A study of problems and guidelines for culturally sensitive public health services for elderly muslims in Tha Thong Mai Subdistrict, Kanchanadit District, Surat Thani Province

Abstract

     This study was qualitative research with the objective of exploring problems and barriers in accessing public health services and identifying approaches to improve health service delivery in ways that are culturally appropriate for older Muslim adults in Tha Thong Mai Subdistrict, Kanchanadit District, Surat Thani Province. The key informants consisted of 10 older adults with experience receiving health services at Kanchanadit Hospital, 5 community and religious leaders, and 5 public health personnel from the hospital, selected by purposive sampling. Data were collected through in-depth interviews and contextual surveys
     The findings revealed that the main problem in accessing healthcare services included the lack of separate kitchen facilities for halal and non-halal food in inpatient services, insufficient knowledge and understanding of halal food among health personnel, and inadequate facilities for religious practices. From the synthesis of culturally appropriate health service approaches, it was found that the capacity of health personnel should be developed to enhance their understanding of Islamic culture. Health service design should take into account the cultural practices of Muslims. The role of religious leaders, community leaders, and Muslim health volunteers should be strengthened to actively participate in health planning and activities. Additionally, long-term care systems and home visits for older adults should incorporate consideration of Muslim faith and lifestyle, with interdisciplinary teams receiving training on Islamic culture and religion. This study can be applied to develop culturally sensitive public health service systems that are appropriate to the local context and contribute to improving the quality of life of older adults in Muslim communities in a sustainable way.