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.

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.

Support the very best health, well-being, and quality of life for older adults! Here’s the ideal resource for rehabilitation professionals who are working with or preparing to work with older adults! You’ll find descriptions of the normal aging process, discussions of how health and social factors can impede your clients’ ability to participate in regular activities, and step-by-step guidance on how to develop strategies for maximizing their well-being.

In the `Decade of Healthy Ageing’ (UN/WHO), this collection of essays contains interdisciplinary contributions by authors from African and European cultures who address questions about the situation of old people in the past and present, comparing the situation of men and women and focussing on their protection and care within society. While at first glance it appears that the phenomena in the `young’ African countries are completely different from those in European countries, there is a certain convergence between the continents. The challenges of migration, globalisation and the climate crisis are triggering social transformation processes that are weakening older traditions. The focus is on the dissolution of the extended family and the associated loss of the stabilising function within the framework of the so-called intergenerational contract. This development triggers crises. However, new models for organising old age are also developing. Old people are finding new ways to organise their lives.

In most societies, of the world, including in Africa, responsibility for the material support of older people, unable to sustain themselves through work or investments, has originally resided with their younger generational family members - especially their adult children. Aboderin explores this topic specifically for Africa. In the wake of social or economic change, societies experience shifts in the degree in which families support their elders. Questions about the proper balance of family and state responsibilities, however, persist, especially in the light of socio-demographic trends and constraints in public expenditure. In most of sub-Saharan Africa, in contrast to other world regions, economic security policies for older people have not yet been formulated, despite declines in material family support along with rising poverty to which a growing elderly population is particularly exposed. In part, this betrays the crucial lack of understanding about how and why these shifts in support have occurred in African societies - and, thus, a profound uncertainty about what balance of individual, family and state responsibilities will be culturally appropriate and effective in ensuring economic security for older Africans both now and in the future. Abdorein aims to address these gaps in understanding. She provides an empirical and theoretical analysis of the micro and macro level processes that have underpinned recent declines in old age family support in African societies and likely parameters of future familial support. She also addresses more fundamental theoretical questions about how we should think about the relationships between intergenerational support, norms and values, and societal change. "Intergenerational Support in Africa" should be of interest to anyone interested in the subjects of African studies, economic policy and theory concerning elder care as well as those interested in sociology and social welfare development.

Since the turn of the century, Africa has been emerging economically, politically and socially and striving to assert itself on the global stage. This book provides an interdisciplinary view of Africa’s struggle to find its unique voice and contribute to the dialogue of international affairs. Highlighting both challenges and opportunities, the book explores the multi-faceted economic, political and social debates that surround Africa’s emergence in a complex, increasingly globalised world. The author provides holistic, complementary and policy-oriented advice to African governments and policymakers on how to cope with new interrelated realities in an age of globalisation. This book will be of great interest to students, academics and researchers in the areas of political economy, international development, global governance, public policy and the international relations of African states. It will also appeal to African leaders, policymakers and governments who seek to increase the ability of their countries to cope with the challenges presented by a globalised world.

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.

TOPICS IN THE BOOK Determinants of Maternal and Child Health Care Service Utilization among Mothers of Mount Elgon Constituency Bungoma, Kenya Factors Influencing Male Involvement in Safe Motherhood among Communities in Kwale and Kilifi in Coastal Kenya Socio-Cultural Characteristics on Male Involvement in Safe Motherhood among Communities in Kwale and Kilifi in Coastal Kenya Using Novel Nutritional Assessment Tool to Assess the Nutritional Status of the Elderly in Mazenod: The Case of Old Age Pension Scheme in Lesotho Factors Influencing Low Birth Weight (LBW) among Mother-Neonate Pairs and Associated Health Outcomes at Coast General Hospital Mombasa County Kenya Factors Influencing Health Workers’ Performance in Public Health Facilities in the Devolved System of Government: A Case of Embakasi East Sub-County, Nairobi County