Sub-Saharan Africa population is increasing in age with little acknowledgement
on the consequences of the issues of ageing. Aim:To explore and describe
evidence in published literature on care given to the aged at home and how they
prepare for their ageing. Method: The study applied the Preferred
Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) framework for
systematic literature reviews using the population, intervention, comparison
and outcome (PICO) method to track the eligibility of research questions. This
method was the most appropriate for use in exploring the current position in
available literature for that of Ghana. The research was performed using five
electronic databases from January to July 2017 taking into consideration the
set inclusion and exclusion criteria. Only studies written in English were
considered and a total of 18 articles met the study criteria. Reviewers
extracted primary studies comprising quantitative, qualitative and critical
reviews. Result:The
literature review showed shortcomings in care for the aged at home. From the
search, six core themes were generated: neglect of aged care; aged care for the
younger generation; aged living arrangements; government neglect; preparedness;
and care of the aged in Ghana. Conclusion: This review offered
significant insight into care for the aged in their homes. The inclusive nature
of the rigorous approach used provided a good understanding of underlying
issues on the needs of the aged. Challenges for future are broadened in scope
for more research and effective awareness for interventional projects, services
on care given to the aged.
References
[1]
Dosu, G. (2014) Elderly Care in Ghana. HKAG Publications.
[2]
Zimmer, Z. and Dayton, J. (2007) Older Adults in Sub-Saharan Africa Living with Children and Grandchildren. Population Studies, 59, 295-312. https://doi.org/10.1080/00324720500212255
[3]
Hermalin, A.I. and Myers, L. (2002) Ageing in Asia: Facing the Crossroads. In: Hermalin, A.I., Ed., The Well-Being of the Elderly in Asia: A Four-Country Comparative Study, University of Michigan Press, Ann Arbor, 24. https://doi.org/10.3998/mpub.9690744
[4]
Aboderin, I.R. and Beard, J. (2015) Older People’s Health in Sub-Saharan Africa. The Lancet, 385, e9-e11. https://doi.org/10.1016/S0140-6736(14)61602-0
[5]
WHO (2012) Good Health Adds Life to Years: Global Brief for World Health Day. World Health Organization, Geneva.
[6]
Gómez-Olivé, F.X., Thorogood, M., Clark, B.D., Kahn, K. and Tollman, S.M. (2010) Assessing Health and Well-Being among Older People in Rural South Africa. Global Health Action, 3, 2126. https://doi.org/10.3402/gha.v3i0.2126
[7]
Collinson, M.A., Tollman, S.M. and Kahn, K. (2007) Migration, Settlement Change and Health in Post-Apartheid South Africa: Triangulating Health and Demographic Surveillance with National Census Data. Scandinavian Journal of Public Health, 69, 77-84. https://doi.org/10.1080/14034950701356401
[8]
United Nations, Department of Economics and Social Affairs (2017) Highlights, World Population Ageing, 2-6. ST/ESA/SER.A/397.
[9]
Adebowale, S.A., Atte, O. and Ayeni, O. (2012) Elderly Well-Being in a Rural Community in North Central Nigeria, Sub-Saharan Africa. Public Health Research, 2, 92-101. https://doi.org/10.5923/j.phr.20120204.05
[10]
Keating, N. (2011) Critical Reflections on Families of Older Adults. Advances in Gerontology, 24, 343-349.
[11]
Therborn, G. (2006) African Families in a Global Context. Research Report No. 131. Nordiska Afrika Institute, Uppsala.
[12]
Aboderin, I. (2010) Global Aging: Perspectives from Sub-Saharan Africa. In: Phillipson, C. and Dannefer, D., Eds., Handbook of Social Gerontology, Sage, London, 405-419. https://doi.org/10.4135/9781446200933.n31
[13]
Ferreira, M. (1999) Building and Advancing African Gerontology: Editorial. Southern African Journal of Gerontology, 8, 1-3. https://doi.org/10.21504/sajg.v8i1.209
[14]
Asiyanbola, A.R. (2009) Spatial Behaviour, Care and Well Being of the Elderly in a Developing Country, Nigeria. IFE Psychologia, 17, 1117-1421. https://doi.org/10.4314/ifep.v17i1.43745
[15]
Hosegood, V. and Timæus, I.M. (2005) The Impact of Adult Mortality on the Living Arrangements of Older People in Rural South Africa. Aging and Society, 25, 431-444. https://doi.org/10.1017/S0144686X0500365X
[16]
Merli, M.G. and Palloni, A. (2006) The HIV/AIDS Epidemic, Kin Relations, Living Arrangements and the African Elderly in South Africa. In: Cohen, B. and Menken, J., Eds., Aging in Sub-Saharan Africa: Recommendations for Furthering Research, National Academies Press, Washington DC, 117-166.
[17]
Posel, D., Fairburn, J.A. and Lund, F. (2006) Labour Migration and Households: A Reconsideration of the Effects of the Social Pension on Labour Supply in South Africa. Economic Modeling, 23, 836-853. https://doi.org/10.1016/j.econmod.2005.10.010
[18]
Aboderin, I. and Hoffman, J. (2013) Care for Dependent Older People in Sub-Saharan Africa: Recognizing and Addressing a “Cultural Lag”. 20th International Association of Gerontology and Geriatrics World Congress of Gerontology and Geriatrics, Seoul, 23-27 June 2013, 282-289.
[19]
Charton, K.E. and Rose, D. (2001) Nutrition among Older Adults in Africa the Situation at the Beginning of the Millennium. JOF Nutrition, 131, 245-285. https://doi.org/10.1093/jn/131.9.2424S
[20]
Van de Walle, E. (2006) African Households: Censuses and Surveys. Journal of Social Science and Medicine, 62, 2411-2419.
[21]
Kaseke, E. (2004) An Overview of Formal and Informal Social Security Systems in Africa, USA and Johannesburg, South Africa: National Academy of Sciences.
[22]
United Nations Department of Economic and Social Affairs (2002) World Population Ageing: 1950-2050. United Nations Publications, New York.
[23]
Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G. and the PRISMA Group (2009) Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLOS Medicine, 6, e1000097. https://doi.org/10.1371/journal.pmed.1000097
[24]
Whittemore, R. and Knafl, K. (2005) The Integrative Review: Updated Methodology. Journal of Advanced Nursing, 52, 546-553. https://doi.org/10.1111/j.1365-2648.2005.03621.x
[25]
Beck, C.T. (1999) Facilitating the Work of a Meta-Analyst. Research in Nursing & Health, 22, 523-530. https://doi.org/10.1002/(SICI)1098-240X(199912)22:6<523::AID-NUR9>3.0.CO;2-9
[26]
O’Mathuna, D.P. (2000) Evidence-Based Practice and Reviews of Therapeutic Touch. Journal of Nursing Scholarship, 32, 279-285. https://doi.org/10.1111/j.1547-5069.2000.00279.x
[27]
Bohman, D.M., van Wyk, N.C. and Ekman, S.L. (2011) South Africans’ Experiences of Being Old and of Care and Caring in Transitional Period. International Journal of Older People Nursing, 6, 187-195. https://doi.org/10.1111/j.1748-3743.2010.00225.x
[28]
Lindsey, E., Hirschfeld, M. and Tlou, S. (2003) Home-Based Care in Botswana: Experiences of Older Women and Young Girls. Health Care for Women International, 24, 486-501. https://doi.org/10.1080/07399330303978
[29]
Kimuna, S.R. and Makiwane, M. (2007) Older People as Resources in South Africa. Journal of Aging & Social Policy, 9, 97-114. https://doi.org/10.1300/J031v19n01_06
[30]
Debpuur, C., Welaga, P., Wak, G. and Hodgson, A. (2010) Self-Reported Health and Functional Limitations among Older People in the Kassena-Nankana District, Ghana. Global Health Action, 3, 54-63. https://doi.org/10.3402/gha.v3i0.2151
[31]
Kyobutungi, C., Ezeh, A., Zulu, E. and Falkingham, J. (2009) HIV/AIDS and the Health of Older People in the Slums of Nairobi, Kenya: Result from a Cross Sectional Survey. BMC Public Health, 9, 153. https://doi.org/10.1186/1471-2458-9-153
[32]
Gureje, O., Oladeji, B.D., Abiona, T. and Chatterjee, S. (2014) Profile and Determinants of Successful Aging in the Ibadan Study of Ageing. Journal of the American Geriatrics Society, 62, 836-842. https://doi.org/10.1111/jgs.12802
[33]
Van der Geest, S. (1998) Yebisa Wo Fie: Growing Old and Building a House in the Akan Culture of Ghana. Journal of Cross-Cultural Gerontology, 13, 333-359. https://doi.org/10.1023/A:1006563032706
[34]
Bohman, D.M., van Wyk, N.C. and Ekman, S.L. (2009) Tradition in Transition-Intergenerational Relations with Focus on the Aged and Their Family Members in a South African Context. Scandinavian Journal of Caring Sciences, 23, 446-455. https://doi.org/10.1111/j.1471-6712.2008.00640.x
[35]
Booker, S.Q. (2015) Lessons Learned about Ageing and Gerontological Nursing in South Africa. Curationis, 38, 1-5. https://doi.org/10.4102/curationis.v38i1.1216
[36]
Van der Geest, S. (1995) Old People and Funerals in a Rural Ghanaian Community: Ambiguities in Family Care. Southern African Journal of Gerontology, 4, 33-40. https://doi.org/10.21504/sajg.v4i2.84
[37]
Van der Geest, S. (2002) Respect and Reciprocity: Care of Elderly People in Rural Ghana. Journal of Cross-Cultural Gerontology, 17, 3-31. https://doi.org/10.1023/A:1014843004627
[38]
Teguo, M.T., Kuate-Tegueu, C., Dartigues, J. and Cesari, M. (2015) For the WHO Global Program to Eliminate Lymphatic Filariasis. http://dx.doi.org/10.1016/S0140-6736(15)60505-0
[39]
Kowal, P., Kahn, K., Nawi, N., Naidoo, N., Abdullah, S., et al. (2010) Ageing and Adult Health Status in Eight Lower-Income Countries: The INDEPTH WHO-SAGE Collaboration. Global Health Action, 3, Article No. 5302. https://doi.org/10.3402/gha.v3i0.5302
