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Integrated Response of health systems to rapidly
ageing populations (INTRA) – a WHO multi-country study
The
Integrated Response of Health Care Systems to Rapid Population Ageing (INTRA)
study was a project by the Division of Ageing and Life Course, WHO for
assessing the capacity and preparedness of the primary health care system to
respond to ageing through a stepwise approach.
 INTRA
I
 in
six countries (Botswana, Chile, Jamaica, Korea, Lebanon, Thailand)
To
examine health system role and response to ageing
INTRA
II
In
8 countries – Chile, Thailand, Ghana, Syria, Shanghai, Suriname, Sri Lanka,
Peru
To
investigate the nature and practice of primary health care service provision
INTRA
III
Jamaica,
Syria, Peru, Ghana, China, Sri Lanka, Kenya, Pakistan, Malaysia, India,
Trinidad & Tobago, Bolivia
To
study non-users of primary health care and gain insight into alternative
approaches to seeking primary care
The project required constitution of an
interdisciplinary team with members from health, social, development, and
other sectors involved and concerned with ageing populations, for reviewing
the current health care system, and profiling of ageing in the country. Countries
participating for the first time in INTRA III, including India, were
also required to complete the INTRA II protocol.
More information on INTRA: Click here >…
The key findings in India were
Provider issues
Vacant posts, irregular supplies, high
workload
User needs
Referral linkages and record maintenance - for
continuity of care
Specialist care nearer to homes
Separate queue or timings for elderly
Non-use
constraints
Financial constraints for transport
Lack of family support
Lack of facilities in PHC
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