Mental Well-Being of Older Adults and Access to Healthcare During the COVID-19 Pandemic in Karnataka, India

Introduction: While older adults face inequalities and discrimination based on their age in everyday lives, COVID--19 pandemic has further multiplied their sufferings. They are at higher risk of morbidity and mortality due to not only COVID-19 but also other chronic underlying health conditions. It is possible that healthcare seeking of older adults can be delayed with imposition of restrictions on their movement on one hand and diversion of healthcare system's focus on COVID-19 management on the other. We attempt to understand how COVID-19 restrictions affected the mental well-being and access to healthcare of older adults in Karnataka, India. Methods: A unique online survey was conducted in Karnataka, India during June 2020. The survey was open to older adults above 50 years. A total of 300 older adults participated in the online survey. The survey was circulated through personal and professional contacts, and social media applications. Results and Conclusion: The findings show that nearly 81% older adults reported a poor quality of life and 20% suffered from depression. Nearest healthcare facility for nearly half the respondents was more than one-kilometre away from home, making them dependent on transportation to access healthcare facility. Experience of COVID-19 restrictions among older adults varied based on interactions with other factors such as gender, working status, and living arrangements. The chapter argues that blanket strategies followed currently increased the vulnerability of older adults and it is important to ensure that tailored strategies are developed based on the current pandemic experience to prepare for future.