Functionality of Elderly Persons: A Comparison Between Institutionalized and Non – Institutionalized Elderly Persons in Nairobi City County, in Kenya
World Journal of Public Health
Volume 3, Issue 1, March 2018, Pages: 9-15
Received: Dec. 1, 2017; Accepted: Dec. 23, 2017; Published: Mar. 23, 2018
Views 1532      Downloads 151
Judy Wairimu Mugo, Department of Population and Reproductive Health, School of Public Health, Kenyatta University, Nairobi, Kenya
Vincent Onywera, Department of Recreation Management and Exercise Science, School of Pure and Applied Sciences, Kenyatta University, Nairobi, Kenya
Judith Waudo, Department of Food, Nutrition and Dietetics, School of Pure and Applied Sciences, Kenyatta University, Nairobi, Kenya
Ochieng George Otieno, Department of Health Management and Informatics, School of Public Health, Kenyatta University, Nairobi, Kenya
Article Tools
Follow on us
This study compared the Functionality of Institutionalized elderly persons and that of the elderly persons living with their family and or community members using the Modified Barthel Index. Two hundred and seventy elderly men and women who met the inclusion criteria were sampled, 135 from 4 Institutions namely Mji wa Huruma, Nyumba ya Wazee Ruaraka, Kariobangi Cheshire home and Mother Teresa in Huruma and 135 from Gumba, Kariobangi, Huruma and Kawangware divisions. Data were coded and entered using EPI Info version 9 and were analyzed using SPSS version 17. There were more totally dependent elderly at Institutions (13.6%), compared to 3% who were Non-institutionalized. The majority of those who were able to independently go in and out of their house and in and out of bed or wheel chair were living in the Institutions of the elderly. There were no gender differences in performing ADLs. More men than women were found to have pressure sores and bed sores. The study will reference for similar studies in Kenya and other parts of the world and prompt tertiary institutions of learning to design new training programs and review existing programs to address the Functionality needs of the growing population of Elderly persons.
Elderly, Functionality, Institutions of the Elderly Persons
To cite this article
Judy Wairimu Mugo, Vincent Onywera, Judith Waudo, Ochieng George Otieno, Functionality of Elderly Persons: A Comparison Between Institutionalized and Non – Institutionalized Elderly Persons in Nairobi City County, in Kenya, World Journal of Public Health. Vol. 3, No. 1, 2018, pp. 9-15. doi: 10.11648/j.wjph.20180301.12
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Government of Kenya (2009a). National Housing and Population Census.
Morse, C. I., Thom, J. M., Birch, K. M., & Narici, M. V. (2005). Changes in triceps surae muscle architecture with sarcopenia. Acta physiologica Scandinavica, 183 (3), 291-298.
Velikova, M. D. (2013). 20th Annual Conference of the International Society for Quality of Life Research. Qual Life Res, 22, 1-137.
Leveille, S. G., Guralnik, J. M., Ferrucci, L., & Langlois, J. A. (1999). Aging successfully until death in old age: opportunities for increasing active life expectancy. American Journal of Epidemiology, 149 (7), 654-664.
Government of Kenya (2009 b). Kenya Policy Draft on Older Persons and Aging.
Balzi, D., Lauretani, F., Barchielli, A., Ferrucci, L., Bandinelli, S., Buiatti, E.,... & Guralnik, J. M. (2010). Risk factors for disability in older persons over 3-year follow-up. Age and Ageing, 39 (1), 92-98.
Onder, G., Penninx, B. W., Ferrucci, L., Fried, L. P., Guralnik, J. M., & Pahor, M. (2005). Measures of physical performance and risk for progressive and catastrophic disability: results from the Women's Health and Aging Study. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 60 (1), 74-79.
Government of Kenya. (2010). The Constitution of Kenya. Nairobi, Kenya: Government Printers.
Kraft, G. H. (1999). Rehabilitation still the only way to improve function in multiple sclerosis. The Lancet, 354 (9195), 2016-2017.
NCAPD, M., MOPHS, K., & ICF, M. (2011). Kenya Service Provision Assessment Survey 2010. Nairobi: National Coordinating Agency for Population and Development, Ministry of Medical Services, Ministry of Public Health and Sanitation, Kenya National Bureau of Statistics, and ICF Macro.
Kaiser, R., Winning, K., Uter, W., Volkert, D., Lesser, S., Stehle, P., & Bauer, J. M. (2010). Functionality and mortality in obese nursing home residents: an example of ‘risk factor paradox’? Journal of the American Medical Directors Association, 11 (6), 428-435.
Freedman, V. A., Martin, L. G., & Schoeni, R. F. (2002). Recent trends in disability and functioning among older adults in the United States: a systematic review. Jama, 288 (24), 3137-3146.
Murtagh, K. N., & Hubert, H. B. (2004). Gender differences in physical disability among an elderly cohort. American journal of public health, 94 (8), 1406-1411.
Barberger-Gateau, P., Rainville, C., Letenneur, L., & Dartigues, J. F. (2000). A hierarchical model of domains of disablement in the elderly: a longitudinal approach. Disability and rehabilitation, 22 (7), 308-317.
Tolson, D., Rolland, Y., Andrieu, S., Aquino, J. P., Beard, J., Benetos, A., & Franco, A. (2011). International Association of Gerontology and Geriatrics: A global agenda for clinical research and quality of care in nursing homes. Journal of the American Medical Directors Association, 12 (3), 184-189.
Byrne, G., Brady, A. M., Horan, P., Macgregor, C., & Begley, C. (2007). Assessment of dependency levels of older people in the community and measurement of nursing workload. Journal of advanced nursing, 60 (1), 39-49.
Steinberg, M. (1997). Partnership and Participation: Older Women Have Their Say About Health and Well‐being. Australasian Journal on Ageing, 16 (2), 79-82.
Avlund, K., Lund, R., Holstein, B. E., Due, P., Sakari-Rantala, R., & Heikkinen, R. L. (2004). The impact of structural and functional characteristics of social relations as determinants of functional decline. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 59 (1), S44-S51.
Hyde, M., Wiggins, R. D., Higgs, P., & Blane, D. B. (2003). A measure of quality of life in early old age: the theory, development and properties of a needs satisfaction model (CASP- Aging & mental health, 7 (3), 186-194.
Chacon, J. M. F., Blanes, L., Hochman, B., & Ferreira, L. M. (2009). Prevalence of pressure ulcers among the elderly living in long-stay institutions in São Paulo. Sao Paulo Medical Journal, 127 (4), 211-215.
Strand, T., & Lindgren, M. (2010). Knowledge, attitudes and barriers towards prevention of pressure ulcers in intensive care units: a descriptive cross-sectional study. Intensive and critical care nursing, 26 (6), 335-342.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186