A pilot study on the development and testing of an instrument for assessment of dependency needs of older persons in South Africa

 

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dc.contributor.advisor Louw, Stephen en_ZA
dc.contributor.author Kalula, Sebastiana Zimba en_ZA
dc.date.accessioned 2014-07-29T09:04:03Z
dc.date.available 2014-07-29T09:04:03Z
dc.date.issued 2000 en_ZA
dc.identifier.citation Kalula, S. 2000. A pilot study on the development and testing of an instrument for assessment of dependency needs of older persons in South Africa. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/3406
dc.description Bibliographical references.
dc.description.abstract With the advent of the new government and the end of the apartheid era, the Department of Welfare investigated methods whereby the demand for equitable access to state subsidised homes for the aged might be met. It was decided to develop an instrument to assess dependency needs of older persons that might warrant admission to homes for the aged. Financial constraints dictated that only 2% of those over the age of 65 years could be institutionalised in state subsidised homes. An instrument with high specificity and sensitivity and good face and construct validity was required in order not to exclude the needy or include the undeserving in subsidised institutional care. The instrument formerly used in South Africa was designed to assess dependency needs of urban-living individuals and assumed relative affluence in contrast to the reality of the situation of the bulk of the South African population. The instrument was deficient in that it assessed only mental and physical disabilities. It did not take into account the wide disparities relating to primary needs (such as water, food, sanitation and security) that exist among communities with widely disparate socio-economic status. Since South Africa is a developing country, a significant component of the elderly population live in extreme poverty, often in rural subsistence-economy conditions. Instruments used in other countries, which assume a certain level affluence, are thus not applicable to the majority of the South African population. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Medicine en_ZA
dc.title A pilot study on the development and testing of an instrument for assessment of dependency needs of older persons in South Africa en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Medicine en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MMed en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Kalula, S. Z. (2000). <i>A pilot study on the development and testing of an instrument for assessment of dependency needs of older persons in South Africa</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Medicine. Retrieved from http://hdl.handle.net/11427/3406 en_ZA
dc.identifier.chicagocitation Kalula, Sebastiana Zimba. <i>"A pilot study on the development and testing of an instrument for assessment of dependency needs of older persons in South Africa."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Medicine, 2000. http://hdl.handle.net/11427/3406 en_ZA
dc.identifier.vancouvercitation Kalula SZ. A pilot study on the development and testing of an instrument for assessment of dependency needs of older persons in South Africa. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Medicine, 2000 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/3406 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Kalula, Sebastiana Zimba AB - With the advent of the new government and the end of the apartheid era, the Department of Welfare investigated methods whereby the demand for equitable access to state subsidised homes for the aged might be met. It was decided to develop an instrument to assess dependency needs of older persons that might warrant admission to homes for the aged. Financial constraints dictated that only 2% of those over the age of 65 years could be institutionalised in state subsidised homes. An instrument with high specificity and sensitivity and good face and construct validity was required in order not to exclude the needy or include the undeserving in subsidised institutional care. The instrument formerly used in South Africa was designed to assess dependency needs of urban-living individuals and assumed relative affluence in contrast to the reality of the situation of the bulk of the South African population. The instrument was deficient in that it assessed only mental and physical disabilities. It did not take into account the wide disparities relating to primary needs (such as water, food, sanitation and security) that exist among communities with widely disparate socio-economic status. Since South Africa is a developing country, a significant component of the elderly population live in extreme poverty, often in rural subsistence-economy conditions. Instruments used in other countries, which assume a certain level affluence, are thus not applicable to the majority of the South African population. DA - 2000 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2000 T1 - A pilot study on the development and testing of an instrument for assessment of dependency needs of older persons in South Africa TI - A pilot study on the development and testing of an instrument for assessment of dependency needs of older persons in South Africa UR - http://hdl.handle.net/11427/3406 ER - en_ZA


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