Last year, Narendra Butala, a long time member of India Home, was facing a health crisis. He had been feeling breathless for a while. His blood pressure would drop suddenly and he would sweat profusely.
Still, he was afraid to go to the cardiologist because his brother had got a pacemaker in 2004 and had passed away shortly after. Even as he worried about the condition of his heart, he heard from one of his relatives. Pacemaker technology had changed, she said, and urged him to get a check-up. Finally, in July, a few months after his 78th birthday, Butala, took the plunge and went to Mount Sinai Hospital in New York City, and got a pacemaker inserted. “I was home after two hours,” he said. “They monitor my heart from the hospital, remotely.”
South Asian seniors like Mr. Narendra Butala (left) will benefit from a new bill introduced by Rep. Pramila Jayapal that targets heart health in the community
Mr. Butala, who emigrated from India 20 years ago, lives an active lifestyle, and is a life-long vegetarian who doesn’t smoke. At first glance, he would not appear to be a typical candidate for heart disease. However, there is one indicator that increases his risk exponentially – his South Asian descent. Several recent studies have found that all over the world, individuals of South Asian descent account for 60 percent of heart disease patients. A study conducted by the University of California San Francisco found that in the United States, South Asians have the highest death rate from heart disease compared to other ethnic groups. Other research published in the Annals of Internal Medicine, discovered an even more troubling trend. Among people of normal BMI (Body Mass Index), South Asians were twice as likely as whites to have risk factors for heart disease.
BMI, a height-to-weight ratio, is used to determine whether someone is overweight or obese. Body Mass Index and weight are often the first numbers doctors consider. Many doctors may not screen for heart disease and Type 2 diabetes if they are within normal range, but what the study indicated was that when it came to South Asians, even patients of normal weight were showing risk factors for heart disease.
Fortunately, someone in the federal government has been paying attention to these concerning numbers. Representative Pramila Jayapal (D-Washington) introduced in the House in late July a bill aimed at the issue of high levels of heart disease in the South Asian American community. Called the “South Asian Heart Health Awareness and Research Act,” the bill garnered bipartisan support and was co-sponsored by 18 other members of Congress, including Rep. Joe Wilson (R-South Carolina).
In an email to NBC News, Jayapal said that she introduced the bill because she thinks the US, needs, “to take action by expanding funding for research and spreading awareness targeting [these] communities. We’ll save lives and reach a better understanding of heart health that will benefit all Americans.”
Rep. Pramila Jayapal (D-Washington) sponsored the “South Asian Heart Health Awareness and Research Act,” in the House of Representatives.
NBC News reported that the bill would “establish grants at the Centers for Disease Control and the National Institutes of Health to provide information about heart health to South Asian-American communities and fund medical research on cardiovascular disease in South Asians in the U.S. The bill would also fund grants through the U.S. Department of Agriculture for the promotion of better South Asian heart health nutrition.”
India Home, which runs the largest South Asian senior center in the North-East, has made its own modest contribution to improve heart health among the older South Asian adults it serves. Regular yoga, meditation and Ayurveda is taught at its centers along with holistic and healthful ways to exercise and maintain their physical and mental wellness. Moreover, in partnership with NYU Langone’s Center for the Study of Asian American Health (CSAAH), India Home has introduced its members to a number of educational projects like Keep On Track / REACH FAR.
Eighty seniors from India Home took part in Reach Far, a project in collaboration with NYU Langone, which taught community volunteers to monitor blood pressure for better heart health.
This project trained 26 volunteers at India Home to monitor blood pressure as part of a Community Health Assessment. Over 80 Bengali seniors from India Home’s Desi Senior Center participated in the project. Another project helped to disseminate nutrition information with culturally and linguistically adapted brochures in Bengali and Hindi and taught seniors how to measure their food portions and try new nutrition strategies.
As for Mr. Butala, he’s back at India Home’s Sunnyside center, being the first to volunteer to push the lunch cart, as usual. “I’m feeling fine,” he said the other day. “The doctor said I can do all activities.”
A Know Your Rights poster from IDP (Immigrant Defense Project) that we used in our trainings
What do you when officers from Immigration and Customs Enforcement (ICE) come to your home? If you are stopped in the street by police and asked for your immigration status? What are your rights as an immigrant in these perilous times? These and other questions were part of a series of KYR (Know Your Rights) trainings that India Home conducted with our elders, almost all of whom are immigrants to the country. Most of our seniors are citizens, or, having immigrated here on family quotas, hold green cards.
However, after the change in federal administration, they have heard rumors about ICE raids and have questions about immigration status. There is much rumor and conjecture and fear. India Home staff have in the past few months undergone KYR Immigration Information Training and were prepared to pass on the knowledge. We also brought in Cyrus Mehta, a well known lawyer, and Professor Alina Das from NYU Law School on different occasions to inform and reassure our elders of their rights as immigrants.
The message we wanted to get across was simple enough: 1. Everyone has rights under the constitution of the United States and it’s important . 2. You have the right to remain silent 3. You have the right to an attorney and to see a warrant and so on.
Cyrus Mehta, an immigration lawyer, speaks to our elders at the Desi Senior Center about their immigration rights
At Sunnyside Community Center, India Home staff who had training, chose to create a skit of sorts where some volunteers enacted an ICE Raid. Some were ICE officers and some were immigrants and when “officers” asked the “residents” to open up, they practiced saying things like “I choose to remain silent,” and “I would like to talk to my attorney.”
Cyrus Mehta, an immigration lawyer distributed flyers at the Desi Senior Center emphasized his message that all people in the United States, even the undocumented have rights and patiently answered the many questions from our seniors.
Alina Das is an Associate Professor of Clinical Law at NYU School of Law, where she co-teaches and co-directs the Immigrant Rights Clinic. She and her clinic students represent immigrants and community organizations in litigation and advocacy to advance immigrant rights locally and across the country. Professor Das visited our Desi Senior Center in February, and her students demonstrated an ICE raid and the correct responses in such situations.
At our Richmond Hill location, we invited the Mayor’s Office of Immigrant Affairs (MOIA) to come in and discuss rights for immigrant New Yorkers and reassure everything that the city is committed to being a sanctuary city for all. MOIA representatives further stressed the need for IDNYC and how beneficial it is for immigrants.
Prof. Alina Das and her clinic students came to Desi Senior Center to talk to elders about their rights as immigrants
To evaluate the learning, India Home staff asked the elders to repeat, a few days later, what had been taught. They repeated the main points of the teaching. A lesson well learned, perhaps, and an useful one at that!
Until eight weeks ago, Rabeya Khanom had never used the internet. “I didn’t know anything about it,” she told me. She had just said goodbye to her computer teacher at India Home’s Desi Senior Center and was feeling a mix of emotions. Sadness because the free 8-week long computer class was ending. But also happiness because, as she pointed out, she could now, “email, and send photographs, buy ticket from travel sites, book hotel.”
Muslim elders at India Home’s Desi Senior Center use a manual in Bengali to learn computers
Rabeya Khanom, 72, is a student with eight other Bangladeshi seniors in the free computer classes offered by India Home, in partnership with OATS, an award winning New York City nonprofit (the acronym stands for Older Adults Technology Services). OATS provides free tech training for seniors.
The class at India Home was the first and only computer training especially geared toward Bengali older adults in New York city.
“We wanted to be responsive to the unique needs of each site we partner with,” Alex Glazebrook told me. He is the Director of Technology and Training at OATS. Most of the seniors at the Desi Senior Center are immigrants from Bangladesh, hence OATS hired a Bengali speaking computer teacher, Umme Mahmud, to teach the classes.
Council Member Rory Lancman’s Grant Helps Teach Computers in Bengali
A grant from Council Member Rory Lancman, who represents New York’s District 24, helped to pay for the teacher. “In today’s interconnected world, we need to empower as many people as possible with the skills needed to use modern technology, especially senior citizens. I am incredibly proud to provide OATS funding to the Desi Senior Center to enable local seniors to take part in computer classes this year.” Lancman emailed.
Thanks to Council Member Lancman’s grant, OATS was also able to translate the manual used in the classes into Bengali. An effort, Glazebrook acknowledged, “was not an easy undertaking.” Still, everyone involved felt that a manual in Bengali was necessary for this demographic since, as Glazebrook noted “Language is a huge barrier to getting online.”
Computer classes at India Home’s Desi Senior Center teach Muslim elders practical skills
Barriers to learning
When it comes to older adults and technology though, language is only one of the barriers.
In 2016, Pew Research Center reported that while fully 87% of seniors living in households earning $75,000 or more a year say they have home broadband, just 27% of seniors whose annual household income is below $30,000 are online. Many of the seniors at the Desi Senior Center are immigrant seniors, below poverty, and Low English Proficient. For them, the free computer training offered by Desi Senior Center and OATS opens up a world that they would not have access to otherwise.
Household income, education, language abilities, computer anxiety, lack of confidence in their skills, also prevent older adults from going online.
When I visited the class, the seniors were seated around rectangular tables in a red-carpeted room. The women were on one side and the men on another, in keeping with Muslim customs. As the elders stared intently at the screens of their laptops, Umme Mahmud, the instructor, helped the seniors to look for travel sites on the internet. She was teaching them how to find cheap tickets, something that would come in useful to find flights in the future, for instance, to Bangladesh.
Learning Practical Skills
The computer training manual was translated into Bengali thanks to a grant from Council Member Rory Lancman of District 24 in NYC.
The OATS curriculum aims to help seniors harness the power of technology toward achieving practical outcomes. “ I teach them how to research medical insurance, find answers to medical questions, email, read the news,” Ms. Mahmud said. They learn the basic technological skills that could be applied to their daily lives. A majority of the seniors around the table were highly educated, and many had college degrees from Bangladesh. But they felt left out of modern methods of communication. Some seniors didn’t even know how to retrieve text messages. But, Ms. Mahmud said, because they are eager to learn, they learn quickly. “It is my hope that the seniors who participated in these classes will now be able to access the digital world right at their fingertips,” CM Lancman wrote.
The seniors at the Desi Senior Center sure seemed headed that way. Sukhtar Begum had recently started to read the Koran on line. Another student, Mohammad Haque, 70, rattled off the names of his favorite newspapers in Bengali, “Jugaltok, Probash, Aajkal.” “Also Google news,” he said. Abdul Mannan, 62, has gone a step farther : “I never used email, but yesterday I sent an email by myself.” He smiled and shrugged. “To the teacher, but I sent email,” he said.
Increased confidence and self-worth
The classes are doing more than just teaching these elders practical skills; their attempt at mastering technology was making an enormous difference in their lives in other profound ways. Ask Ms. Khanum, the 72 year old OATS alumuna. “If I need something,” she said, referring to searching the internet. “I don’t have to bother no one at home.” The confidence in her abilities had clearly increased as a result of the classes.
Ms. Mahmud pointed out an even more valuable benefit of the classes. “All their connections are back home in Bangladesh. Their past, their entertainment, everything is in Bangladesh. Older people get depressed so easily, sometimes they feel that they have no value.” But with these classes things had changed, she said.
“Now they feel connected with the world.”
Computers for the computer classes were generously funded through the New York City Department of the Aging (DFTA) at the discretion of DFTA Commissioner Dr. Donna Corrado.
Since July 2015, India Home has been partnered with Memorial Sloan Kettering Cancer Center (MSK)’s Geriatric Resource Interprofessional Program (GRIP) to provide evidence-based and culturally responsive education to South Asian older adults in Queens, NY. This education aims to increase community awareness of geriatric syndromes – problems that usually have more than one cause and involve many parts of the body – and promote methods that aid healthy aging.
“What can I do next? : Teaching Practical skills for better Aging
Starting with needs assessments conducted at India Home sites, the GRIP team and staff from India Home developed a core lesson plan that India Home members were interested in learning about.
Manpreet of MSKCC explains medication management at India Home
These topics include: falls prevention, how to modify one’s home for safety, memory loss,and medication management. Clinical experts like occupational and physical therapists, geriatric pharmacists, physicians and nurse practitioners developed the lessons. All presentations and educational materials were designed with the adult learner in mind, providing practical skills and always trying to answer, “what can I do next?”. Educational sessions are continuously scheduled at all India Home sites and are repeated on rotation, so that our seniors understand and remember the content.
India Home and MSKCC’s GRIP team collaborates with other South Asian community organizations, like the South Asian Council for Social Services (SACSS) to review content for understanding and the ability to take action with specific cultural considerations in mind. We are always thinking about what works in the South Asian context.
With cultural relevance in mind, MSK translates written materials into South Asian languages and uses live interpreters at presentations. We also evaluate our results by asking small groups of seniors about their understanding and effectiveness of the educational programs.
Over 700 seniors educated
Since November 2015, the partnership has educated approximately 700 seniors at four different India Home sites. MSK, India Home and SACSS staff circulate pre-and post-education surveys to measure how much our seniors have learned and retained, and how they have changed their behavior. The surveys use open ended questions and one-month follow up questions. Take home messages and resource sheets are also provided to our seniors to refer in the future.
Overall, the partnership is aimed at improving the quality of life and health of older adults by educating them.
These efforts attempt to make changes in their behavior – for instance walking carefully or improving safety in the home by installing shower rails – that will positively impact their aging and improve their quality of life.
Content contributed by Natalie Gangain of MSKCC (edited for context and clarity by India Home)
The Indian elders gathered around the seminar table in the conference room at Fremont City’s Human Services office were retired engineers and accountants. Many had spent over 20 years in America. Some lived with their children and some didn’t. All of them loved the wide roads in their county, the considerate drivers who drove the buses they took everywhere, and the bi-weekly gatherings at their senior center. They were opinionated, knowledgeable and enthusiastically shared their ideas.
The elders had been invited by Ms. Asha Chandra, Program Manager and Communications Specialist at the City of Fremont to participate in a focus group being held to understand the challenges and issues that Indian seniors face. Ms. Chandra planned to share the data gathered with Fremont’s decision makers and said she planned to hold many more of these focus groups with various immigrant populations as part of the effort to get Fremont included in the list of World Health Organizations Age-Friendly cities.
California’s Indian population climbed 68 percent to 528,000 people from 2000 to 2010, making it by far the largest Asian Indian community in the U.S. For instance, in Fremont, Indian Americans make up 10.15 percent of the overall population of 203,415. I happened to be in California and was interested in learning how the state was dealing with this large and growing population of immigrants–especially its Indian senior citizens.
The focus group in Fremont was led by Mr. Krishnaswamy Narasimhan, a trained Community Ambassador with the city of Fremont and the Secretary of the Indo-American Seniors Association Fremont (INSAF). The Community Ambassador Program for Seniors (CAPS) is the City of Fremont’s award winning, nationally recognized effort that trains volunteer ambassadors to serve seniors in “their own communities, in their own language, within their own cultural norms, and does so where seniors live, worship, and socialize. ” Community Ambassadors like Mr. Narasimhan serve as a bridge between the formal social services agencies and their respective faith and cultural communities, like temples, gurdwaras and other places, and help seniors to locate senior services and programs in the City of Fremont.
An ideal for aging?
The focus group was also a visioning project–the elders in the room were asked to imagine an ideal scenario in three major areas: transportation; social participation and inclusion; and dementia support. It turned out their dreams were modest and easily attainable-the elders wanted a better transportation system like a shuttle service that took them to senior centers and other places where seniors congregate, more frequent stops, better paratransit options. They had the same challenges that our seniors face in New York–lack of good, frequent transportation or parking spaces, accessibility and problems with notification. When it came to social participation and inclusion, the seniors wished they had a bigger community center that brought together different activities under one roof. What surprised me, though, was the equivocal desire many of them expressed for opportunities to meet with other immigrant communities and experience their cultures. Their desire to “assimilate” with different cultures was strong, as was their need for activities where they could share their unique skill sets with others. Again, their challenges were similar to ones elders at India Home face–difficulties with language access, lack of awareness about local resources, a need for more social and intergenerational interaction, and more support from volunteers, especially to care givers of dementia patients.
Benefits of including immigrant elders
I came away from the focus group session thinking about the many challenges our fast-greying American cities face and all that remains to be done to solve these problems. By 2050 nearly one in five Americans (19%) will be an immigrant. By 2025, the immigrant, or foreign-born, share of the population will surpass the peak during the last great wave of immigration a century ago. As these diverse communities age we will need local, state and federal agencies to step up to meet their needs. Asking immigrant participants for their input and including them in the process as these cities plan for an age-friendly future is an important, necessary step and one I wish more cities would emulate.
The Stereotypes of Love
You’ve seen the advertisements around Valentine’s Day—the media and your timeline are probably filled with them. These images invariably feature young people—beautiful, tan, fit young people with perfect hair and dazzling teeth celebrating their love. These images are also rampantly ageist. You may not realize it, but this is the culture subtly telling you that everything associated with Valentine’s Day—love, beauty, passion, physical intimacy—all the beautiful human experiences somehow only belong to the young.
By reinforcing these stereotypical ideas of love, the media writes older adults out of the national consciousness, diminishes their real experiences of love and dehumanizes them. Perhaps, as Ashton Applewhite, author and anti-ageism advocate says, the time has come to “think critically about what age means in this society, and the forces at work behind depictions of older people as useless and pathetic. Shame can damage self-esteem and quality of life as much as externally imposed stereotyping.”
Love Transcends Age
Many of the seniors at India Home find themselves at a point where they are in a position to enjoy the companionship they have achieved over a lifetime spent together.
As Geeta put it, “Even today, after 45 years of marriage, we go everywhere, for walks, shopping and so on, together. He [her spouse, Shantilal] likes being with me.”
Sudha, said of her partner of 52 years, “We’ve learned to live together over the years. When one is angry, the other keeps quiet. Then when we cool down we talk about it, express our opinions.”
Listening to these veteran couples would help anyone who has ever been in a relationship identify and empathize with them and undo, what Applewhite calls, “the “otherness” that powers ageism…”
The truth is that love transcends age. This doesn’t need to be said, but older adults, whether they are 60 or 80 years old, feel love, longing, tenderness, friendship, passion–all the emotions that make us fully and gloriously human.
Giridhar, a quiet senior at our center, expressed his feelings about his relationship eloquently when he said, “Like the left leg and the right leg is needed to keep the body upright, my wife and I worked together to make our marriage work.”
Disrupting Notions of Love
So to celebrate this Valentine’s Day, we decided to disrupt the stereotypes that exclude older adults from this national celebration of love. Our Twitter campaign features vibrant, loving couples talking candidly about their long partnerships.
After all, love is love, no matter what age you feel you are.
by Wendy Cope
Today we are obliged to be romantic
And think of yet another valentine.
We know the rules and we are both pedantic:
Today’s the day we have to be romantic.
Our love is old and sure, not new and frantic.
You know I’m yours and I know you are mine.
And saying that has made me feel romantic,
My dearest love, my darling valentine. –
India Home recently undertook a Needs Assessment Survey of the Bangladeshi elders we serve in order to gain an objective and honest understanding of their needs. In the tradition of our partnerships with universities, the survey was conducted by graduate students from Hunter College Urban Policy & Leadership Graduate Research. The findings from the survey were published in a report titled “Migrating from Bangladesh to New York: Needs of Seniors.” Working closely with India Home’s staff, graduate students, Katherine Elston, Marc Fernandes Oriade, Tanik Harbor and Jormary Melo co-authored the report.
The 2010 US Census reported that the New York metropolitan area is home to the largest concentration of South Asians in the United States. Bangladeshi seniors were the fastest growing group among all seniors in New York City, increasing at a rate of over 600% between 2000 and 2014, according to the Asian American Federation’s 2016 American Community Survey.
Moreover, 52% of the respondents in Jamaica had arrived in the US only within the last five years, and an additional 15% within the last ten. As a result, 77% of Bangladeshi seniors have limited English proficiency–a fact that points to an even greater need for immediate support.
The elders were asked 4 questions:
- What are the current housing needs for Bangladeshi seniors in regards to being both affordable as well as culturally-specific?
- What physical and mental health issues are impacting these seniors?
- Is access to quality health care available in their community?
- How does transportation (or lack of) impact their daily lives?
A robust survey tool and interview template was used to get answers from the elders at India Home’s Desi Senior Center. The survey was administered to 106 survey respondents and to nine key informants chosen from among other non-profits and leaders serving the community. The responses yielded a rich trove of data which was then analyzed to provide findings and make recommendations for the future.
Community Gaps and How to Move Forward
The research provided strong evidence of need for Bangladeshi seniors in Jamaica. The research team identified key findings within housing, mental and physical health, and transportation. In addition, the data revealed two important underlying concerns that should be addressed immediately.
1. Bangladeshi seniors face the highest rates of poverty and low income status across New York City.
2. As one of the newest senior immigrant populations in the region, their English language skills are low. This lack of proficiency makes it extremely hard for these seniors to navigate the community and the social service resources they need for support.
Furthermore, the findings from this needs assessment in Jamaica show even higher rates of lack of income and limited English proficiency than previously collected data from other city-wide research efforts.
Elders fill out the surveys created by Hunter College Urban Policy and Leadership Graduate Research
A few of the key findings to the initial four questions include:
- Lack of affordable culturally-specific independent senior housing in Jamaica
- high levels of social isolation and the stigma seniors face in regard to talking about their state of mental health
- the absence of chronic disease management and the negative impact of poor diet and limited exercise on their quality of life
- the underutilization of the public transit system due to cost, language barriers, and discomfort in navigating the system.
The research teams recommended that all needs identified within the report be integrated into India Home’s long-term strategic plan and the specific recommendations provided be taken up for implementation.
- expanding daily services at the center
- creating innovative programs for seniors and their families
- strengthening existing community partnerships as well as building new ones, and
- continuing to collect data to gain a deeper understanding of the community.
The report felt that by incorporating the report’s recommendations, India Home can further its mission to address the inequities that impact the most vulnerable community member, and help transform Jamaica’s Bangladeshi senior population from one with great needs to one with greater assets.
This article quotes the report with minor changes. To read the full report please click here: Migrating from Bangladesh: Needs of Seniors
India Home’s seniors are learning computer skills, many for the first time
India Home’s Desi Senior Center is now offering computer classes to senior men and women who want to learn to handle technology. Mr. Palash Piplu, a volunteer, teaches the class on Thursdays. For now, Palash is familiarizing our seniors, many of whom have never touched a computer, with basic computer skills, such as how to open a file and save it, or how to browse the internet.
A. Mahbubul Latif is happy that he is learning something new and wants to learn all about the computer. “I can do my own work, take care of my own things,” he said.
India Home started these classes because there is a strong desire among our seniors to get in touch with the world. As Latif said, “Everything is on computers now…but when I ask at home to teach me computers, nobody helps me.”
Learning the unfamiliar technology don’t come not easy for these elders, but they persist. They are determined to learn the intricacies of computer use, even though, as Latif acknowledged, “We didn’t practice computers in our time.”
It has been heartening to see how the women at the center have been at the forefront of the classes, encouraging each other to participate.
Rabeya Khanom is 67 years old but wants to be always learning. At the beginning of the class, she said, “It was difficult to catch up,” and wished there was a “shortcut.” But she says she’s “learning this from my own interest. It is better to be learning something than sitting at home doing nothing,” she said. She also doesn’t want to be left behind. “Everybody has computer in our home, internet too. I want to use email and the internet,” she said.
While many of the seniors have never used a computer, several others have worked and retired in the US. They are taking to classes to update their skills. Farida Talukdar worked for 23 years in the Social Services department in New York City and says she has a basic knowledge of computers. But now, she said, she “was getting interested in Word, Excel and the Internet. ” With the instructor Palash’s teaching, these programs, were “becoming much easier now,” she said.
It is a well known fact that students learn better with support from their families. Our adult learners are being encouraged by their children. For Ms. Khanum, there’s an additional incentive to master computers: “My daughter said if I learn computers, she will buy a computer for me,” she said, smiling from ear to ear.
Funding for the 14 unit computer lab was generously provided by Department for the Aging and Commissioner Dr. Donna Corrado.
(With additional reporting from Shah Afroditi Panna)
New York University’s Center for the Study of Asian American Health (CSAAH) held a community health forum at our Desi Senior Center on Tuesday, September 26th. The forum celebrated the advances in the health of our seniors thanks to our partnership with CSAAH. MD Taher is the Project Coordinator for NYU’s Department of Population Health and a Community Health Worker with CSAAH. He has, for the past several months, helped to coordinate impactful health projects at the Desi Senior Center in Jamaica. “We wanted to share our results with the community, celebrate their health,” he said. Also being celebrated was our successful partnership with New York University’s Center for the Study of Asian American Health (CSAAH), which is the leading institute in the US set up to study Asian American health. Our collaboration with the institute has helped facilitate and advance several health projects.
We wanted to tell the community what our findings were, and thank the seniors from India Home, MD Taher, Project Coordinator, NYU Department of Population Health, said.
These projects fill a necessary void in care because as MD Taher said: “There are serious health concerns in the community.” One in four Bangladeshis have diabetes. One in five suffer from hypertension.
One of these projects, titled Keep On Track / Reach Far trained 26 volunteers at India Home to monitor blood pressure as part of a Community Health Assessment. Over 80 seniors from Desi Senior Center participated in the project.
Other projects too have had a direct impact on the health of our seniors. One helped to disseminate nutrition information with culturally and linguistically adapted brochures in Bengali and Hindi. “They came many, many times to the center to teach our seniors about nutrition. They gave them a cup and a spoon, taught them how to measure their food portions, ” Nargis Ahmed, the Site Director for Desi Senior Center said. Nargis worked closely with the NYU team to get seniors to try these new nutrition strategies.
The team from CSAAH shared the finding from various projects with the seniors at India Home’s Desi Senior Center.
Another important innovation has been CSAAH’s partnership with five area pharmacies to create linguistically adapted health materials in Hindi and Bengali, the languages spoken by our seniors. CSAAH also launched a nutrition strategy by working with area restaurants like Star Kabab in Jamaica to replace ingredients in common dishes so as to make them healthier. For example, switching white rice with brown in kitchurie ( a Bengali rice and lentil dish) increased its nutrition content. CSAAH has also partnered with local mosques to serve healthier foods for the iftar meal that breaks the Ramadan fast.
Other CSAAH projects like the DREAM (Diabetes Research, Education, and Action for Minorities) project, a five-year community based participatory research study, have also had success in improving attitudes toward health in the Bangladeshi community. The DREAM project aims to develop, implement, and test a Community Health Worker (CHW) Program designed to improve diabetes control and diabetes-related health complications in the Bangladeshi community in New York City. As a result of this effort at diabetes management, over 400 patients who participated across the city lost weight, became more active physically, managed their medications better and saw their doctors regularly.
The community health forum was held in the spirit of transparency and partnership and sought to update the seniors who participated in the projects and create ongoing dialogue. “We wanted to tell the community what our findings were,” MD Taher said. “And thank them.” The forum was well attended by community leaders, partners, local businesses, policy makers, and media partners.
Dr. Nadia Islam, PhD, the Deputy Director and co-investigator of the Center for the Study of Asian American Health presents findings on the DREAM Project.
The response from the community of seniors has been excellent. Even with all the barriers like work, taking care of grandchildren and busy lives, participants have been able to maintain the lifestyle changes they made as a result of the projects. India Home is happy to have done its part in improving the lives of our seniors. In the face of the rapidly growing older adult population of Bengali seniors in New York City, India Home’s vision is to continue to be a leading resource to our seniors and agencies and institutions that are working to respond to their changing and emerging needs. “Our seniors were very happy that they learned new things and I plan to continue to remind them,” Nargis Ahmed said.
NYC Human Resources Administration Commissioner Steve Banks gives the Keynote Address at Con Edison’s Advocacy Today conference on October 7, 2016. India Home was on the Steering Committee and was a partner at the conference.
On October 7th, ConEdison held the Advocacy Today: Language, Literacy and Culture conference. India Home was invited to be on the Steering Committee and was one of Con Edison’s partners, along with Department for the Aging (DFTA), Live On NY, and New York City’s Human Resources Administration (HRA) among others. The conference aimed to engage, inform and highlight services and resources access available to low-to-moderate Income and immigrant New Yorkers. India Home provided valuable inputs on engaging with immigrant seniors. In his keynote address, the NYC HRA Commissioner Steve Banks discussed how his department was working with other agencies and community partners to provide services for low-to-moderate income, immigrant New Yorkers, as well as homeless veterans. Caryn Resnick, Deputy Commissioner of DTFA, spoke about the different ways DFTA is working to combat poverty among immigrant seniors in New York.
Nearly 100 participants from various service providers across the city came to attend the conference. As a part of a team building exercise, tables were given various scenarios occurring in immigrant and/or low-income communities to see how they would solve the situations. It was a great venue to network with people who have similar concerns for immigrants and low-income New Yorkers.