Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-14T06:57:48.088Z Has data issue: false hasContentIssue false

Understanding the vulnerability of older adults: extent of and breaches in support systems in Uganda

Published online by Cambridge University Press:  17 September 2015

VALÉRIE GOLAZ*
Affiliation:
Institut National d'Etudes Démographiques, Laboratoire Population-Environnement-Développement, Aix-Marseille Université, France.
STEPHEN OJIAMBO WANDERA
Affiliation:
Department of Population Studies, College of Business and Management Sciences and Centre of Population and Applied Statistics, Makerere University, Uganda.
GIDEON RUTAREMWA
Affiliation:
Social Development Policy Division, United Nations Economic Commission for Africa, Addis Ababa, Ethiopia.
*
Address for correspondence:Valérie Golaz, INED, 133 Bd Davout, 75980 Paris Cedex 20, France E-mail: valerie.golaz@ined.fr

Abstract

Older adults’ vulnerability and resilience are a result of processes constructed throughout the lifecycle. In Uganda, older people almost always rely exclusively on their social networks for care and economic support when in need. These support systems are mainly family based, and play a role of safety net for their older members. However, localised in-depth studies have pointed out the limitations of family-based support systems, especially in the context of the HIV/AIDS epidemic. This paper uses 83 in-depth interviews conducted in various settings across Uganda with older people and their family members on the subject of their support systems. Over and above the lack of immediate/personal resources characterising most older people, our results highlight the importance of the extent of support systems and resource diversity. Most of the people in our case studies had lost descendants due to the civil war, the HIV/AIDS epidemic, or simply family break-ups, events which often create large breaches and gaps in support systems. Few older people can be resilient in this situation, primarily because there are often not enough resources available in their support networks to cover the needs of all, especially education for the young and health-care access for the old.

Type
Articles
Copyright
Copyright © Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aboderin, I. 2006. Intergenerational Support and Old Age in Africa. Transaction Publishers, New Brunswick, New Jersey.Google Scholar
Antoine, P. (ed.) 2007. Les relations intergénérationnelles en Afrique. Approche plurielle. Ceped, Paris.Google Scholar
Antoine, P. and Golaz, V. 2010. Vieillir au Sud: une grande variété de situations. Autrepart, 53, 1, 315.Google Scholar
Antoine, P. and Golaz, V. 2011. Quelles sont les personnes âgées en situation de vulnérabilité? Estimations à partir de données censitaires en Ouganda et au Sénégal. In Molmy, W., Sajoux, M. and Nowik, L. (eds), Vieillissement de la population dans les pays du Sud. Famille, conditions de vie, solidarités publiques et privées. État des lieux et perspectives. CD Rom, Ceped, Paris. Available online at http://www.ceped.org/cdrom/meknes/spip2cb7.html?article4 [Accessed 30 August 2015].Google Scholar
Apt, N. A. 2001. Rapid urbanization and living arrangements of older persons in Africa. United Nations Population Bulletin, special issue 42/43. Available online at http://www.un.org/esa/population/publications/bulletin42_43/apt.pdf [Accessed 10 December 2014].Google Scholar
Apt, N. A. 2002. Ageing and the changing role of the family and the community: an African perspective. International Social Security Review, 55, 1, 3947.Google Scholar
Attias-Donfut, C. and Rosenmayr, L. 1994. Vieillir en Afrique. PUF, Paris.Google Scholar
Caldwell, J. C. 1982. The wealth flows theory of fertility decline. In Hohn, C. and Mackensen, R. (eds), Determinants of Fertility Trends: Theories Re-examined. Ordina Editions, Liege, Belgium, 169–88.Google Scholar
Cattell, M. G. 1993. Caring for the elderly in Sub-Saharan Africa. Ageing International, 20, 2, 1319.Google Scholar
Cattell, M. G. 1997. The discourse of neglect: family support for the elderly in Samia. In Weisner, T. S., Bradley, C. and Kilbride, P. L. (eds), African Families and the Crisis of Social Change. Bergin and Garvey, Westport, Connecticut, 157–83.Google Scholar
Golaz, V. 2013. La dépendance en Afrique. Prise en charge familiale et accès aux soins de santé. Gérontologie et société, 145, 7789.Google Scholar
Golaz, V. and Rutaremwa, G. 2011. The vulnerability of older adults: what do census data say? An application to Uganda. African Population Studies, 25, 2, 605–22.CrossRefGoogle Scholar
Jitta, J. N. S., Whyte, S. R. and Nshakira, N. 2003. The availability of drugs: what does it mean in Ugandan primary care? Health Policy, 65, 2, 167–79.Google Scholar
Knodel, J., Watkins, S. and Van Landingham, M. 2003. AIDS and older persons: an international perspective. JAIDS Journal of Acquired Immune Deficiency Syndromes, 33, 2, S15365.Google Scholar
Lloyd-Sherlock, P. 2010. Population Ageing and International Development. From Generalisation to Evidence. The Policy Press, Bristol, UK.Google Scholar
McPake, B., Asiimwe, D., Mwesigye, F., Ofumbi, M., Ortenblad, L., Streefland, P. and Turinde, A. 1999. Informal economic activities of public health workers in Uganda: implications for quality and accessibility of care. Social Science and Medicine, 49, 7, 849–65.Google Scholar
Medical Research Centre and Uganda Virus Research Institute 2011. Direct and indirect effects of HIV/AIDS and anti-retroviral treatment on the health and wellbeing of older people. Study report, Medical Research Centre and Uganda Virus Research Institute, Entebbe, Uganda.Google Scholar
Ministry of Health 2011. Uganda AIDS Indicator Survey 2011 Report. Ministry of Health, Kampala.Google Scholar
Nahemow, N. 1979. Residence, kinship and social isolation among the aged Baganda. Journal of Marriage and the Family, 41, 1, 171–83.Google Scholar
Najjumba-Mulindwa, I. 2003. Chronic poverty among the elderly in Uganda: perceptions, experiences and policy issues. Paper presented at Staying Poor: Chronic Poverty and Development Policy, 7–9 April 2003, Chronic Poverty Research Centre, Manchester, UK.Google Scholar
Nankwanga, A., Neema, S. and Philips, J. 2013. The impact of HIV/AIDS on older persons in Uganda. In Pranitha, M. (ed.), Aging and Health in Africa. Springer, London, 139–55.Google Scholar
National Academy of Sciences 2006. Aging in sub-Saharan Africa: recommendations for furthering research. In Aging in Sub-Saharan Africa. National Academy Press, Washington DC, 151.Google Scholar
Ntozi, J. P. M. and Nakayiwa, S. 1999. AIDS in Uganda: how has the household coped with the epidemic? In Caldwell, J. C., Orubuloye, I. O. and Ntozi, J. P. M. (eds), The Continuing HIV/AIDS Epidemic in Africa: Responses and Coping Strategies. Australian National University, Canberra, 155–81.Google Scholar
Nzabona, A., Ntozi, J. and Rutaremwa, G. 2015. Loneliness among older persons in Uganda: examining social, economic and demographic risk factors. Ageing & Society. Published online, 4 March 2015, doi:10.1017/ S0144686X15000112.Google Scholar
Obbo, C. 1986. Some East African widows. In Potash, B. (ed.), Widows in African Societies: Choices and Constraints. Stanford University Press, Stanford, California, 95106.Google Scholar
Oxford Policy Management 2013. Evaluation of the Uganda Social Assistance Grants for Empowerment (SAGE) Programme. Baseline Report. Oxford Policy Management, UKAid and Makerere University, Oxford.Google Scholar
Randall, S. and Coast, E. 2015. Poverty in African households: the limits of survey and census representations. Journal of Development Studies, 51, 2, 162–77.Google Scholar
Schröder-Butterfill, E. and Marianti, R. 2006. A framework for understanding old-age vulnerabilities. Ageing & Society, 26, 1, 935.Google Scholar
Seeley, J., Wolff, B., Kabunga, E., Tumwekwase, G. and Grosskurth, H. 2009. ‘This is where we buried our sons’: people of advanced old age coping with the impact of the AIDS epidemic in a resource-poor setting in rural Uganda. Ageing & Society, 29, 1, 115–34.Google Scholar
Seeley, J., Zalwango, F., Mugisha, J., Kinyanda, E., Wake, C. and Scholten, F. 2010. Poverty, ageing and HIV in Wakiso district, Uganda. Paper presented at Ten Years of ‘War Against Poverty’, 8–10 September 2010, Chronic Poverty Research Centre, Manchester, UK.Google Scholar
Ssengonzi, R. 2009. The impact of HIV/AIDS on the living arrangements and well-being of elderly caregivers in rural Uganda. AIDS Care, 21, 3, 309–14.Google Scholar
Thomas, H. 2008. Vulnérabilité, fragilité, précarité, resilience, etc. Esquisses, 13. Available online at http://www.reseau-terra.eu/article697.html [Accessed on 30 August 2015].Google Scholar
Wandera, S. O., Ntozi, J. and Kwagala, E. 2014. Prevalence and predictors of disability among older Ugandans: Evidence from the Uganda National Household Survey. Global Health Action, 7. Published online on 10 November 2014, doi:10.3402/gha.v7.25686.CrossRefGoogle Scholar
Wandera, S. O., Golaz, V., Kwagala, E. and Ntozi, J. 2015. Factors associated with self-reported ill health among older Ugandans: A cross sectional study. Archives of Gerontology and Geriatrics, DOI: http://dx.doi.org/10.1016/j.archger.2015.05.006 Google Scholar
Wild, K., Wiles, J. L. and Allen, R. E. S. 2013. Resilience: thoughts on the value of the concept for critical gerontology. Ageing & Society, 33, 1, 137–58.Google Scholar
Williams, A. 2003. Ageing and Poverty in Africa: Ugandan Livelihoods in a Time of HIV/AIDS. Ashgate, Aldershot, UK.Google Scholar
Whyte, S. and Whyte, M. 2004. Children's children: time and relatedness in Eastern Uganda. Africa, 74, 1, 7694.CrossRefGoogle Scholar
Zimmer, Z. and Dayton, J. 2005. Older adults in sub-Saharan Africa living with children and grandchildren. Population Studies, 59, 3, 295312.Google Scholar