Geriatric social security and welfare services in Gwalior, India: a cross sectional study of awareness, utilization, concerns and solutions

Shatkratu Dwivedi, Ranjana Tiwari, Rupesh Sahu, Manoj Bansal, Vikash Sharma, Sumit Bhadoria Singh, Paromita Kuity, Sakshi Tiwari


Background: Between 2015 and 2050, the proportion of the world's population over 60 years will nearly double from 12% to 22%. In 2050, 80% of older people will be living in low and middle income countries. All countries face major challenges to ensure that their health and social systems are ready to make the most of this demographic shift.

Methods: The present Study was a cross-sectional study done for 1 year in 2016 in which 600 households were selected by simple random sampling in Gwalior city in which the knowledge and awareness of various Government health scheme and policies and their day to day utilization in their life were assessed. A predesigned and pretested interview based structured questionnaire was used for data collection. They were analysed and interpreted by appropriate software and various statistical tests were applied.

Results: The maximum no. of participants 112 (54.9%) knew about railways/road transport/air travel concessions provided to Senior citizens, 23.04% knew about telephone and postal services, 13.24% were aware of tax exemptions while 9.8% knew about banking and insurance schemes regarding elderly. Males were generally more aware than females. The maximum utilization (59.82%) was found in railways/road transport/air travel concessions while minimum utilization (25.00%) was in Indira Gandhi National old age pension scheme.

Conclusions: The system for comprehensive geriatric care to the community was well in place with regular development and growth but there is dearth of awareness and utilization of these services.


Geriatric, Social security, Welfare services

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WHO, ageing and health. Available at: http://www. Accessed on 29 July 2020.

WHO, ageing and life course, global strategy and action plan. Available at: en/. Accessed on 29 July 2020.

Central statistics office ministry of statistics and programme implementation Government of India. Situation analysis of the elderly in India. Available at: reports/elderly_in_india.pdf. Accessed on 29 July 2020.

WHO, Epi info software version 7. Available at: Accessed on 29 July 2020.

US, centre for disease control and prevention (CDC); a guide to conducting household surveys for water safety plans. Available at: ehs/gwash/publications/guide_conducting_household_surveys_for_water_safety_plans.pdf. Accessed on 29 July 2020.

Help age India, state of elderly in India. Available at: Accessed on 29 July 2020.

Maroof M, Ahmad A, Khalique N, Ansari MA. Awareness of geriatric welfare services among rural elderly population. Int J Res Med Sci. 2016;4:2783-7.

Lena A, Ashok K, Padma M, Kamath V, Kamath A. Health and social problems of the elderly: a cross-sectional study in Udupi Taluka, Karnataka. Indian J Community Med. 2009;34(2):131-4.

Kohli C, Gupta K, Banerjee B, Ingle GK. Social security measures for elderly population in Delhi, India: awareness, utilization and barriers. J Clin Diagn Res. 2017;11(5):LC10-4.