Abstract:
The rapid aging of the global population has intensified the need for effective health and wellness programs that support elderly individuals in maintaining physical, social, and emotional well-being. However, participation rates remain low due to multi-level barriers including limited accessibility, lack of awareness, transportation difficulties, and insufficient social support. This study sought to explore the lived experiences of elderly residents in San Fernando City, La Union, Philippines, regarding their participation and non-participation in community-based health and wellness programs. Using a descriptive qualitative phenomenological design, semi-structured interviews were conducted with elderly residents aged 65 above to capture their personal narratives, challenges, motivations, and perceived facilitators. Data were analyzed thematically to identify recurring patterns that reflect the realities of aging in a community health context. The findings reveal that elderly participants face interconnected barriers such as health limitations, environmental inaccessibility, low program awareness, and diminished social connectedness, while facilitators include peer encouragement, perceived health benefits, and culturally relevant activities. Despite these challenges, many elderly individuals expressed willingness to engage when programs are meaningful and accessible. From these insights, the study proposes recommendations for program implementers, local government units, and the barangay health committee to develop more inclusive, age-friendly, and sustainable wellness initiatives.
