that 17.9% of the respondents practised HIV prevention; 17.3% had never had sex; 97.4% had only one sex partner; 4.4% used a condom at last sex during last 12 months; and 19.6% had a history of HIV testing in the last 12 months. The multiple logistic regression showed that migrants who participated in health education sessions were 6.95 times more likely to practise HIV prevention than those who did not (Adj. OR=6.95, 95% CI=3.34-14.45). Moreover, migrants who did not use drugs or alcohol before having sex were 2.49 times more likely to practise HIV prevention (Adj. OR=2.49, 95% CI=1.04- 5.95) than those who did. Policy makers should consider to promote the dissemination of health information among migrants by using all possible channels of communication to boost correct knowledge on HIV prevention. As HIV risk is higher among outbound migrants from Myanmar than inbound, there is a need for HIV prevention education with an emphasis on migrants planning to migrate out of the country.Publication Open Access Factors associated with tobacco use among male adolescents in Magway Township, Myanmar(2013) Htein Linn; Jiraporn Chompikul; Jutatip Sillabutra; Somsak Wongsawass; เทียน ลิน; จิราพร ชมพิกุล; จุฑาธิป ศีลบุตร; สมศักดิ์ วงศาวาสA community based cross-sectional study was carried out in Magway Township, Myanmar to examinefactors influencing tobacco use among male adolescents aged 18-24 years. In March, 2012, 275 male adolescents were recruited in this study and the data were collected by using structured questionnaires. Chi-square tests and multiple logistic regression were used to examine factors associated with tobacco use. The results showed that the prevalence of tobacco use was 49%. Among the users, 94.1% were smokelesstobacco users and 65.4% were smokers and 65.4% were dual users. The median age of the respondents was 20 years and the majority were 18-20 years. Only 1.1% had good knowledge concerning risk of tobacco use. Father education, father smoking habit, presence of friends using tobacco, receiving tobacco advertise-ments from company and media and parental monitoring were significant predictors of tobacco use among male adolescents. Male adolescents who have friends using tobacco were 9 times more likely to use tobacco while adjusting the other factors. The study conducted that tobacco use among male adolescents shows no sign of decreasing. Interventions such as health promotion training for the adolescents together with their friends about the harmful effect of tobacco use should be promoted at the school level. Advertising campaigns against tobacco use are also needed to be strengthened to promote behavioral change within the specific age group and gender.Publication Open Access Determining of Complementary Food Practice and Stunted Thai Children Aged 24 Months(2012) Joshi, Shrijana; Aroonsri Mongkolchati; Jiraporn Chompikul; Ladda Mo-suwan; Uraiporn Chittchang; Chanpen Choprapawon; Mahidol University. ASEAN Institute for Health Development,; Mahidol University. Institute of Nutrition; Prince of Songkla University. Faculty of Medicine. Department of Pediatrics,This descriptive study was conducted to determine the prevalence of child stunting at 24 months by using the Thai and New WHO growth standard and to examine the association between time of introduction of complementary food and child stunting at 24 months. The data of 4,245 children aged 24 months were selected from a cohort study of Thai children. After excluding 60 twin infants and 18 with abnormalities, 4,167 children remained for data analysis. Chi-square tests and multiple logistic regression were undertaken to identify variables that influenced child stunting at 24 months. For the 2001 Thai reference, the study showed 13.95% stunting prevalence whereas 2006 WHO reference showed 16.48%. After adjusting for confounding factors, the study showed that prolonged breast feeding was significantly associated with child stunting from both the WHO (OR=2.70, 95% CI=1.77-4.10) and Thai references (OR=2.31, 95% CI=1.48-3.60). By using WHO reference, this study found that children who were introduced pork before four months (OR=4.72, 95% CI=1.11-20.19) had the highest risk to be stunting at 24 months. And, by using Thai reference, it was found that children who were introduced whole eggs before four months (OR=2.76, 95% CI=0.56-3.54) had the highest risk to be stunting at 24 months. In conclusion, this study found that early introduction of complementary foods is a risk of child stunting. Implementing various health education programs to mothers and caretakers focusing on the improvement of feeding practices and by timely introduction of complementary food, optimum growth in children can be achieved.