Start Date

27-6-2012 2:00 PM

End Date

27-6-2012 4:10 PM

Abstract

Many countries in the world will experience increasingly ageing populations in the 21st century. One of the countries that will have dramatic increase in the number of aged people in its populations is Indonesia. The increasing proportion of older persons in Indonesia also bring an impact on the issue of providing care for older persons especially for older persons who are no longer working. Most of study on elderly people are focused on social activities of the elderly. However, there are limited studies on the providing care for older persons in rural areas in Indonesia. Therefore, the decision to study providing care for Indonesian older persons was taken in order to broaden inquiry into the issues. Our study is a small scale study which is based on qualitative research in Citengah Village, Sumedang, West Java in 1999 – 2001..

The results showed that there is a flexibility in Citengah Village when older people were asked about who they wanted to care for them when ill or frail. For men, reliance on a wife or a daughter is clearly preferred, while women often state a prefer­ence for care by a daughter. Sometimes remarry will be done by older men in order to have wife to care for them. However, for both men and women care by a daughter-in-law, granddaughter, adopted child or even son or nephew is acceptable, especially if a daughter is not locally available or relations are not good. One rich elderly widower, who has six sons and one daughter, explained his decision to live with his only daughter after his wife’s death with the comment: “With a daughter, I need not feel like a stranger (asing), nor reluctant (sungkan) to ask her to do my laundry or cook my favourite food.”

For elderly men, where there is a wife (and often there is), she is by default the predominant carer. Indeed, in Citengah, a wife’s role for ensuring men’s domestic comfort and care in illness is recognised as so important that remarriage, even in old age, is not uncommon. Only if there is no wife do daughters emerge as caregivers. Care by a daughter is most common, but granddaughters, sons, and daughters-in-law also feature prominently. Caregiver played important roles in providing companionship, help and health care for elderly people. In relation to this, most caregivers were children or family of the elderly people.

From the study we concluded that further research is needed in order to increase capability of the caregiver. Hence, the implication of this research findings is the importance of care giving training to improve capability of caregiver (family and community) in caring the older persons, and developing support system to provide sustainability of this program.

「印尼西爪哇苏美当希丹格村长者照顾者角色的人种志研究」

摘要

许多国家在二十一世纪都要面对老龄人口增加的问题,而印度尼西亚便是其中一个老龄人口急剧增加的国家。老龄人口比例增加,对提供长者护理服务产生了影响,特别是对退休长者的影响更为深远。大多数的研究都着重在长者的社交活动,以印度尼西亚乡村地区的长者护理作对象的研究为数不多。因此,此研究决定拓展此领域,深入探讨印度尼西亚长者护理服务的提供。此研究是以1990- 2001年在印度尼西亚西爪哇苏美当希丹格村进行的定性研究为基础的小型研究。

研究结果显示希丹格村的老人在挑选他们病弱时的照顾者具有一定的灵活性。就男性而言,他们都明显地表示喜爱依赖妻子或女儿照顾;而女性方面则较常倾向让女儿照顾。有时候男性为了要有妻子照顾自己会选择再婚。但不论男女,尤其在女儿不在身边,或与女儿关系不佳的情况下,都会接受让媳妇、孙女、养子/女,或侄子、兒子照顾。一位有六个儿子和一个女儿的富有老鳏夫解释在太太去世后与女儿同住的原因:「跟女儿在一起,我不会觉得自己是陌生人,或者是在要求她为我洗衣服或做我喜欢的菜时觉得不自在。」

在老年男性的角度,当他有妻子(通常都会有),他的妻子就会自动成为最主要的照顾者。而在希丹格村,妻子的角色是要确保男性享有舒适的家庭环境,和在生病时有人照顾,正因为妻子如此重要,所以即使在老年,男性再婚的现象也甚为常见。如果男性没有妻子,女儿就接替成为照顾者。老人由女儿照顾是最为常见,但也有一定数目的老人由孙女、儿子和媳妇所照顾。照顾者在陪伴长者、帮助长者生活,以及在长者保健方面担当重要角色。因此许多照顾者是长者的子女或家人。

总括而言,研究显示有需要进一步探讨如何提升照顾者的能力。研究结果指出了为照顾者提供训练的重要性,提升家庭或小区长者照顾者照料老人的能力,发展出一套支持系统去持久有效地照顾长者。

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Presentation Material

Recommended Citation

Dewi, V. P. (2012, June). Ethnographic studies on the role of caregiver in providing care for older persons in Citengah Village, Sumedang, West Java and its implication of Care Giving Program. Paper presented at the 2nd International Leadership Assembly of Nuising Homes cum APIAS-TSAO-ILC Symposium for Junior Researchers on Active Ageing 2012, Harbour Plaza Resort City, Hong Kong.

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Jun 27th, 2:00 PM Jun 27th, 4:10 PM

Ethnographic studies on the role of caregiver in providing care for older persons in Citengah Village, Sumedang, West Java and its implication of Care Giving Program

Many countries in the world will experience increasingly ageing populations in the 21st century. One of the countries that will have dramatic increase in the number of aged people in its populations is Indonesia. The increasing proportion of older persons in Indonesia also bring an impact on the issue of providing care for older persons especially for older persons who are no longer working. Most of study on elderly people are focused on social activities of the elderly. However, there are limited studies on the providing care for older persons in rural areas in Indonesia. Therefore, the decision to study providing care for Indonesian older persons was taken in order to broaden inquiry into the issues. Our study is a small scale study which is based on qualitative research in Citengah Village, Sumedang, West Java in 1999 – 2001..

The results showed that there is a flexibility in Citengah Village when older people were asked about who they wanted to care for them when ill or frail. For men, reliance on a wife or a daughter is clearly preferred, while women often state a prefer­ence for care by a daughter. Sometimes remarry will be done by older men in order to have wife to care for them. However, for both men and women care by a daughter-in-law, granddaughter, adopted child or even son or nephew is acceptable, especially if a daughter is not locally available or relations are not good. One rich elderly widower, who has six sons and one daughter, explained his decision to live with his only daughter after his wife’s death with the comment: “With a daughter, I need not feel like a stranger (asing), nor reluctant (sungkan) to ask her to do my laundry or cook my favourite food.”

For elderly men, where there is a wife (and often there is), she is by default the predominant carer. Indeed, in Citengah, a wife’s role for ensuring men’s domestic comfort and care in illness is recognised as so important that remarriage, even in old age, is not uncommon. Only if there is no wife do daughters emerge as caregivers. Care by a daughter is most common, but granddaughters, sons, and daughters-in-law also feature prominently. Caregiver played important roles in providing companionship, help and health care for elderly people. In relation to this, most caregivers were children or family of the elderly people.

From the study we concluded that further research is needed in order to increase capability of the caregiver. Hence, the implication of this research findings is the importance of care giving training to improve capability of caregiver (family and community) in caring the older persons, and developing support system to provide sustainability of this program.

「印尼西爪哇苏美当希丹格村长者照顾者角色的人种志研究」

摘要

许多国家在二十一世纪都要面对老龄人口增加的问题,而印度尼西亚便是其中一个老龄人口急剧增加的国家。老龄人口比例增加,对提供长者护理服务产生了影响,特别是对退休长者的影响更为深远。大多数的研究都着重在长者的社交活动,以印度尼西亚乡村地区的长者护理作对象的研究为数不多。因此,此研究决定拓展此领域,深入探讨印度尼西亚长者护理服务的提供。此研究是以1990- 2001年在印度尼西亚西爪哇苏美当希丹格村进行的定性研究为基础的小型研究。

研究结果显示希丹格村的老人在挑选他们病弱时的照顾者具有一定的灵活性。就男性而言,他们都明显地表示喜爱依赖妻子或女儿照顾;而女性方面则较常倾向让女儿照顾。有时候男性为了要有妻子照顾自己会选择再婚。但不论男女,尤其在女儿不在身边,或与女儿关系不佳的情况下,都会接受让媳妇、孙女、养子/女,或侄子、兒子照顾。一位有六个儿子和一个女儿的富有老鳏夫解释在太太去世后与女儿同住的原因:「跟女儿在一起,我不会觉得自己是陌生人,或者是在要求她为我洗衣服或做我喜欢的菜时觉得不自在。」

在老年男性的角度,当他有妻子(通常都会有),他的妻子就会自动成为最主要的照顾者。而在希丹格村,妻子的角色是要确保男性享有舒适的家庭环境,和在生病时有人照顾,正因为妻子如此重要,所以即使在老年,男性再婚的现象也甚为常见。如果男性没有妻子,女儿就接替成为照顾者。老人由女儿照顾是最为常见,但也有一定数目的老人由孙女、儿子和媳妇所照顾。照顾者在陪伴长者、帮助长者生活,以及在长者保健方面担当重要角色。因此许多照顾者是长者的子女或家人。

总括而言,研究显示有需要进一步探讨如何提升照顾者的能力。研究结果指出了为照顾者提供训练的重要性,提升家庭或小区长者照顾者照料老人的能力,发展出一套支持系统去持久有效地照顾长者。