Author(s): BM Rabiul Islam, Mohammad Abdul Bari, Meher Nowrose, Mohammad Abu Bin Nyeem, Mohima Benojir Hoque and Md. Ismail Hossain

Abstract:
Aging is a natural, multidimensional process of human life. Old age is the closing period of the life of an individual. A person’s activities, attitudes towards life, relationships to the family and work, biological capacities and physical fitness are all confined by the position in the age structure of the particular society in where she/he lives. The aim of the present study was to evaluate the health care services in old homes and aging people preferences for the place of end-of-life care and their need for receiving health care services in Bangladesh. About 51% male, 49% were female and mean age of the respondents was (65.43±5.239) years. Most of them (98%) were Muslim, 94.1% married and 35.29% were in master degree holder. Mean income of the respondents was (Tk. 19600±17530.92), family member (2.96±1.26) person and average living years in old homes was (mean = 2.94±2.58 Years). About 68.63% came by their self-activities, 11.76% respondents were bought by their sons. About 52.9% came in old homes for their family problem, 74.29% came in old homes by conflict with their sons. Monthly expense of the respondents were (tk. 9053.57±2310.76) in public old homes while in private old homes is total free of cost. About 28.6% essential services, 32.1% regular service, 53.6% health related services, 51.9% doctors services and only 10.7% gained medicines in public old homes while 87.0% essential services, 73.9% regular service, 95.7% health related services, 69.6% doctors services and 87.0% gained medicines in private old homes. Both public and private old homes had no ambulance services for male and female separately and in both old homes give food three times daily. About 28.6% are agreeable and 28.6% are satisfied in public old homes while 87.0% are agreeable and 87.0% are satisfied in private old homes. The present findings may help the planners and policymakers to develop an effective old homes care system in Bangladesh considering Bangladeshi people’s need for health care services.