Community Service Center Research Articles

Tele-Law: Bridging the Legal Access Gap for Marginalized Communities in Rural India Using ICT

The Tele-Law scheme in India leverages Information and Communication Technology (ICT) to provide legal assistance to marginalized communities through Community Service Centers (CSCs). This paper evaluates the Tele-Law scheme's current implementation process and impact, focusing on how ICT has enhanced access to justice, particularly in rural and marginalized communities. We describe the implementation of the Tele-Law scheme in India, followed by an analysis of available data on the scheme focusing on metrics related to access to justice, types of cases filed by the vulnerable sections, and the resolution of these cases. The study uses a combination of quantitative and qualitative data to assess the impact of ICT on the judicial system's effectiveness and the impact of CSCs. Our findings highlight significant improvements in legal access for rural populations. The study identified a few challenges in the Tele-Law implementation scheme, such as digital literacy, infrastructure gaps, and systemic barriers. We recommend reengineering the current implementation process and suggest strategies to improve the scheme's reach and efficiency by adding additional tools to integrate ICT into the Tele-Law program. This will enhance the reach of Tele-Law, improve service quality, and ensure a sustainable long-term impact on the legal empowerment of marginalized populations in India.

Analysis of Educational Needs of Home Care Nurses: Utilizing Borich’s Needs Assessment and the Locus for Focus Model

Purpose: This study analyzed educational needs of home care nurses to improve the quality of home care service and identify priority educational subjects. Methods: This study analyzed the training priorities of 54 home care nurses working at community service centers or public health centers in Seoul, Korea, using the Borich Needs Assessment and the Locus of Focus model. The home care nurses’ tasks were categorized into 21 tasks and 85 task elements. Results: Six priority educational subjects were identified: 1) health assessment and monitoring, 2) nursing records and information management, 3) health education and counseling techniques, 4) home care supplies management, 5) recipient identification and communication skills, and 6) care recipient classification and management. Activities related to one-on-one health management, such as health screening, measurements, and disease management counseling, were found to be high priorities. In contrast, small group program planning and operation were rated as a low priority. Conclusion: This study underscores the importance of incorporating identified educational needs into training curricula for home care nurses. Regular assessment and integration of these needs into educational programs are crucial for enhancing nursing competence and service quality.

Compliance to Medication Management and Mental Health Status of Elderly Hypertensive Patients: Basis of Educational Health Program

Objective: The study aimed to assess medication management compliance and mental health in elderly patients with hypertension. Method: The study evaluated medication compliance and mental health status of elderly hypertensive patients in China using simple random sampling. Data was collected using the Morisky Medication Compliance Questionnaire, Hospital Anxiety and Depression Scale, and a checklist. Ethical practices were strictly observed. Results: A study of 100 elderly hypertensive patients found poor drug management compliance, with female patients showing worse compliance. Female patients were more vulnerable to anxiety and depression. The study also found no significant association between gender, age, education level, marital status, living standards, and medication compliance. Barriers to medication management included food and daily necessities, lack of awareness about the importance of drug treatment, and basic family needs. The lowest-ranked barriers were lack of support from government health clinics, low income, and lack of family support. Conclusion: Based on the results, the study proposes an educational plan for elderly hypertensive patients and their families, to be evaluated and implemented by the hospital and township community service center. The plan aims to improve medication management and lifestyle modification compliance, encourage active participation, and provide access to medical and mental health clinics, support groups, and counseling services.

Implementation of Integrated Sub-District Administrative Services Policy (PATEN) in West Kelumpang Sub-District Kotabaru Regency

Human resources (HR) are a crucial element in determining the success or failure of any task. HR managers in agencies have focused on developing strategies to provide the best service to the community through direct services and administrative functions. One key policy in realizing Good Government is the District Integrated Administration Service (PATEN), designed to establish districts as community service centers. In Kelumpang Barat District, Kotabaru City, PATEN has been implemented based on the provisions of Minister of Home Affairs Regulation Number 4 of 2010. This study uses a descriptive qualitative research method, guided by Edwards III’s Policy Implementation theory, which focuses on communication, disposition, resources, and organizational structure. Data was collected through observation, interviews, and documentation, followed by data reduction, display, and verification. The findings highlight that, in Kotabaru City, PATEN services have not yet fully delegated licensing authority to the district level. Only non-licensing services can be managed locally, and applicants must still handle licensing procedures with higher-level agencies. In Kelumpang Barat, however, PATEN has significantly improved service standards and infrastructure. The study concludes that while PATEN has improved public services, there has been no delegation of licensing authority. To avoid overlapping duties and functions, it is recommended that the government focus on a single licensing policy. This will enhance efficiency and streamline the licensing process, further strengthening the district's role as a community service center.

Can a “Pandemic Life Adaptation” Digital Technology Curriculum Reduce the Digital Disadvantage of Older Adults During COVID-19? An Intervention Study from Shanghai

ABSTRACT Older adults are at a digital disadvantage because of social stereotypes and a lack of social support; however, smartphones have become a necessary technology to cope with crises and daily life in China, especially during the pandemic. This study aimed to help marginalized older adults take on new tasks by developing digital technology education that used a framework of social cognitive theory in social work. The study followed a quasi-experimental design in which 153 elderly people were recruited from three community service centers; 90 of the participants received 6-weekly intervention. Intent-to-treat analysis, effect size calculations, and sensitivity analysis were conducted. The findings show that digital education significantly enhanced two domains of digital life adaptation abilities: general digital life adaptation abilities [g = .50, 95% CI (.70, 2.69)] and pandemic digital life adaptation abilities [g = .89, 95% CI (.96, 2.07)]. The intervention also improved three domains of digital self-efficacy: sharing and communication [g = .55, 95% CI (.04, .48)], verification [g = .34, 95% CI (.01, .59)], and influencing others [g = .53, 95% CI (.13, .77)]. The study showed that the new intervention approach reduced the harm to vulnerable older adults in the digital wave, especially during the pandemic.

Influencing factors of home hospice care needs of family caregivers of the older adult with chronic diseases at the end of life in China: a cross-sectional study.

With increased life expectancy in the Chinese population coupled with chronic disease the care needs of people at the end of life are attracting much attention. Home hospice care can help the dying older adult achieve comfort and maintain their dignity at home. However, dying at home means great responsibility and challenge for family caregivers, and there are many unmet needs. The study aimed to investigate the home hospice care needs of family caregivers of older adult people with chronic diseases at the end of life in China, and to analyze the influencing factors of home hospice care needs of caregivers. In this cross-sectional study, from May to September 2023, 4 community health service centers were selected by stratified sampling from seven administrative districts in Jinzhou City, Liaoning Province, where home hospice care was piloted. Then 224 family caregivers were selected from the communities of seven community service centers by simple random sampling method. A general information questionnaire and the home hospice care needs questionnaire developed by our research group were used to investigate. Univariate analysis was used to compare the differences in the scores of different characteristics, and the factors with significant differences were selected for multivariate linear regression analysis to determine the final influencing factors. The total score of hospice care needs of family caregivers was 121.61 ± 15.24, among which the end-of-life knowledge need dimension score was 24.04 ± 2.71, the highest score index was 80.13%, while the symptom control need score was 15.58 ± 3.39, the lowest score index was 62.32%. In addition, Caregivers with caregiving experience, dying older adult with longer disease duration, and dying older adult with higher levels of education were the factors influencing the total need for home hospice care among family caregivers, with a variance explained of 22.7%. The needs of family caregivers of the terminally ill older adult are high, and healthcare professionals should implement services to meet their multidimensional needs and improve the quality of care according to the factors affecting their needs.

An artificial neural network model for evaluating the risk of hyperuricaemia in type 2 diabetes mellitus

Type 2 diabetes with hyperuricaemia may lead to gout, kidney damage, hypertension, coronary heart disease, etc., further aggravating the condition of diabetes as well as adding to the medical and financial burden. To construct a risk model for hyperuricaemia in patients with type 2 diabetes mellitus based on artificial neural network, and to evaluate the effectiveness of the risk model to provide directions for the prevention and control of the disease in this population. From June to December 2022, 8243 patients with type 2 diabetes were recruited from six community service centers for questionnaire and physical examination. Secondly, the collected data were used to select suitable variables and based on the comparison results, logistic regression was used to screen the variable characteristics. Finally, three risk models for evaluating the risk of hyperuricaemia in type 2 diabetes mellitus were developed using an artificial neural network algorithm and evaluated for performance. A total of eleven factors affecting the development of hyperuricaemia in patients with type 2 diabetes mellitus in this study, including gender, waist circumference, diabetes medication use, diastolic blood pressure, γ-glutamyl transferase, blood urea nitrogen, triglycerides, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, fasting glucose and estimated glomerular filtration rate. Among the generated models, baseline & biochemical risk model had the best performance with cutoff, area under the curve, accuracy, recall, specificity, positive likelihood ratio, negative likelihood ratio, precision, negative predictive value, KAPPA and F1-score were 0.488, 0.744, 0.689, 0.625, 0.749, 2.489, 0.501, 0.697, 0.684, 0.375 and 0.659. In addition, its Brier score was 0.169 and the calibration curve also showed good agreement between fitting and observation. The constructed artificial neural network model has better efficacy and facilitates the reduction of the harm caused by type 2 diabetes mellitus combined with hyperuricaemia.

Behavioral marker-based predictive modeling of functional status for older adults with subjective cognitive decline and mild cognitive impairment: Study protocol.

This study describes a research protocol for a behavioral marker-based predictive model that examines the functional status of older adults with subjective cognitive decline and mild cognitive impairment. A total of 130 older adults aged ≥65 years with subjective cognitive decline or mild cognitive impairment will be recruited from the Dementia Relief Centers or the Community Service Centers. Data on behavioral and psychosocial markers (e.g. physical activity, mobility, sleep/wake patterns, social interaction, and mild behavioral impairment) will be collected using passive wearable actigraphy, in-person questionnaires, and smartphone-based ecological momentary assessments. Two follow-up assessments will be performed at 12 and 24 months after baseline. Mixed-effect machine learning models: MErf, MEgbm, MEmod, and MEctree, and standard machine learning models without random effects [random forest, gradient boosting machine] will be employed in our analyses to predict functional status over time. The results of this study will be fundamental for developing tailored digital interventions that apply deep learning techniques to behavioral data to predict, identify, and aid in the management of functional decline in older adults with subjective cognitive decline and mild cognitive impairment. These older adults are considered the optimal target population for preventive interventions and will benefit from such tailored strategies. Our study will contribute to the development of self-care interventions that utilize behavioral data and machine learning techniques to provide automated analyses of the functional decline of older adults who are at risk for dementia.

Changes in industrial air pollution and the onset of childhood asthma in Quebec, Canada

Ambient air pollution has been associated with asthma onset and exacerbation in children. Whether improvement in air quality due to reduced industrial emissions has resulted in improved health outcomes such as asthma in some localities has usually been assessed indirectly with studies on between-subject comparisons of air pollution from all sources and health outcomes. In this study we directly assessed, within small areas in the province of Quebec (Canada), the influence of changes in local industrial fine particulate matter (PM2.5), nitrogen dioxide (NO2), and sulfur dioxide (SO2) concentrations, on changes in annual asthma onset rates in children (≤12 years old) with a longitudinal ecological design. We identified the yearly number of new cases of childhood asthma in 1282 small areas (census tracts or local community service centers) for the years 2002, 2004, 2005, 2006, and 2015. Annual average concentrations of industrial air pollutants for each of the geographic areas, and three sectors (i.e., pulp and paper mills, petroleum refineries, and metal smelters) were estimated by the Polair3D chemical transport model. Fixed-effects negative binomial models adjusted for household income were used to assess associations; additional adjustments for environmental tobacco smoke, background pollutant concentrations, vegetation coverage, and sociodemographic characteristics were conducted in sensitivity analyses. The incidence rate ratios (IRR) for childhood asthma onset for the interquartile increase in total industrial PM2.5, NO2, and SO2 were 1.016 (95% confidence interval, CI: 1.006–1.026), 1.063 (1.045–1.090), and 1.048 (1.031–1.080), respectively. Positive associations were also found with pollutant concentrations from most individual sectors. Results suggest that changes in industrial pollutant concentrations influence childhood asthma onset rates in small localities.

OPTIMIZING THE COMPETENCE AND PROFESSIONALISM OF ACCOUNTING TEACHERS IN USING ACCURATE SOFTWARE

Based on the observations made, problems were found including accounting records that were still manual and a lack of understanding regarding accurate software. The lack of expertise in the use of technology in the accounting process creates a new problem, which is difficult to get a decent job for job seekers. Among job seekers, there are various educational backgrounds, ranging from high school graduates, vocational schools, as well as undergraduate graduates from various universities. The Muhammadiyah Sidoarjo University Community Service Center conducts training on Accurate accounting software for teachers and vocational students in Sidoarjo. Training is provided using Accurate software. The purpose of this training is to provide training to teachers and students in understanding and operating various features in Accurate related to transaction accounting which are expected to improve skills in using this software. The method in this service uses the PAR method which involves the teacher. The stages of implementing community service use the PAR method, namely initial mapping, implementation, and monitoring/evaluation. The results of the service carried out at the Muhammadiyah University of Sidoarjo went smoothly and the teachers succeeded in increasing teachers' understanding in using accurate applications.

The role of community services in the treatment of anxiety disorders: a study on residents under psychology

BackgroundAnxiety disorder is a common psychological disorder that seriously affects the quality of life and social function of patients. In addition to medication treatment, community service innovation provides more direct and convenient treatment pathways for patients by providing professional mental health support and resources within the community.Subjects and MethodsThe study focused on a population aged 18 to 70 within a community. Using EEG and Self Rating Anxiety Scale (SAS) tests, 30 individuals were diagnosed with anxiety disorders. These participants were evenly divided into two groups: the experimental group and the control group. The experimental group received anti-anxiety medication treatment alone, while the control group received regular psychological counseling at the community service center in addition to medication. After six months of treatment, the two groups were statistically analyzed for treatment effectiveness using electroencephalogram examination and the SAS test. SPSS23.0 was used for data analysis.ResultsIn the experimental group, 5 patients recovered, 4 patients made significant progress, and 6 patients did not recover. In the control group, 9 people recovered, 6 people made significant progress, and 1 person did not recover. There was a statistically significant difference between the experimental group and the control group, P<0.05.ConclusionsThrough community mental health centers, patients can receive more direct and convenient treatment pathways and mental support, which is of great significance in the treatment of anxiety disorders.

SOSIALISASI PENGENALAN ANAK TUNAGRAHITA PADA MIN 07 SELUMA

Children with mental retardation (mental retardation) are children who experience disorders of psychological development and intelligence abilities so that they have an impact on cognitive development and adaptive attitudes, so that there are differences in children in general. this affects the level of mentally retarded children, namely starting from the early stages of the mild, moderate, severe and very heavy categories. It is very important to realize this from all component parties, including children and the surrounding community. However, in reality there is still very low understanding of mentally retarded children among children and society. Based on these problems, it is necessary to socialize efforts about mentally retarded children (mental retardation). This activity was carried out at the community service center, namely at MIN 07 Seluma, Serambi Gunung Village, Kec. Talo, Kab. Seluma. With an explanation of the meaning of mentally retarded children or mental retardation. The method used in this service is socialization with the target students of MIN 07 Seluma with the method of question and answer activities and lectures. Based on the results of the initial survey, there are still many students who do not know about mentally retarded children. This service activity was carried out in April 2023 at MIN 07 Seluma.

Prognostic value of triglyceride glucose index in population at high cardiovascular disease risk

BackgroundEarly identification of populations at high cardiovascular disease (CVD) risk and improvement of risk factors can significantly decrease the probability of CVD development and improve outcomes. Insulin resistance (IR) is a CVD risk factor. The triglyceride glucose (TyG) index is a simple and reliable index for evaluating IR. However, no clinical studies on the prognostic value of the TyG index in a high risk CVD population have been conducted. This study evaluated the relationship between the TyG index and prognosis in a high risk CVD population.MethodsThis study enrolled 35,455 participants aged 35–75 years who were at high CVD risk and visited selected health centers and community service centers between 2017 and 2021. Their general clinical characteristics and baseline blood biochemical indicators were recorded. The TyG index was calculated as ln[fasting triglyceride (mg/dl)× fasting blood glucose (mg/dl)/2]. The endpoints were all-cause death and cardiovascular death during follow-up. Cox proportional hazard models and restricted cubic spline (RCS) analysis were used to evaluate the correlation between the TyG index and endpoints.ResultsIn the overall study population, the mean age of all participants was 57.9 ± 9.6 years, 40.7% were male, and the mean TyG index was 8.9 ± 0.6. All participants were divided into two groups based on the results of the RCS analysis, with a cut-off value of 9.83. There were 551 all-cause deaths and 180 cardiovascular deaths during a median follow-up time of 3.4 years. In the multivariate Cox proportional hazard model, participants with a TyG index ≥ 9.83 had a higher risk of all-cause death (Hazard ratio [HR] 1.86, 95% Confdence intervals [CI] 1.37–2.51, P<0.001) and cardiovascular death (HR 2.41, 95%CI 1.47–3.96, P = 0.001) than those with a TyG index < 9.83. Subgroup analysis revealed that there was no interaction between the TyG index and variables in all subgroup analyses.ConclusionsThe high TyG index was associated with an increased risk of all-cause death and cardiovascular death in people at high risk of CVD. This finding demonstrates the value of the TyG index in the primary prevention of CVD.Trial registrationretrospectively registered, the registration number is K2022-01-005 and the date is 2022.01.30.

Overcoming language barriers: An exploration of the police perceptions of the digitisation of witness statements in South Africa

The research identified instances were the English version of sworn statements was an inaccurate translation of the indigenous statement provided by a witness or complainant. The inaccurate translation of indigenous witness statements is a global phenomenon that manifests against the backdrop of the fourth industrial revolution (4IR). This study was conducted to explore police experiences of taking indigenous witness statements, and to establish their perceptions of the digitisation of witness statements. Purposive sampling was used for sampling. Interview schedules were administered to eighteen (18) South African Police Service (SAPS) members from nine Community Service Centres (CSC) in Soweto, a township in the Gauteng province. Ethical consideration, measures of trustworthiness and the Theory of Performance (ToP) were applied. The ToP provides that a person’s level of performance is dependent on the interaction of various contextual factors. Thematic content analysis was conducted using Atlas ti resulting in five dominant themes or impact factors namely “skills”, “collaboration”, “resources”, “duration” and “language”. Results showed that a majority of the SAPS members perceived that witness statements should be digitised to address language challenges experienced and improve their level of performance. Furthermore, they perceived the usefulness of technology in modernising outdated resources in the SAPS.

Preparing Allied Health Students to Address Social Work’s Grand Challenge to End Homelessness

ABSTRACT Meeting Social Work’s Grand Challenge to end homelessness requires skills in collaborating across professions and the ability to actively engage marginalized people who may have physical, mental, and social challenges. We present our experience building an interprofessional community service and training Center in a neighborhood with high numbers of people experiencing homelessness. The Center provides services to people unhoused while simultaneously providing practicum education to Health Science and Human Services students. The knowledge gained from our Center’s experience can assist Social Work educators with identifying strategies for increasing collaboration among university departments and community-based organizations while simultaneously targeting the professional training of students to combat homelessness. Allied health professionals’ collaboration is essential to systematically ending homelessness.

Bimbingan Motorik Anak Meleui Senam Sehat Di TK Al- Karimah Pekanbaru

Al-Karimah Kindergarten (TK) Is one of the kindergarten schools in the handsome sub-district of Pekanbaru City. The number of children participating in healthy exercise is 25 people, this is due to maintaining their health after the pandemic. the implementation of children's motor guidance service activities through healthy gymnastics at Al-Karimah Kindergarten Pekanbaru aims to improve children's motor skills through healthy gymnastics. This service is carried out through the Hero University research and community service center in collaboration with the principal of the Al-Karimah Kindergarten. The results obtained by this activity are through healthy gymnastic movements that can improve the motor skills of children in Al-Karimah Kindergarten. And can help teachers in solving problems that exist in kindergarten.

Performance Test Application Center For Research And Community Service With The Pieces Method At STKIP Dharma Bakti Lubuk Alung Foundation

The Center for Research and Community Service is a unit that manages the fields of research and community service. So far, the Center for Research and Community Service (P3M) at the Dhar-ma Bakti Lubuk Alung Foundation STKIP manages data on research activities and community service using Microsoft Access, which is entered into the database. Therefore, a web-based research and community service center application for the Dharma Bakti Lubuk Alung Foundation was built using the PHP programming language and database processing using MySQL. The application development method used is the waterfall method. GTMe-trix will be used as software testing to evaluate the performance of this application. The method used in this study is a quantitative method with the PIECES analysis model. The application performance evaluation Center for Research and Community Service received a grade A, indicating that the application was running "very well" based on the results obtained from all pages tested using GTMetrix. The results of the analysis of the level of satisfaction of users of the Center for Research and Community Service applications obtained a value of 4.4, which means that the level of user satisfaction can be categorized as "very satisfied."

Pelatihan dan Pendampingan Literasi Keuangan bagi Guru di Gugus V Mandara Giri Kec. Kubutambahan

There Group V Mandara Giri Kec. Kubutambahan is one of a collection of several elementary schools in the Kubutambahan District. Training in financial literacy is very important for every individual, one of which is the teachers in Cluster V Mandara Giri Kec. kubutambahan. Financial literacy really helps individuals to improve investment decisions, both in terms of the type of investment, where to invest, and the investment nominal that the individual will choose. This service is carried out through the Research and Community Service Center of the Satya Dharma College of Economics in collaboration with the Head of Cluster V Mandara Giri Kec. kubutambahan. In this community service activity, teachers in cluster V Mandara Giri Kec. kubutambahan, they were given financial literacy material, namely regarding investment. The results obtained from this activity can help teachers, in particular, to increase their understanding of financial literacy and investment decisions they have.

The experience of pregnant women in contexts of vulnerability of prenatal primary nursing care: a descriptive interpretative qualitative study

BackgroundPrenatal primary nursing care contributes to improving the health outcomes of mothers and unborn babies. Some pregnant women in contexts of vulnerability experience prenatal nursing care in a positive way, while some do not. A better understanding of factors influencing this experience could help improve prenatal nursing care. The aim of this study was to describe factors influencing the prenatal primary nursing care experience of pregnant women in contexts of vulnerability.MethodsThorne’s qualitative interpretative descriptive approach was used. Twenty-four pregnant women in contexts of vulnerability were recruited in local community service centers in Quebec, Canada, using purposive and snowball samplings, to carry out a semi-structured interview. Participants were 16 years old and over, in their second or third trimester, or had given birth in the previous year, and received prenatal nursing care through community health services. Data collection methods included a logbook, sociodemographic questionnaire and semi-structured interview on vulnerable pregnant women’s experience with prenatal primary nursing care. The Qualitative Analysis Guide of Leuven guided the inductive thematic analysis, following a constant comparative iterative process.ResultsThe women’s experience was initially influenced by the fulfillment of their needs and expectations. These stem from their previous or current pregnancy experiences, their motivation to receive prenatal care, their family concerns as well as their contexts of vulnerability. From the pregnant women’s perspective, the main factors that influenced their experience were the nurse’s approach, characteristics and interventions that all impact on their relationship with nurses, as well as the prenatal primary care organization, including the modalities of prenatal care (i.e. schedule, setting, duration, number and frequency of meetings), the continuity and the program’s prenatal care services, such as referral to a nutritionist, social worker or other services.ConclusionsA conceptual framework is proposed to describe relationships among the factors distributed in three dimensions that influence the experience of pregnant women in contexts of vulnerability and to guide nurses in the improvement of prenatal primary care. Considering the complexity of this experience, a person-centered approach is mandatory to promote a positive experience, equity and a better use of services.

Faktor-faktor yang mempengaruhi pemanfaatan posyandu lansia di Kelurahan Sungai Piring, Riau

In the Sungai Piring Community Service Center work area, utilization of the implementation of the standard operating procedure of the integrated service center for the elderly remained low at 26%, and performance falls short of the 100% minimum service standard. To investigate the factors that influence the use of an integrated service center for the elderly in Sungai Piring Village, Batang Tuaka District, Indragiri Hilir Regency, in 2020. This study is a quantitative analytic study with a cross-sectional design. Sungai Piring Village, Batang Tuaka District, Indragiri Hilir Regency, has a population of 373 people who are all pre-elderly and elderly aged 45 and up. The research sample size was 150 people. The samples were collected using systematic random sampling. A questionnaire tested for validity, and reliability was used to collect data. Measured variables were the utilization of integrated service centers knowledge, attitude, access to an integrated service center, family support, health personnel services, cadre services, education, occupation, age, and gender. Chi-square test and multiple logistic regression were used to analyze the data. The findings revealed that 61.8% of the elderly did not use the elderly integrated service center. The results of the multivariate analysis revealed that attitude (p=0.030), family support (p=0.000), healthcare services (p=0.009), and education (p=0.005) were the variables that influenced the use of an integrated service center for the elderly. Family support is the most influential variable (POR 18,121). As a result, improved health promotion and education about the importance of an integrated service center for elderly-to-elderly families, as well as the formation of family groups to care for the elderly, are required. Community service centers can help to increase the use of integrated health centers for the elderly by fostering collaboration across sectors, the private sector, and community empowerment.