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Southern African Journal of Gerontology, volume 9, number 1, April 2000Ferreira, Monica (editor), Moller, Valerie, HSRC/UCT Centre for Gerontology January 2000 (has links)
[From Editorial] Four of the five articles in this issue either deal explicitly with or refer to the effects of the AIDS epidemics in the authors' countries. The fifth paper deals with late-life chronic diseases of life-style. In the first paper, Akinsola examines effects of the epidemic on older Batswana and evaluates the effectiveness of his country's Community Home-Based Care programme against the programme's objectives, with special reference to the situation of older persons as primary caregivers to PWAs and AIDS orphans. He concludes that the situation of older carers calls for strong and urgent policy action to assist this highly vulnerable and marginalized group in its critical and valuable role and function as carers. In her paper on the provision of housing and care for older persons in Zambia, Sichingabula considers implications of the anticipated increases in AIDS morbidity and mortality, in the form of an increased demand for formal housing and care by older Zambians in the face of diminished traditional support. Given effects of the country's Structural Adjustment Programme and the Zambian government's inability to expand provision of formal support for the older population, the author makes recommendations for initiatives which NGOs can undertake towards meeting the needs and improving the quality of life of older persons. Next, Shaibu examines the experiences of caregivers to older persons in Botswana within a context of pervasive, abject poverty and multiple, unmet basic needs. The author notes how the HIV I AIDS epidemic, in addition to other social forces, impacts family structures and the capacity of Batswana to care for older relatives. In their paper, authors Patel, Steyn, Charlton, Bourne, Laubscher, Fourie and Jooste describe the risk-factor profile for chronic diseases of life-style, such as hypertension, hypercholesterolaemia and obesity, in the older black population of Cape Town and compare it with risk profiles in other South African ethnic groups. The authors note that although the study population is still at low risk of cardiovascular disease - for example, demographic changes, including urbanisation and the adoption of urban life-styles, are likely to lead to an increase in chronic morbidity in future older cohorts in this population. In a second paper, Sichingabula assesses the physical and social environment of Divine Providence Home, a residential care facility for destitute older persons in Lusaka, Zambia. She draws practitioners' attention to the prudence of incorporating design features in facilities built for older persons which enhance the users' mobility, independence and quality of life. She also highlights a lack of social stimulation and the inactivity of the residents at the home. The author makes the point that given an anticipated increased demand for admission to residential care facilities as a result of AIDS-related deaths and loss of traditional support for older persons, living environments in these facilities must be optimized. In sum, the AIDS-related research papers in this number highlight a need to identify and to strengthen social and care systems which can assist older persons in Africa, as traditional systems are increasingly affected by demographic forces, particularly the effects of the HIV/AIDS epidemics. Finally, Moller reviews a recent, landmark Help Age International report (1999), which is a compilation of 15 papers on ageing in developing countries and challenges facing research, policy and practice.
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Southern African Journal of Gerontology, volume 9, number 2, October 2000Ferreira, Monica (editor), Moller, Valerie, HSRC/UCT Centre for Gerontology January 2000 (has links)
[From Editorial] In this special issue of SAJG, an attempt is made to demonstrate how a selection of studies were conducted and how the research outcomes have been translated into action. Heslop, Agyarko, Adjetey-Sorsey and Mapetla give us a paper in which they have evaluated the methodology used in studies in Ghana and South Africa to determine the contributions of older people. After long periods of implementation and learning, this participatory-research methodology has become synonymous with HAl's research work. The authors take us through the methodology, describe the studies carried out in the two countries, and provide us with a vivid picture of not only the problems which older people in the countries face, but also the immense contribution which they make to the well-being of other people. The impact which this work has had in both countries is notable. Older participants in the studies have taken it upon themselves to advocate their rights, and the governments in the two countries have started to put measures in place to address some of the problems identified in the studies. The paper by Van Vuuren and Groenewald examines the pattern of expenditure of pension income by black pension beneficiaries in the Free State Province of South Africa, against a backdrop of these persons' living circumstances. It goes into detail about issues regarding the payment of pensions, pension sharing within households and expenditure of pension money on specific items, and challenges allegations that pensioners are frequently robbed of their pension money and that they lose this income to loan sharks. Some of the findings of this paper contrast with the findings of the HAl studies conducted with partners in the Northem, Gauteng and Kwazulu-Natal provinces of South Africa (see the first paper in this issue by Heslop and colleagues). In their paper, Kowal, Wolfson and Dowd point out that there is a dearth of empirical and credible data on older people in Africa. Although some research has been conducted on this population, the authors note that by and large the available data derive from small samples, are scattered, and have neither been widely disseminated nor shared. The authors further note a lack of common approaches to data collection. Realising these gaps, the World Health Organisation arranged a workshop in Harare, Zimbabwe in January 2000, to begin a process to develop a minimum data set (MDS) for use by researchers in Africa. An overall aim of the MDS project is to provide data to influence policy and decision makers in various areas which affect older persons. / Needs-driven research on nutrition and ageing, carried out by HAl in collaboration with the London School of Hygiene and Tropical Medicine, is reported by Busolo, Ismail and Peachey in their paper. Nutrition and ageing in developing countries is an area which bas received scant attention. The nutritional requirements of older persons in these countries have not only been inadequately investigated but as a result, nutrition practitioners in various settings simply shoot in the dark. The authors take us down the path which the research took, from bow the needs were identified, to how the research was conducted, to how an intervention programme was set up. They give us some key findings of the research, describe the dissemination process and the application of the findings, and suggest a way forward. An Africa-wide programme currently being implemented as a direct result of this work is aimed at providing knowledge and information on the nutritional requirements of older people to key nutrition institutes, older people's organisations, N GOs (particularly those working in emergency situations), donors and governments. HelpAge International earlier conducted research in the Magu district of Tanzania on the plight of older women who are victimised on suspicion of their being witches (cf. Forrester Kibuga, 1999). Forrester Kibuga and Dianga now draw on this work in their paper. The authors take us through facts pertaining to the witchcraft-related killings, some of the problems which older people in the district face, the changing roles of older people in that area, beliefs and customs of the communities, and the stance of the government and the church on witchcraft. The dynamics of gender issues are also discussed. Following on this research, HAl designed and is now implementing a programme aimed at addressing some of the factors which lead up to these killings and developing sustainable structures to protect older people from violence. In his paper, Gorman draws on the work of HAl in various parts of the world, particularly in Africa - including Tanzania, Ghana, South Africa and Kenya. He argues that violence against older women and men in Africa cannot be attributed to a single, straight-forward problem but must be understood within a complex web that touches on history, family structures, and social and economic factors. He makes practical suggestions on what needs to be done to deal with the problem of violence. HelpAge International will soon be implementing an Africa-wide programme as a response to some of the issues which have been raised in its research on violence. While there is a clear need for more research on ageing in Africa, the research should not be done in a vacuum. There is a simultaneous need for greater collaboration and sharing of research results, and perhaps most importantly, for more action based on research outcomes. At the end of the day researchers should never forget that they have an ethical commitment to their subjects, to society and to their colleagues. / Thanks are due to Karen Peachey and Alex Dianga in the HAl Africa Regional Development Centre for the co-ordination of this special issue. Special thanks are due to Monica Ferreira for dedicating the issue to the experience and work of HAl, and for her commitment to addressing issues pertaining to ageing in Africa. She has worked tirelessly to ensure the success of not only this issue of SAJG but of previous issues as well. I have found her a pillar of support and a pleasure to work with. Tavengwa M. Nhongo.
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Population ageing and its implications for older persons : an analysis of the perspectives of government and non government officials within the Department of Social Development sectorSamaad, Anita 26 September 2013 (has links)
The concept of population ageing is a development issue that has received much attention due to the demographic transition that is occurring globally, marked by declining levels of fertility and mortality. Therefore, the implications of population ageing for older persons within the context of Social Development was examined from the perspective of government and non government officials. The study was confined to older persons and the policies and programmes implemented by the Department of Social Development. The study employed an exploratory research design within a qualitative paradigm. Semi-structured interviews and a questionnaire were distributed to officials in the nine provinces. Thirty six questionnaires were received and qualitative methods of data analysis were used to analyse and interpret the data.
The main finding of the study is that there is congruence in what government officials and the non government officials view as implications for older persons. Central to this is that the issue of ageing does not receive attention on the agenda of government. The top five priorities for older persons are healthy ageing, economic security, community/home based care services for older persons, having care and support systems for older persons and an improved quality of life/poverty alleviation. Based on the demographic determinants of population ageing, the findings are that there will be an increased demand for services for older persons which might place a strain on the social assistance and health care programmes. The issue of ageing was viewed positively as an opportunity by government officials and pessimistically as a challenge by NGO’s. The most common problems in old age is a reliance on the younger generation and or the state for their care and support, abuse, high levels of illiteracy and the burden of care for their children and grandchildren.
The future older person is likely to be in better health and better educated than the older person of today if the necessary public investments are made now in these areas. The study makes recommendations for the adoption of a South African plan of action on ageing, inter-sectoral budgeting, development of specialised programmes, review of current policies and legislation for older persons, strengthening the partnership with the NGO sector and facilitating ageing mainstreaming within government programmes. / Sociology / M.A. (Social Development)
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Population ageing and its implications for older persons : an analysis of the perspectives of government and non government officials within the Department of Social Development sectorSamaad, Anita 11 1900 (has links)
The concept of population ageing is a development issue that has received much attention due to the demographic transition that is occurring globally, marked by declining levels of fertility and mortality. Therefore, the implications of population ageing for older persons within the context of Social Development was examined from the perspective of government and non government officials. The study was confined to older persons and the policies and programmes implemented by the Department of Social Development. The study employed an exploratory research design within a qualitative paradigm. Semi-structured interviews and a questionnaire were distributed to officials in the nine provinces. Thirty six questionnaires were received and qualitative methods of data analysis were used to analyse and interpret the data.
The main finding of the study is that there is congruence in what government officials and the non government officials view as implications for older persons. Central to this is that the issue of ageing does not receive attention on the agenda of government. The top five priorities for older persons are healthy ageing, economic security, community/home based care services for older persons, having care and support systems for older persons and an improved quality of life/poverty alleviation. Based on the demographic determinants of population ageing, the findings are that there will be an increased demand for services for older persons which might place a strain on the social assistance and health care programmes. The issue of ageing was viewed positively as an opportunity by government officials and pessimistically as a challenge by NGO’s. The most common problems in old age is a reliance on the younger generation and or the state for their care and support, abuse, high levels of illiteracy and the burden of care for their children and grandchildren.
The future older person is likely to be in better health and better educated than the older person of today if the necessary public investments are made now in these areas. The study makes recommendations for the adoption of a South African plan of action on ageing, inter-sectoral budgeting, development of specialised programmes, review of current policies and legislation for older persons, strengthening the partnership with the NGO sector and facilitating ageing mainstreaming within government programmes. / Sociology / M.A. (Development Studies)
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