The Indigency Policy / Programme was introduced by the Tshwane Municipality in 2000 to alleviate poverty by assisting the poor with subsidized limited basic municipal services. The goal of this study was to explore the experiences and views of indigent older persons in Atteridgeville of the Indigency Policy / Programme of the Tshwane Municipality. Limited literature was available on the topic and hence the researcher undertook a qualitative study that was exploratory and descriptive in nature to explore this unknown area. The key recommendations were: There is a need for active involvement and availability of municipal social workers; continuous monitoring, education and evaluation by the municipality for the communities. It was recommended that the Municipality conduct a full scale research on indigents` experience and perceptions/ views of their Indigency Policy / Programme in Tshwane. / Social Work / M. A. (Mental Health)

In South Africa prior to 1994, community-based care and support services were established for whites only. The majority of older African (black) persons received informal support from their adult children and relatives. This has waned over the years due to the social and economic changes that have put into doubt the continued viability of such support. The Older Persons Act of 2006 requires social workers to establish community-based care and support services for older persons. Hence, the study was conducted to understand the factors that influence social workers in establishing CBCSS for older persons in Bloemfontein in the Free State Province. A qualitative research method was undertaken to accomplish the goal of the study. Purposive and snowball sampling techniques were used to identify suitable participants. Face-to-face semi-structured interviews were conducted with fifteen social workers who provide services to older persons. The data was analysed through Tesch’s (cited by Creswell, 2009:186) eight steps of qualitative analysis and data verification was conducted following Guba’s (Kreftling, 1991) model. The major finding is that there is a need for social workers to specialise in older persons programmes (gerontology). For the programmes to be a success, it is recommended that the Department of Social Development (DSD) strive to retain social workers who are knowledgeable and experienced in older persons programmes. / Social Work / M.A. (Social Science)

The purpose of this thesis is to analyze the dynamics of family support and public pension systems, and their impact on late-life happiness in contemporary South Korea. For this, three specific research questions, namely (1) the dynamics of intergenerational solidarity, public pension systems, and happiness; (2) the association between intergenerational solidarity and happiness; and (3) the association between public pension systems and happiness, are analysed by exploiting the Korean Longitudinal Study of Ageing. The analyses show that (1) the structural solidarity of older people is relatively stronger than of middle-aged people; (2) contacting is the key player in associational solidarity in later life; (3) middle-aged people supply more financial aid to their adult children than they receive from them, but the reverse applies to older people. Both middle-aged and older people actively exchange food, household items, and health-care supplies; (4) more older men receive the National Pension Scheme benefit than older women but the reverse is true for the Basic Old-Age Pension benefit; (5) the level of happiness in later life is very high but decreases as people age; (6) the number of adult children, frequency of contact, and amount of financial support are positively associated with the happiness of older people; and (7) the National Pension Scheme is positively associated with the happiness of older men while the Basic Old-Age Pension is negatively associated with the happiness of older people. The results suggest some policy implications for late-life happiness in contemporary South Korea. At the individual level, increased frequency of contact, availability of the children, and the amount of financial support can enhance late-life happiness. At the governmental level, the research suggests that the gendered structure of the National Pension Scheme and means-tested structure of the Basic Old-Age Pension should be reformed.

Bien que la relation entre l’état de santé perçu et les mesures de santé physique et mentale soit bien documentée dans les pays développés, très peu d’études ont examiné cette association dans le monde en développement, particulièrement en Afrique subsaharienne. De même, les études menées dans divers contextes sociaux ont documenté que les femmes et les personnes de plus faible statut socioéconomique (SSÉ) sont les plus susceptibles de porter un lourd fardeau des incapacités et de la mauvaise santé perçue, mais il n’est pas connu si ces associations existent aussi dans les pays africains. L'objectif général de cette recherche doctorale était d’aboutir à une meilleure compréhension de la stratification sociale de la santé en Afrique subsaharienne. Plus spécifiquement, cette étude visait à: 1) Examiner les associations entre la santé perçue et les mesures de santé physique et mentale (maladies chroniques, incapacités et dépression) parmi les adultes à Ouagadougou, Burkina Faso, et évaluer comment ces associations varient selon le sexe, le niveau d’éducation et l'âge; 2) Analyser les différences en matière d’incapacité cognitive et physique entre les hommes et les femmes âgés de 50 ans et plus à Ouagadougou et évaluer la mesure dans laquelle les différences observées pourraient être attribuables aux inégalités de genre en matière de conditions sociales et de santé à travers le cycle de vie; 3) Examiner la relation entre le SSÉ et une multitude de mesures d’incapacités parmi les adultes âgés de 18 ans et plus dans 18 pays d’Afrique subsaharienne et déterminer si les différences socioéconomiques dans les incapacités sont caractérisées par une divergence, convergence ou stabilité à travers l’âge. Les résultats de nos analyses sont présentés sous forme de trois articles scientifiques, qui se sont appuyés sur les données de l'Enquête santé réalisée en 2010 dans l'Observatoire de Population de Ouagadougou (OPO) et de la World Health Survey réalisée en 2002-2004 par l’OMS. Dans le premier article, nous avons trouvé que la mauvaise santé perçue était fortement associée aux maladies chroniques et aux incapacités, mais pas à la dépression. L’effet des incapacités sur la mauvaise santé perçue s’intensifiait avec l’âge et avec la diminution du niveau d’éducation. Par contre, l’effet des maladies chroniques semblait diminuer avec l’âge. Aucune variation selon le sexe n’était observée dans les associations de la santé perçue avec les maladies chroniques, les incapacités et la dépression. Ces résultats suggèrent que les différentes sous-populations définies selon le niveau d'éducation et l'âge pondèrent différemment les composantes de santé dans la santé perçue à Ouagadougou. Les résultats du second article indiquaient que le genre féminin était positivement associé à des niveaux plus élevés de détérioration cognitive et de mobilité réduite. L'excès des femmes dans ces incapacités était seulement partiellement expliqué par les inégalités de genre dans l’état nutritionnel, le statut matrimonial et, dans une moindre mesure, l'éducation. Ces résultats suggèrent que l’amélioration de l'état nutritionnel et des opportunités d'éducation à travers le cycle de vie pourrait prévenir la détérioration cognitive et la mobilité réduite et réduire partiellement l'excès féminin dans ces incapacités. Dans le troisième article, nous avons montré que le manque d'éducation était positivement associé à des niveaux plus élevés d'incapacités, et le différentiel d’état de santé fonctionnel entre les différents niveaux d'éducation restait stable à travers l'âge. Ces résultats suggèrent qu’en Afrique subsaharienne, comparativement aux individus hautement éduqués, les personnes faiblement éduquées ont moins de ressources économiques et sociales et de saines habitudes de vie qui ont des effets bénéfiques, constants sur la santé fonctionnelle selon l’âge. / Although the relationship between self-rated health (SRH) and physical and mental health is well documented in developed countries, very few studies have analyzed this association in the developing world, particularly in sub-Saharan Africa. Furthermore, research in various social contexts has documented that disability and poor SRH are more common among women and persons with lower socioeconomic status (SES), but it is unclear whether these associations also hold in sub-Saharan African settings. The general objective of the present thesis was to better understand the social stratification in health in sub-Saharan Africa. More specifically, this study aimed to: 1) To examine the associations of SRH with measures of physical and mental health (chronic diseases, functional limitations, and depression) among adults in Ouagadougou, Burkina Faso, and how these associations vary by sex, education level, and age; 2) To analyze differences in cognitive impairment and mobility disability between older men and women in Ouagadougou, Burkina Faso, and to assess the extent to which these differences could be attributable to gender inequalities in life course social and health conditions; 3) To examine the relationship between SES and multiple disability measures among adults aged 18 and older in 18 sub-Saharan African countries and to determine whether socioeconomic differences in disability are characterized by an increase, decrease or stability with increasing age. The results of our analyses are in three scientific research articles, which rest upon data taken from a cross-sectional interviewer-administered health survey conducted in 2010 in areas of the Ouagadougou Health and Demographic Surveillance System, and the World Health Survey conducted in 2002-2004 by the World Health Organization (WHO). In the first article, poor SRH was strongly associated with chronic diseases and functional limitations, but not with depression. The effect of functional limitations on poor SRH intensified with age and with decreasing education level. In contrast, the effect of chronic diseases appeared to decrease with age. No variation by sex was observed in the associations of SRH with chronic diseases, functional limitations, and depression. These findings suggest that different subpopulations delineated by age and education level weight the components of health differently in their self-rated health in Ouagadougou. The results of the second article indicated that female gender was positively associated with higher levels of cognitive impairment and mobility disability. The female excess in these disabilities was only partially explained by gender differences in nutritional status, marital status and, to a lesser extent, education. These results suggest that enhancing nutritional status and educational opportunities throughout life span could prevent cognitive impairment and mobility disability and partly reduce the female excess in these disabilities. In the third article, we found that the lack of education was positively associated with poorer functional health, and the health gap between educational levels remains static with increasing age. These findings suggest that, in sub-Saharan Africa, compared to the well educated, the undereducated have fewer economic and social resources and health-promoting behaviors which have beneficial, albeit constant effects on functional health over the life course.

In South Africa prior to 1994, community-based care and support services were established for whites only. The majority of older African (black) persons received informal support from their adult children and relatives. This has waned over the years due to the social and economic changes that have put into doubt the continued viability of such support. The Older Persons Act of 2006 requires social workers to establish community-based care and support services for older persons. Hence, the study was conducted to understand the factors that influence social workers in establishing CBCSS for older persons in Bloemfontein in the Free State Province. A qualitative research method was undertaken to accomplish the goal of the study. Purposive and snowball sampling techniques were used to identify suitable participants. Face-to-face semi-structured interviews were conducted with fifteen social workers who provide services to older persons. The data was analysed through Tesch’s (cited by Creswell, 2009:186) eight steps of qualitative analysis and data verification was conducted following Guba’s (Kreftling, 1991) model. The major finding is that there is a need for social workers to specialise in older persons programmes (gerontology). For the programmes to be a success, it is recommended that the Department of Social Development (DSD) strive to retain social workers who are knowledgeable and experienced in older persons programmes. / Social Work / M.A. (Social Science)

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)

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)

This study explores the changing nature of filial piety in contemporary society in rural China. With the economic, social and political upheavals that followed the Revolution, can 'great peace under heaven' still be found for the rural Chinese family as in the traditional Confucian proverb,"make yourself useful, look after your family, look after your country, and all is peaceful under heaven"? This study explores this question, in terms not so much of financial prosperity, but of non-tangible cultural values of filial piety, changing familial and gender roles, and economic migration. In particular, it examines how macro level changes in economic, social and demographic policies have affected family life in rural China. The primary policies examined were collectivisation, the hukou registration system, marketization, and the One-Child policy. Ethnographic interviews reveal how migration has affected rural family structures beyond the usual quantifiable economic measures. Using the village of Meijia, Sichuan province, as a paradigmatic sample of family, where members have moved to work in the cities, leaving their children behind with the grandparents, the study demonstrates how migration and modernization are reshaping familial roles, changing filial expectations, reshuffling notions of care-taking, and transforming traditional views on the value of daughters and daughters-in-law. The study concludes that the choices families make around migration, child-rearing and elder-care cannot be fully explained by either an income diversification model or a survival model, but rather through notions of filial piety. Yet the concept of filial piety itself is changing, particularly in relation to gender and perceptions about the worth of daughters and the mother/ daughter-in-law relationship. Understanding these new family dynamics will be important for both policy planners and economic analysts.