Mechanism and Community-Based Management for Low-Income Elderly Day Service Centers: A Case Study of Roi Et and Ladsawai Municipalities

Abstract

ABSTRACT
This research aimed to develop mechanisms and management models for Day Service Centers tailored to low-income communities. A mixed-methods study was conducted on a sample of 525 elderly and disabled individuals in Roi Et and Ladsawai municipalities. Findings indicated high multiple vulnerabilities: 73% had chronic diseases and 60.57% had experienced falls at home, often linked to anthropometric mismatch (median height 150 cm). Demand for Day Service activities was comprehensive, prioritizing physical health, economic empowerment (digital/local wisdom), and socio-cultural interaction. Key outcomes included the development of the standardized BPT.02 assessment tool for evaluating public facility readiness, guiding data-driven policy decisions. The study established a Community-Based Management Model and context-specific Universal Design prototype houses (e.g., "Baan Lad" focusing on ramps for urban sprawl). The results underscore that a sustainable system requires integrating physical safety solutions with systemic support, including Hybrid Funding from Local Administrative Organizations.