Exploring a Framework for Identifying neighbourhood-based Support Services Catering to the Quality of Life (QoL) of Older Adults: Discussion on Findings from Two Indian Cities

The loss of family-based support services along with the preference of the older adults to age-in-place, have increased the importance of neighbourhood and community based support services for the older adults in India. This study first proposes a framework for identification of the neighbourhood-based support services, which are perceived by the older adults to contribute to their overall QoL, by understanding the concerns and perception of overall QoL of older adults living in Kolkata, India. The quality and type of available services also vary considerably based on the different classes of cities in India. This study, through analysis of data collected from structured interviews with older adults living in Kolkata and Midnapore in India, also proposes a framework that can help in exploring if living in different classes of cities impacts upon on the prioritisation of the support services by the older adults. In the process of identification of the support services, the initial list was first identified from literature and interviews with caregivers and beneficiaries of non-governmental organizations providing older adults care services, and the final list of support services were selected on the basis of researchers’ judgement. The importance or prioritisation of support services was determined using RIDIT analysis. Considering the limitations of funds for social support services in a developing country like India, the proposed framework of identification and prioritisation can be utilised by future policy makers for formulation of policies and programs catering to essential support services, based on the class of city and the socio-economic and cultural background of the city residents.