A collection of in-depth ethnographic analyses of the impact of local and global transformations on the care, or lack of, received by older people in sub-Saharan Africa.

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.

With the development of effective antiretroviral therapies (ART) in the mid-1990s, HIV became a treatable although serious condition, and people who are adherent to HIV medications can attain normal or near-normal life expectancies. Because of the success of ART, people 50 and older now make up a majority of people with HIV in high-income countries and other places where ART is accessible. The aging of the HIV epidemic is a global trend that is also being observed in low- and middle-income countries, including countries in sub-Saharan Africa, where the greatest number of older people with HIV reside (3.7 million). While globally over half of older adults with HIV are in sub-Saharan Africa, we have little information about the circumstances, needs, and resiliencies of this population, which limits our ability to craft effective policy and programmatic responses to aging with HIV in this region. At present, our understanding of HIV and aging is dominated by information from the U.S. and Western Europe, where the epidemiology of HIV and the infrastructure to provide social care are markedly different than in sub-Saharan Africa. Aging with HIV in Sub-Saharan Africa addresses this gap in our knowledge by providing current research and perspectives on a range of health and psychosocial topics concerning these older adults from across this region. This volume provides a unique and timely overview of growing older with HIV in a sub-Saharan African context, covering such topics as epidemiology, health and functioning, and social support, as well as policy and program implications to support those growing older with HIV. There are very few published volumes that address HIV and aging, and this is the first book to consider HIV and aging in sub-Saharan Africa. Most publications in this area focus on HIV and aging in Uganda and South Africa. This volume broadens the scope with contributions from authors working in West Africa, Botswana, and Kenya. The range of topics covered here will be useful to professionals in a range of disciplines including psychology, epidemiology, gerontology, sociology, health care, public health, and social work.

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.

Population ageing - a growth in the proportion of a population that is in older age - is now occurring in every region and nearly every country of the world. Indeed, the growth of older populations is among the important global phenomena of the twenty-first century. It poses both opportunities and challenges for societies and policy makers, but these are far from uniform worldwide. Dynamic factors are at work impacting on how ageing will influence people, places and policies and there are large variations in the rate and timing of population ageing across countries, owing to differing social, health and economic circumstances and a variety of policy options from which to choose. Given this variation in the context of global ageing as a backdrop, this edited book focuses on three overarching themes that are among the most critical to understand if societies are to age successfully in the twenty-first century and beyond: Healthy ageing and health care; the ageing workforce, retirement and the provision of pensions; shifting intergenerational relations. These three themes are cross-cut by other dimensions that are intertwined with the dynamic processes of ageing, such as immigration/emigration, contrasting policy regimes and global and national economic forces. This ground-breaking book will be of interest to all scholars, students and policy-makers working within this area of study.

This book presents a unique geographical perspective on issues of transport and mobility for ageing populations. Society is ageing across the globe. As well as living longer, older people are fitter, healthier and more active than previous generations were. There is both a desire and a need to be mobile in later life and mobility is clearly linked to older people’s health and wellbeing. Yet mobility can be hard for older people and we don’t always design our neighbourhoods, towns, cities and villages in an age friendly way. With case studies from across the globe, authors take a geographical lens to the important topic of transport and mobility in later life. Chapters examine how the relationships between mobility, modes of transport, place and technologies affect an aging population. This collection will be of interest to scholars and students in human geography, in particular those with interests in transport geography, mobilities, geographies of health and wellbeing, urban geographies and geographical gerontology. It will also appeal to practitioners and policy makers in urban design and planning, transport planning and engineering and public health who have interests in age-friendly cities and policy.

The International Handbook of Population Aging examines research on a wide array of the profound implications of population aging. It demonstrates how the world is changing through population aging, and how demography is changing in response to it.

The United Nations Madrid International Plan of Action on Ageing (MIPAA) offers a bold new agenda for handling the issue of ageing in the 21st century. It focuses on three priority areas: older persons and development; advancing health and well-being into old age; and ensuring enabling and supportive environments. This book brings together global perspectives on the MIPAA and focusses on and assesses the success and failures of governments to implement its recommendations. Despite its pivotal importance in international ageing policy, the MIPAA has been relatively neglected by academics in their writings and studies. This book mitigates this analytical and empirical cavity. Each chapter focuses on one specific geographical region and addresses five key themes: national ageing situation; twenty years of MIPAA; ensuring ageing with dignity; healthy and active ageing in a sustainable world; and priorities for the future. It presents an overall summary of the findings, future challenges and opportunities related to ageing, recommendations for future actions to be taken, and policy adjustments needed. The authors also present lessons that were learnt from managing the impact of COVID-19 on older people, together with an outlook on the most immediate priorities for the future so that the recommendations in the MIPAA are achieved in post-COVID-19 and sustainable ethical scenarios. An important contribution towards the advancement of ageing policy, the book will be indispensable to students and researchers of gerontology, ageing, and health. It will also be of interest to policy makers, geriatricians, dementia care specialists, social policy makers responsible for ensuring active and healthy ageing, and all public sector departments which have specific responsibilities towards improving the quality of life of older adults.

Aging is an irreversible natural process; we as humans develop many age-related disadvantages impacting many aspects of our life. Aging is not a negative process, but the ever-increasing band of the aging population creates a different socioeconomic and healthcare cost-associated risk that may hinder the sustainable development goals of any country and the world in general. Thus, the primary purpose of this book is to cover all aspects of the aging population. Each chapter in this book will give its readers a comprehensive understanding of how an aging population affects public programs such as pension plans, social welfare aids, healthcare costs, asset loss, and labor income, including chapters focusing on the demographic distribution of age-related diseases and injuries that increase healthcare cost, current social psychological reforms, and scientific research work adopted continent wise towards sustaining the aging population. Therefore, this book is helpful for students, teachers, and practitioners studying/working in the broad areas of social sciences, economics, and scientific research advancements in aging. This book serves as a bridge toward planning and developing new policies and practices.