I am putting this idea forward based on my practical experience in my country Pakistan. Generally,in our society, families take the responsibility of each and every of their older adult to extend support and care.Extending support and care to the older adults is the part of our cultural norms and values and it is also our religious obligation.
In our communities older adults fall mainly due to the reason i mentioned above.Like older adults are good in day time or in full lighting but when they move or walk at night ,mostly they fell down beside their beds.When they reach to washroom or toilet with week and poor balance and low vision on a wet slippery surface of the toilet they fall down and receive sever fractures and injuries.In the age of 60 or above it is very difficult to survive after receiving fractures or injuries which leads to death of a person.
Seventy percent of our population living in rural areas of Pakistan and most of the people are using open areas as toilet.People often either don't have toilets at their homes or they are using at jointly.There are so many socio-economic reasons behind this but here i am sharing idea from my own surrounding and communities.What what i have observed and experienced in my community, mostly people don't even know about the commode chair or it is uses our older people don't feel easy while using it in room as we have joint family system and some cultural barriers.They can buy it for their older people as these are available on the affordable rates in our markets.Since my mother was facing the same situation, therefore i am always working with communities to creat awareness among the people about its importance and its use.Through this challenge we would plan to provide this type of chairs to the older adults and spread awareness campaign on how to to prevent falls among older adults.
How to reduce the rate of falls among the older adults.
There might be many ways,methods,exercise and medication for this in developed countries but what i am suggesting in the context of Pakistan, the most easy,affordable thing is develop the culture of using Commode Chair by the older adults at our our homes and conducting sensitization and awareness sessions at households,villages level regarding this among our communities of Khyber Agency FATA.
To minimize the risk of falling while using the commode chair in darkness at night and make it more safe,it should be fasten with older adult's bed.The logic is when an older adult get off the bed and wanna use it the chair wouldn't shake while putting hand on it
Under this idea there are two types of activities needed to be carried out
1) Provision of Commode Chairs to poor and vulnerable people specially at conflicted affected area of Khyber Agency
2) Sensitization and awareness sessions and advocacy events at villages and tensile level.