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This book explores health and care of the older population in Africa, focusing on policy and programmatic responses, gaps and future challenges related to health and care across the continent. The first part of the book sets the scene for the volume, profiling the demographic and health situation of the elderly in Africa. It also provides an overview of the various models of care in Africa, looking in particular at the family care model, which constitutes the main source of support for the elderly in Africa. Part 2 provides case studies from across the continent to explore varying forms of elder care as well as the health challenges facing the elderly in the different contexts. The final part considers key aspects related to older person’s experience of social pensions, which are widely recognised as a potentially powerful strategy of meeting the needs of older persons.. Identifying lessons regarding African-centric models of care, as well as reflections on the structural and policy challenges that are likely to confront countries across the continent as they strive to meet the specific needs of increasingly ageing populations, this book will be of interest to scholars of health and social care of the elderly.
In sub-Saharan Africa, older people make up a relatively small fraction of the total population and are supported primarily by family and other kinship networks. They have traditionally been viewed as repositories of information and wisdom, and are critical pillars of the community but as the HIV/AIDS pandemic destroys family systems, the elderly increasingly have to deal with the loss of their own support while absorbing the additional responsibilities of caring for their orphaned grandchildren. Aging in Sub-Saharan Africa explores ways to promote U.S. research interests and to augment the sub-Saharan governments' capacity to address the many challenges posed by population aging. Five major themes are explored in the book such as the need for a basic definition of "older person," the need for national governments to invest more in basic research and the coordination of data collection across countries, and the need for improved dialogue between local researchers and policy makers. This book makes three major recommendations: 1) the development of a research agenda 2) enhancing research opportunity and implementation and 3) the translation of research findings.
Population aging is a matter of global concern. It often occurs in tandem with changes in the health profile of the population. In Africa, many countries are already facing a high burden of communicable diseases. However, as more and more children survive childhood and move on to adult years and old age they are also more likely to experience health problems associated with the aging process. Population aging in Africa is occurring in the context of high levels of poverty, changing family structures, an immense disease burden, fragile health systems and weak or poorly managed government institutions. This book shows that aging is likely to lead to increased social and economic demands for the continent. However, most national governments in Africa have not begun to address the issue of how to respond effectively to the needs of the older population. This will require a better understanding of the socio-economic and demographic situation of the older population in Africa. This book fills the gaps that exist by exploring the social realities of population aging in Africa. It also focuses on the policy and programmatic responses, gaps and future challenges related to aging across the continent.
A collection of in-depth ethnographic analyses of the impact of local and global transformations on the care--or lack of care--received by older people in sub-Saharan Africa, this book provides the pan-African evidence and enquiry needed to advance debates about how to address (and who should address) the long-term care needs of this vulnerable population. Contributors from the United Kingdom, the Congo, Kenya, Switzerland, the Netherlands, and France use case studies from eighteen different countries in all regions of sub-Saharan Africa to examine formal and informal care, including inter- and intra-generational care and retirement homes, as well as care in the context of poverty, HIV/AIDS, and migration.
"Geriatric medicine is generally defined as medical care for adults aged 65 years and older. In Africa and in many developing countries, where the average life expectancy is less than 65 years, medical care of the older adult is still being defined and is in its infancy stages. There are also disparities in health and health care of older adults of African origin in most countries across the world. The aim of this book is to provide a clinical practice resource for physicians and allied health professionals, as they deliver clinical care for older adults of African descent all over the world. It is not intended to be a comprehensive textbook for geriatric medicine. Instead, we focus on common health care issues and unique cultural characteristics that often impact health care utilization in this vulnerable subset of older adults. Chapter authors are medical experts from across several continents, with extensive training and experience in providing medical care for older adults of African descent"--
As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.
The WHO World report on ageing and health is not for the book shelf it is a living breathing testament to all older people who have fought for their voice to be heard at all levels of government across disciplines and sectors. - Mr Bjarne Hastrup President International Federation on Ageing and CEO DaneAge This report outlines a framework for action to foster Healthy Ageing built around the new concept of functional ability. This will require a transformation of health systems away from disease based curative models and towards the provision of older-person-centred and integrated care. It will require the development sometimes from nothing of comprehensive systems of long term care. It will require a coordinated response from many other sectors and multiple levels of government. And it will need to draw on better ways of measuring and monitoring the health and functioning of older populations. These actions are likely to be a sound investment in society's future. A future that gives older people the freedom to live lives that previous generations might never have imagined. The World report on ageing and health responds to these challenges by recommending equally profound changes in the way health policies for ageing populations are formulated and services are provided. As the foundation for its recommendations the report looks at what the latest evidence has to say about the ageing process noting that many common perceptions and assumptions about older people are based on outdated stereotypes. The report's recommendations are anchored in the evidence comprehensive and forward-looking yet eminently practical. Throughout examples of experiences from different countries are used to illustrate how specific problems can be addressed through innovation solutions. Topics explored range from strategies to deliver comprehensive and person-centred services to older populations to policies that enable older people to live in comfort and safety to ways to correct the problems and injustices inherent in current systems for long-term care.
Africa is known both for having a primarily youthful population and for its elders being held in high esteem. However, this situation is changing: people in Africa are living longer, some for many years with chronic, disabling illnesses. In Ghana, many older people, rather than experiencing a sense of security that they will be respected and cared for by the younger generations, feel anxious that they will be abandoned and neglected by their kin. In response to their concerns about care, they and their kin are exploring new kinds of support for aging adults, from paid caregivers to social groups and senior day centers. These innovations in care are happening in fits and starts, in episodic and scattered ways, visible in certain circles more than others. By examining emergent discourses and practices of aging in Ghana, Changes in Care makes an innovative argument about the uneven and fragile processes by which some social change occurs. There is a short film that accompanies the book, “Making Happiness: Older People Organize Themselves” (2020), an 11-minute film by Cati Coe. Available at: https://doi.org/doi:10.7282/t3-thke-hp15
Population is ageing rapidly in all regions of the world and unreliable healthcare financing is capable of hindering older people from seeking competent medical attention which in turn may lead to their suffering, insecurity and/or death. In Africa, lack of access to reliable healthcare financing in old age poses serious development challenges and it is detrimental to healthy ageing, especially because elderly population are known to be facing various health challenges which require huge financial costs. Existing studies have shown that it is not sufficient to provide reliable healthcare financing for older people, it is more important to provide them access to these services. Ensuring that the elderly population has access to reliable healthcare financing in particular as well as other available and possible social support mechanisms that may encourage the provision of and access to reliable healthcare financing in general is a challenge and very key to healthy ageing. Through authors,Äô experiences in the healthcare system, narrative review of existing literature and interactions with some elderly people, this article explores various factors influencing older people,Äôs access to reliable healthcare financing. It is believed that understanding of factors influencing access to reliable healthcare financing among older people in Africa will go a long way in directing policies toward the right course.
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.