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Care of the elderly in Nigeria: Implications for policy

Taylor & Francis
Cogent Social Sciences
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Abstract

Nigeria has no functional national policy on the care and welfare of older persons. Changing demographics in Nigeria, in addition to the breakdown of the family structure and absence of a social security system, present unique challenges to the elderly in Nigeria. This paper analyzes the current policy lacuna and future issues concerning older persons in Nigeria. It posits that the introduction of neoliberal economic policies created a vacuum in policy formulation and execution in which the older persons are not provided for within the social safety nets in the neoliberal state. This exploratory, qualitative study is based on interviews and narratives of interviews with government officials. The findings of the study show that, in the face of rapid demographic change, one of the major challenges facing Nigeria is developing policies and appointing personnel capable of understanding and responding to the current social priorities and complex needs of an increasingly ageing population in the country. Based on the findings, the study provides recommendations that may assist the government to table policies that will promote the well-being of the elderly in Nigeria.
SOCIOLOGY | RESEARCH ARTICLE
Care of the elderly in Nigeria: Implications for
policy
Perpetua Lum Tanyi
1
*, Pelser André
1
and Peter Mbah
2
Abstract: Nigeria has no functional national policy on the care and welfare of older
persons. Changing demographics in Nigeria, in addition to the breakdown of the
family structure and absence of a social security system, present unique challenges
to the elderly in Nigeria. This paper analyzes the current policy lacuna and future
issues concerning older persons in Nigeria. It posits that the introduction of neo-
liberal economic policies created a vacuum in policy formulation and execution in
which the older persons are not provided for within the social safety nets in the
neoliberal state. This exploratory, qualitative study is based on interviews and
narratives of interviews with government officials. The findings of the study show
that, in the face of rapid demographic change, one of the major challenges facing
Nigeria is developing policies and appointing personnel capable of understanding
and responding to the current social priorities and complex needs of an increasingly
ageing population in the country. Based on the findings, the study provides
recommendations that may assist the government to table policies that will pro-
mote the well-being of the elderly in Nigeria.
Subjects: Social Work; EducationSocial Sciences; Sociology & Social Policy
Perpetua Lum Tanyi
ABOUT THE AUTHORS
Perpetua Lum Tanyi holds a PhD (Social work)
from the University of Nigeria. She is currently
a postdoctoral research fellow with the University
of the Free State, South Africa and a senior lec-
turer at the Department of Social Work at the
University of Nigeria, Nsukka. Her research inter-
ests include gerontology, care and policy for the
elderly and intergenerational relationships.
André Pelser holds a PhD (Sociology) from the
University of the Free State (Bloemfontein, South
Africa) where he is currently a professor of
Sociology. His areas of expertise include applied
social and policy research, social ecology and the
implications of changing population dynamics for
human development and the environment.
Peter Mbah holds a PhD in Political Science
from the University of Nigeria and is currently
a senior lecturer at the Department of Political
Science at the same university. He has authored
several articles on elections, political parties,
conflict, and governance in reputable local and
international journals.
PUBLIC INTEREST STATEMENT
Changing demographics in Nigeria, the break-
down of the family structure and absence of a
social security system, present unique challenges
to the elderly in Nigeria. This paper analyzes the
current policy lacuna and future issues concern-
ing older persons in Nigeria. It argues that the
introduction of neoliberal economic policies in
Nigeria created a gap in policy formulation and
execution in which older persons are not pro-
vided for within the existing social safety nets.
This study is based on interviews with govern-
ment officials in Nigeria. The findings show that,
in the face of rapid demographic change, the
major challenge facing Nigeria is developing
policies and appointing personnel capable of
understanding and responding to the current
social priorities and complex needs of an
increasingly aging population in the country. The
study provides recommendations that may
assist the Nigerian government to table policies
that will promote the well-being of the elderly in
Nigeria.
Tanyi et al., Cogent Social Sciences (2018), 4: 1555201
https://doi.org/10.1080/23311886.2018.1555201
© 2018 The Author(s). This open access article is distributed under a Creative Commons
Attribution (CC-BY) 4.0 license.
Received: 16 June 2018
Accepted: 22 November 2018
First Published: 3 December 2018
*Corresponding author: Perpetua
Lum Tanyi, Department of Sociology,
University of the Free State, PO Box
339, Bloemfontein 9300, South Africa
E-mail: PerpetuaT@ufs.ac.za;
Lum.tanyi@unn.edu.ng
Reviewing editor:
Kar-wai Tong, HongKong Baptist
University, HongKong
Additional information is available at
the end of the article
Page 1 of 14
Keywords: ageing; family support; Nigeria; neoliberal state; pension scheme; policy;
retirement
1. Introduction
The fast-growing number of older adults during the last few decades has impacted significantly on
the political, economic, and social functions of societies in both industrialized and developing
regions. According to the Population Division of the United Nations Department of Economic and
Social Affairs (United Nations Department of Economic and Social Affairs: Population Division
[UNDESA], 2015), the proportion of older persons aged 60 years and above make up 12.3% of
the global population, and by 2050 that proportion will rise to almost 22%. Sub-Saharan Africa,
which has the smallest proportion of elderly and which is ageing slower than the developed
regions, is projected to see the absolute size of its older population grows by 2.3 times between
2000 and 2030 (UNDESA, 2015). People are living longer because of better nutrition, sanitation,
health care, education, and economic well-being. An ageing population poses numerous social and
economic challenges, but the right set of policies can equip society to address these challenges in
time.
Like any other country in sub-Saharan African, Nigerias elderly too is increasing rapidly. In
Nigeria, those aged 65 years and above (the elderly) make up 3.1% or 5.9 million of the total
population of 191 million, which in crude numbers represents an increase of 600,000 during the
5-year period 20122017 (Population Reference Bureau, 2012) (National Council on Ageing 2016).
The rising numbers of the elderly in Nigeria are among others attributed to the crude mortality rate
that is gradually decreasing (Adebowale, Atte, & Ayeni, 2012). Ageing in Nigeria is occurring
against the background of socioeconomic hardship, widespread poverty, the HIV/AIDS epidemic,
and the rapid transformation of the traditional extended family structure (Adebanjoko & Ugwuoke,
2014). Another cause for the increase in the older segment of the Nigerian population can be
found in the declining fertility rate (although still one of the highest in Africa) that has continued to
drop since the 1980s. In 2017, the total fertility rate registered at 5.5 compared with 6.8 in 1980
(Population Reference Bureau, 2017; United Nations Population Division & United Nations
Statistical Division, 2015). Apart from the decline in fertility, improved health and sanitary condi-
tions have also contributed to the rise in life expectancy. Ageing causes people to be less active,
frail, and exposed to more risks of contracting a disease, leading to prejudice or discrimination
against the elderly, social isolation, and, sometimes, abandonment.
Despite the demographic impact of the AIDS epidemic, the Nigerian population is projected to
continue ageing over the next two decades. Current demographic projections indicate that Nigeria
will experience a doubling of the population over the age of 65 by the year 2020 (United Nations
Population Division, 2015). Furthermore, of all age groups, the group over age 85i.e. the oldest
oldis increasing the fastest. Amidst this demographic reality and the challenges it is about to
unleash in future, Nigeria will be hard-pressed to meet the economic, health, psychological, and
material well-being challenges of the elderly, especially as traditional family support systems for
the elderly are breaking down and disappearing in the country (Okoye, 2012). This paper reports on
a study that investigated the challenges that are associated with ageing in a neoliberal state, care
of the elderly, and the views of government officials on this matter. Recommendations are also
made that may be considered to promote the well-being of the elderly in Nigeria.
1.1. Problem statement
A major challenge facing most governments in Africa is the development of policies and training of
officials capable of understanding and responding to the current social priorities and complex
needs of an increasingly ageing population. The ageing of populations across the globe is
a demographic reality of our times. By 2050, there will be more older people worldwide (aged
60 years and over) than children under 15 years for the first time in history (Pelser, 2012; UNDESA,
2013). Developing countries are now faced with an ageing revolution at a different scale than what
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is already unfolding in the industrialized nations. Statistics show that the more developed regions
have experienced the most significant extent of ageing, while many of the less and least devel-
oped countries have only just begun to experience the ageing transition in full (South African
Institute of Race Relations [SAIRR], 2012; UNDESA, 2013; Goodrick & Pelser, 2014). However, the
less and least developed regions are catching up in terms of progression through the ageing
transition. On average, the most rapid increases in older populations are occurring in the less
developed world, where it is projected that between 2006 and 2030, the number of older persons
in less developed countries will increase by 140%, as compared to an increase of 51% in the more
developed countries (Botchway, 2018; Powell, 2011). By 2012 only the more developed regions
were characterized by having oldpopulations, with more than 14% of their populations aged
65 years and older (UNDESA, 2013). Comparatively, only 5.8% of the populations in the less and
least developed regions were aged 65 years and older. The less developed regions, however
because of their overall superiority in total population numbershave far more elderly than the
more and least developed regions.
Even though population ageing is seen as one of the great triumphs of human development
because the majority of people now expect to survive to old age, an ageing population has
implications for, among others, labor markets, health care, and social security. With relatively
low levels of social and economic development and little access to adequate health care, a country
like Nigeria will be hard-pressed to meet the challenges of large numbers of elderly people,
especially as traditional family support systems for the elderly are breaking down (Abanyam,
2013; Okoye, 2012).
In anticipation of this growth in the elderly population, employers, health, and social service
providers, as well as the general public, will increasingly turn to government for help. The govern-
ment will be expected to initiate policies that will support older people, train and empower health
and social service professionals, and supply employers with a trained workforce to take care of the
older adults. Thus, authorities at all levels of governance have a direct stake in arguably the most
significant demographic shift of the twenty-first century.
By responding to the demands of employers and health-care providers, as well as the demands
of the general public, governments in the developing regions will be faced with both new and old
challenges, including the education of the general public and the recruitment and training of
professional officials to care for older people. The government of Nigeria, therefore, has to position
itself to face and address the economic, health, social, and psychological challenges that will be
unleashed with ageing in the twenty-first century. Against this background, our paper explores the
following two questions: First, what are the challenges that come with ageing in Nigeria?
and second, what is the current state of the policy environment in Nigeria when it comes to
matters that impact the well-being of the elderly in that country?
1.2. The neoliberal state and care for the elderly in Nigeria
Nigeria, the country with the largest population in Africa (191 million), has an elderly projected
population growth rate of 3.2% (Population Reference Bureau 2012,2017)a rate that has been
estimated to double by 2050 (Mbah, 2016). This trend calls for concern as it poses major economic,
psychological, health, and social challenges to the Nigerian state. What really heightens the
challenge is the absence of clear policy, or any functional social security service, for the elderly
people in Nigeria. Consequently, social policy for the elderly people remains turbulent, especially
with the retrenchment of the welfare system in favor of the adoption of neoliberal policies in
Nigeria. Two major distinguishing attributes of the neoliberal state are privatization, which trades
on the profit motive, and the removal of state subsidies. The latter in particular marginalized both
the elderly and the poor (Ekanade, 2014). Studies of the elderly have always emphasized the need
for Nigeria to make serious efforts to cater for the needs of this group and highlighted the fact that
the elderly needs special policy intervention for care and protection (Animasahun & Chapman,
2017). Hence, it has become imperative to explain why the poor and challenging situation of the
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elderly exists and why policy intervention aimed at the interests of the elderly has become
a pressing issue in Nigeria.
During the oil boom era (19711980) in Nigeria, the period saw free medical services, including
food for hospitalized patients who were admitted to public health facilities (Alubo, 1987, p. 453). In
this sense, the government was really spending a huge amount of money on social welfare
services, not only for the elderly people who retired from the civil service but for the entire
populace. However, the drop in oil prices in the international market resulted in a deficit of
Nigerias balance of payment. This led to the retrenchment of the welfare system and the provision
of basic amenities and to the introduction of a neoliberal policy in 1986 (Ekanade, 2014; Mbah,
2016). In the neoliberal context, democracy was reestablished to satisfy market demands without
adequate regard to social needs. Neoliberal reforms were not concerned with social issues, but
with market efficiency, which worked against the basic tenets of human rights and constitutional
safeguards for Nigerian citizens.
2. Theoretical discourse
The study that informed this paper drew extensively on existing knowledge of public welfare in
Nigeria. Hence, our principal epistemological point of departure is a social contract theory of social
security. In this social contract, everybody surrenders to the government all their rights; the
surrender is complete (Ibeanu & Mohammed, 2005). This perspective suggests that people accept
to give up their rights to protect themselves to the stateincluding the right to public welfare and
securityon the understanding that the state will provide adequate physical and social security
(Ibeanu & Mohammed, 2005). As such, people transfer the realm of public welfare to the state and
its agencies and resorting to self-protection and self-care when the state fails to fulfill its part of
the social contract. This can be described as the General Will (Guillemette, 2002). People transfer
the responsibility of the provision of the welfare to government on the understanding that
government, the central agency of the state, incarnates this General Will rather than any combi-
nation of Sectional Wills that may exist in society. The concept Sectional Will refers to the sum
total of the Sectional Wills that compose society. The failure of social security and social policy in
Nigeria is a reflection of a general failure of this social contract. The citizens confer possession on
government and once this is done, it is sustained insofar as government incarnates the General
Will rather than the Sectional Will. Policies are supposed to be an expression of the General Will
and can be made only by government on behalf of the people.
Logically, the introduction of the neoliberal state has deflated the social contract and worsened
the situation of the elderly in Nigeria. The removal of state subsidies and privatization of
programs emasculate the elderly people who have no economic means of livelihood. This condi-
tion exposes the elderly to diseases and death because it has brought the elderly under the dead
weight of privatization, removal of state subsidies, and alienation from social welfare and care
(Mbah, 2014). In Nigeria, ageing is perceived as a burden, especially to family members, as the
country has failed to provide financial help or benefit from the abundance of experiences that
come with old age in the form of wise counsels in the resolution of conflicts or crises in the
community. Thus, this reminds the Nigerian government of the social policies which she is
supposed to provide to serve the citizens and justify their existence. However, the burden of care
for the elderly squarely rests on family members despite the provisions made in the 1999
Constitution. Section 14.2(b) of the Constitution states that the security and welfare of its people
shall be the primary purpose of the government, and it promises in Section 16, sub-section 2(d),
that suitable and adequate shelter and suitable and adequate food, reasonable national minimum
living wage, old age care and pensions, and unemployment, as well as sick benefits, will be
provided to all citizens (Mbah, 2014; Federal Government of Nigeria, 1999, p. 12). Unfortunately,
the Nigerian government seems not to have kept up to this social contract and has reneged on
these promises, as most elderly people are not covered by any social policy within the new planned
social security scheme, but instead has opted for the creation of employment opportunities for the
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youth. Thus, the introduction of neoliberal and neo-economic policies has brought to the front
burner the hopelessness of the poor and the elderly in Nigeria (Mbah, 2014).
3. Methods and procedures
The data for this paper emanate from an exploratory and qualitative study that was based on inter-
views conducted with and narratives derived from government officials. Interviews were conducted by
the first author with chairpersons in Nsukka local government area in the Enugu State of Nigeria who
held a degree in any discipline in the social sciences and who were knowledgeable on issues concerning
the elderly. A total of three local government chairpersons were interviewed: The chairperson of Nsukka
urban area; the chairperson of Ibagwani local government (suburban), and the chairperson of Utobolo
(rural area). The participants were all males, because at the time of this study no female was a local
government chairperson in Nsukka local government and there were only three local government
chairpersons who had a Masters degree. The rationale for targeting only those with a degree was
because we believed they were educated and exposed to policy issues in Nigeria, especially issues
concerning the elderly, and also because they were well informed about all the transitional periods and
policies in the country. Another major reason for selecting the chosen chairpersons as our respondents
is because they can influence the local government level policies in favor of the elderly. The respon-
dentsages ranged between 48 and 57 years, and all of them were married and had children. Nsukka
local government is located on the north-western part of Enugu state and is predominantly rural with
Nsukka town as the only urban area. The choice of Nsukka local government as the study area was,
first, because of its peculiar characteristics in attracting many academic activities. Nsukka is
a university town and has local government chairpersons who are educated, knowledgeable about
the ongoing political, social, and economic situation in Nigeria, and, more importantly, issues concern-
ing the elderly in Nigeria. Thus this gave the researchers the opportunity to elicit information from these
chairpersons. Second, the first author is familiar with the area and could get the desired information in
a relatively short period, thereby minimizing the costs of fieldwork and data gathering.
An interview guide was constructed to explore the dilemmas of the elderly and the range of
resources available to them. The research purpose was explained and viewpoints sought on
questions in the interview guide. Questions addressed the major problems impacting upon the
welfare of the elderly, formal and traditional (informal) forms of support, means of income, and
access to key resources and welfare services, if any, that are available to the elderly. On average,
interviews lasted 4560 min. Interviews were tape recorded for those who gave consent. The local
government chairpersons were approached directly at convenient venues in their offices.
Interviews, guided by the interview schedule, with framed questions ensured consistency and relia-
bility. This permitted an objective appraisal on forms and levels of support by the government if any. All
respondents were assured of confidentiality and advised that they were free to withdraw at any time.
Narratives and accounts were put together. Narratives reflect the challenges that come with
ageing and the welfare schemes in Nigeria. The narratives are teased out based on a review of
government policy response. Thematic data and subthemes, analyzed in consonance with the
research questions, captured the issues on welfare schemes and challenges faced by the elderly in
Nsukka, Enugu state of Nigeria.
4. Findings and discussion
The findings are divided into the following subheadings. Section one: Challenges that come with
ageing and care of the elderly, section two: General and social policy aimed at the elderly, section
three: Strategy for policy and advocacy on issues concerning the elderly population in Nigeria, and
section four: Recommendations.
4.1. Section one: challenges that come with ageing and care of the elderly in Nigeria
Studies carried out by Animasahun and Chapman (2017) reveal that demographic changes in
Nigeria present several challenges that may influence the modification of federal regulations,
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health policies, or social programs that may promote physical, social, and health through active
ageing. Interviews with our participants revealed that the elderly in Nigeria are faced with
challenges of retirement, ageism, and social isolation.
4.1.1. Retirement
Many people envisage the idea of retirement as a life stage of leisure, untroubled and carefree
living, relaxation, and traveling. However, this vision of retirement does not happen too often in
Nigeria. In the current economic dispensation, more and more individuals have no choice but to
work well past the age of even 80 years if they are given a chance, because going on retirement
poses several challenges in Nigeria (Odaman & Ibiezugbe, 2014; Oladeji, 2011). The abrasive reality
is that most of the elderly in Nigeria find it very difficult to adjust to life after retirement. One of the
respondents captured it this way:
Apart from money, another part of the challenge of retirement is adjusting to retired life.
Work provides many people not only with income but also with social interaction and
a sense of purpose. So, our job is often an important part of our identity. When it ends, its
common to struggle with the loss of that identity. Many Nigerians, especially those in the top
position in this country, when they retire you find that they find it very difficult to integrate
into society. This is because when they were working, they were driven around, they had
body guards and were living in luxury. But when they retire they lose all these and it affects
them negatively. Frustration sets in and you find them living a miserable life. (56-year-old
local government chairperson; urban dweller)
The Nigerian government has failed pensioners who had high expectations of the implementation
of pension regulation schemes existing in the country. These expectations arose from the need to
have a sustainable standard of living in retirement and their benefits paid when due. The different
pension regimes operating in Nigeria, namely a defined benefit (DB) and a contributory pension
scheme (CPS), gave rise to a varying set of problems that limited the capacity of key stakeholders
within the Nigerian pension industry to meet pensionersexpectations.
According to Apere (2015), the problems that surround pensioners in Nigeria include: (1) Delayed
or nonpayment of pension entitlements and misappropriation of existing pension funds; (2) low
standard of living (or high poverty incidence) among pensioners due to pension increases not in
line with salary inflation or no pension increase at all; (3) too frequent verification of pensioners by
pension transitional arrangements directorate (PTAD) (section 42 of PRA 2014) leading to pen-
sioners dying during verification exercises; (4) inadequate enforcement of pension regulation: After
more than 10 years of existence of the CPS, not all state governments had enacted their pension
laws to establish the CPS, which is a sign of regulatory weakness (Apere, 2015). The actuarial
valuations of the old DB schemes required by PenCoM (National Pension Commission) at the point
of implementation of the new CPS have not been carried out even for those State Governments
that have already established their CPS.
The greatest problem we have in this country is that our leaders dont keep to their words.
The people managing the pension scheme dont keep their word. Many elderly who depend
on pension suffer to get their pension, many even die before the pension starts coming.
Some of the elderly who are retired cannot even pay their rents. Some who retire and move
to the rural areas die immediately they get home because of suffering. (48-year-old local
government chairperson; rural dweller)
Since poverty remains a major challenge in Nigeria, elderly persons who have retired from the
economic productive phase are most vulnerable to experiencing economic hardship. Since the
statutory age of retirement in Nigeria is 60 and 70 years (depending on where you work) and is the
cut-off for being categorized as an elderly person, the majority of this group of (elderly) people are not
socially and economically secure (Oladeji, 2011). Elderly people are usually forced to cope with the
paradox of dwindling financial resources, increased health challenges, and a geometric rise in
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medical expenses. In particular, elderly people living in urban areas in Nigeria only utilized health
services and other services when they were available, accessible, and affordable (Odaman &
Ibiezugbe, 2014). The patterns of the economic lives of older persons in Nigeria vary by urban and
rural residences (Odaman & Ibiezugbe, 2014). In urban Nigeria, elders with high physical and
psychological functioning are forced to retire once they reach the statutory retirement age. They
face abrupt declines in their income and can feel less self-worth or even experience depression, since
they perceive themselves as still being fit to work. One respondent articulated the situation as follows:
The problem we have in Nigeria is lack of planning. Most of our people dont plan for their
retirement and when it comes it takes them by surprise. Some of them immediately fall ill
because of no money. Some of them die just a few years after their retirement because of
poverty. Coupled with the fact that Nigerian government has no clear policy for the elderly it
affects the retired people so much. Some of the elderly people die even before their pension
has been processed. (56-year-old local government chairperson; urban dweller)
However, in rural Nigeria, since many older persons are not formally employed with a company or
some other form of governmental organization, they continue to engage in menial jobs and
manual work on the farms with meager earnings as long as their physical strength can afford.
The rural elderly may suffer from health disorders and physical exhaustion and often have no
retirement benefits to serve as social security. One respondent put it this way:
Poverty is the watch word in many of the rural communities in Nigeria. Most of the elderly people
residing in the rural communities have no support from the government. They get support from
faith based organizations or from their relatives. Elderly people who donthaveanyrelatives
suffer a lot in Nigeria. (50-year-old local government chairperson; suburban dweller)
Another respondent echoed the plight of the rural elderly as follows:
In this community there are no basic amenities. For example people have to walk so many
kilometers to get drinking water, electricity is not regular. The elderly in the rural commu-
nities cannot even afford electricity bills, there are no health facilities in this community. The
elderly have to travel long distances to get medical attention. The rate of suffering is just too
much. The government has not done anything to improve the lives of the elderly in this
community. (48-year-old local government chairperson; rural dweller)
For many people, it can be unpleasant to grow older in Nigeria, especially those in the low
income sectors. Our society and culture value youth, and being old is sometimes treated like
a disease that has no cure. Its a reality that all of us have to get old at some point, so
ageing is a huge challenge in this country. The elderly people face a lot of challenges and
there is nothing they can do about their situation. (56-year-old local government chairper-
son; urban dweller)
4.1.2. Ageism
Another challenge of ageing that seems more obvious than retirement is ageism. Although it can
target any age group, ageism generally refers to prejudice and/or discrimination against older people
(Abrams & Swift, 2012). Ageism can be either blatant or subtle. For example, it involves anything from
refusing to hire an elderly worker to assuming an older woman needs help crossing the road.
The elderly are often victims of negative stereotypes: They are perceived as slow, confused,
helpless, resistant to change, and/or generally unhappy (Abrams & Swift, 2012). Like racism and
sexism, discrimination can happen when unfair generalizations like this are made. Although the
stereotype is not true of every older individual, age-related bias, unfortunately, exists in some
settings in Nigeria. Said one respondent:
In some rural communities elderly people are called witches and wizards. This is common
amongst elderly women who dont have children. They are being labeled in the community
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as being wicked and wizards. The incidence of abuse is common in Nigeria. At times you just
see an elderly woman with bruises all over her body. They are abused physically, emotionally
and financially. These elderly women are so ashamed to complain of any form of abuse,
because they are not sure anyone will believe them. The government of Nigeria has no laws
guarding against this act. (50-year-old local government chairperson; suburban dweller)
The authoritiesneglect of the elderly was expressed in a different way by another respondent:
In Nigeria we [used to] have so much respect for the elderly. In fact, in some communities the
elderly people are celebrated every year. But this generation is a different one. They believe
that the elderly people are not useful in the society anymore. The government of Nigeria has no
respect for the elderly people. They have no policy for the care of the elderly in this country.
They are not even considered when major decisions are taken in the country. Let me give you
an example. Last year some government officials came to this town to talk about HIV /AIDS.
Many people came to the hall. When these people started they asked all the elderly people to
leave the hall, they made them understand that HIV/AIDS has nothing to do with them. We
were so angry and all of us left the hall. We know in our community that the elderly people are
the ones taking care of children orphaned by HIV/AIDS. That is how we ended up not listening
to the government officials. (56-year-old local government chairperson; urban dweller)
Let me tell you how the Nigerian government neglects the elderly. There is no special
medical care for the elderly in this country. When the elderly are sick they go to the hospital
where every other person goes. We have very few doctors who are knowledgeable about
illnesses that come with ageing. The elderly in Nigeria are really suffering. If an elderly falls
sick he/she prays to die rather than stay alive and suffer. They are not given any special
treatment in the hospital. They are expected to queue in the line and wait for their turn to
see the doctor like others. (50-year-old local government chairperson; suburban dweller)
4.1.3. Social isolation
Another major challenge the respondents identified when it comes to the elderly is that of social
isolation. Social disengagement theory argues that ageing can be thought of as a mutual with-
drawal or disengagement which inevitably takes place between the ageing person and others
(Cumming & Henri, 1961). The process leads to a relinquishment of roles since the ageing person
drops out of the working sphere and children move out of the house. In addition, older people face
a reduction of ties since peers start to die off. This process is conceived as removing the individual
from a certain amount of normative control, free to become more individualized, and less likely to
be easily assimilated into new groupings (Cumming & Henri, 1961)
While many older adults experience ageing as a positive time because they remain active and
connected to others, the majority of other elders become disconnected from family, friends, and
community. Understanding the causes of isolation can help position policymakers to help mitigate
feelings of isolation among the elderly and contribute to a much-needed societal change.
The environment can play a big role in isolation among the elderly. Many community settings
are not ageing-friendly. The vast majority of older adults prefer to age in place. As reported by
Partners for Livable Communities (2007), a design that makes it difficult to walk may contribute to
older adultsisolation and therefore may negatively impact their quality of life.
Research has shown that rural areas have higher incidences of poverty and less access to
community resources, such as activity centers, grocery stores, pharmacies, and town halls
(Fochingong, 2014; Hartman & Weierbach, 2013; Snedeka, 2017). For older adults in rural areas,
lack of access to these services is often the greatest challenge faced. Without them, it is difficult to
continue to live independently and meaningfully. But regardless of whether isolation is imposed by
ones environment or chosen by the individual, its effects are of significant concern for the growing
ageing population and require more attention.
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There may be an assumption that urban areas, which offer public transportation, are more
supportive to older adults. However, what many do not realize is that the physical problems that
can make driving difficult for older individuals can also make using public transportation difficult.
For example, individuals with physical disabilities may have trouble crossing wide streets to reach
bus stops or may have difficulty climbing the high stairs of a bus or train. Or, perhaps, an individual
has always driven but now has to rely on public transit and needs assistance with navigating the
route or timetable. Customer service may not always be willing or able to respond to those needs
(Burkhardt, McGavok, & Nelson, 2002).
All the roads in Nigeria are so badso bad that even some people with cars find it very
difficult to drive their cars in some parts of the town. Many elderly people stay isolated
because they are afraid to fall or to be knocked down by a car. There is nothing in Nigeria like
an age-friendly environment. (56-year-old local government chairperson; urban dweller)
Stigma also contributes to both voluntary and involuntary isolations of the ageing population.
Many people make assumptions about ageing and focus on ageing stereotypes, i.e. of what an
individual cannot do, without knowing an individuals capabilities. Statements such as Youre too
old for that,are uttered so often that perhaps they are perpetuating a self-fulfilling prophecy.
Ageism has long been present in society and is a form of discrimination. It is important not only to
do away with these stereotypes but also to avoid paternalistic tendencies. Older adults affected by
HIV/AIDS may also isolate themselves:
In this community I find so many older people who are so withdrawn, they stay indoors,
they dont even go to the market or church, and this is because they dont want to be called
names. Elderly people who have lost children to HIV/AIDS or who have children suffering
from HIV/AIDS are not comfortable. Some elderly people who are HIV/AIDS positive dont
even go anywhere. They stay in their homes alone because they dont want to be called
names or be abused by others. (48-year-old local government chairperson; rural dweller)
Retirement for many older adults can symbolize a significant life transition. People may have
different attitudes toward this new phase of life based on their circumstances. Some may look
forward to traveling and exploring other activities, some may be wondering what they will do to
occupy their time, and still others may be forced to retire due to age. Undoubtedly, retirement can
cause a decrease in the amount of social contact an individual experiences throughout the day.
Retirement not only impacts social connectedness but also can cause a shift in income and social
roles (Kaplan & Berkman, 2016). For some, retirement can be symbolic of an end. In as much as
Nigerians live a communal type of life, the issue of social isolation is becoming an issue now,
especially among the elderly people.
The local government chairperson in the urban area had this to say:
Many of the elderly who retire from the civil service now dont go to their village homes. They
retire and stay in the city center. At times they live alone in their apartments. Their children
have their own apartments. Some of the parents will not want to even stay with their
children because of either their lifestyle or because they want their own space. There is
nothing in Nigeria like an adult day care center where they can go and relax with their
friends and come back to their homes. They stay alone in their homes and become isolated.
4.2. Section two: general and social policy aimed at the elderly
Provision of social services such as income, security, health care, housing, and legal assistance can
positively influence the well-being and health of the elderly (Oladeji, 2011). However, in Nigeria,
there is no national social security system to provide an economic buffer in old age. In 1989, the
Nigerian government developed the national social development policy which aimed to provide
a framework for protecting elderly persons from moral and material neglect and provide public
assistance when necessary. Despite the development of the national social development policy to
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care for the elderly, there has been no effective execution of this policy by any federal agency
(Abdulkadir, 2016; Oladeji, 2011). For older adults in rural areas, lack of there are indications of
policy frameworks for the elderly to be carried out in Africa, policy changes have not been observed
in Nigeria (Mudiare, 2013). The failure of the Nigerian federal institutions to regularly disburse
pension funds to retirees and provide adequate social services for the aged poses a significant
threat to food security, social security, and national security (Ajomale, 2007).
We also tried to understand if there were any cultural practices that contribute to the care of the
elderly or stopping the government from taking care of the elderly. All the local government
chairpersons made us understand that there is no cultural practice stopping the government
from taking care of the elderly in Nigeria.
Culturally, we respect the elderly in our communities. We take care of them when we have
the resources. In our culture, we consider the elderly people first in everything we are doing,
so if there were any policy from the government they would have been considered first.
However, the respect is supposed to be incorporated that, the oldest should be catered for
first. The elderly are not supposed to be undermined. However, the reverse is the case in
Nigeria. You will notice that the government has all kinds of policies for children and
reproductive health, but they dont have any functional policy for the older people. (56-year-
old local government chairperson; urban dweller)
On the question of whose responsibility it was to take care of the elderly people in Nigeria, one
respondent replied as follows:
The first group that is supposed to care of the elderly people are the immediate family
members. It is culturally acceptable across the communities that family members should
care for the elderly people. Secondly, the committee of concerned citizens may decide to
take care of the elderly people in our community, or faith based organizations who usually
visit the elderly. For instance, in the Catholic Church, they have a donation for the poor.
These faith based organizations will make donations and take it to the elderly people in the
villages and towns. (50-year-old local government chairperson; suburban dweller)
Asking whether the care given to the elderly by the family members and the faith-based organiza-
tions was adequate or not, the following responses were received:
It depends on the wellbeing of the family taking care of the elderly one. If itswithinarich
family you will notice that the elderly person will be properly taken care of. The person will
even have a special person assigned to her to wash her dress, cook food, even wash her body
for her. She will even have a personal doctor who visits her in the home to care for her health
needs. But if the person is poor and from a poor family you will see that the level of care will
be limited. In the community individuals try their best to provide the elderly who are poor with
feeding, medical attention, clothing and affection. (56-year-old local government chairperson;
urban dweller)
In Nigeria there are few geriatric departments in teaching hospitals. It is not like what they
have in other developed countries and some parts of Africa. We have the generalist method
of treatment in this country. We do not even have doctors who specialize for the care of the
elderly like they do for children (pediatrics) and for women (gynecologists). We do not have
doctors who specialize for the care of elderly people. Most of the elderly people from poor
families go to the government hospitals because they cannot afford the bills in the private
and teaching hospitals. Even the government hospitals at times do not have medications or
even the equipment to take care of the older people, so at times they just die out of
carelessness. (48-year-old local government chair person; rural dweller)
Compared to the early 1970s, 1980s and 1990s a lot has changed in the present dispensation.
In Nigeria back then there were free medical facilities to people, including the elderly people.
In the 1970s in Nigeria there was the oil boom. We had free medical services not only to the
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elderly, but to all Nigerians, free feeding in public health facilities and in universities. However,
with the introduction of the structural adjustment programme in 1986 and onwards, privati-
zation came and all the luxury disappeared. This structural adjustment programme introduced
in Nigeria brought poverty and suffering on the masses. (56-year-old local government
chairperson; urban dweller)
4.3. Section three: strategy for policy and advocacy on issues concerning the elderly
population in Nigeria
An ageing population in Nigeria poses several challenges to both the policymakers and the elderly
themselves. One such challenge, for instance, is the dysfunctional public and private pension
regulatory schemes which affect the elderly (Olukorede, 2013; Odo & Igbeka, 2011; Ubhenin,
2012). Some observers also mention that the family structure and traditional care for the elderly
in Nigeria are also collapsing (Okoye & Asa, 2011). One respondent summarizes these challenges
as follows:
In terms of policy for the elderly the three arms of government should take care of the
elderly: local, state and federal level of government. They should have a data base for the
elderly in each community to avoid double bended or corrupt practices that will infiltrate the
funds kept for care of the elderly. This data base will help the people managing it to know
those who will benefit from the program initiated by the government. Secondly, homes for
old people should be established in every local government area where elderly people who
do not have anyone to care for them, or any elderly person who wishes to stay there, can go
and stay. Next, in each local government area the government should partner with NGOs to
run the homes. Why they should partner with NGOs is because people in Nigeria do not value
or take government establishment serious. But if there is a partnership the government will
have people who will be on the ground to monitor the workers. Another reason for the
government to partner with an independent body is to avoid corruption and embezzlement
of funds. The Government should do something urgently to cater for the older people in
society. (50-year-old local government chairperson; sub-urban dweller)
4.4. Section four: recommendations
The results of this study have implications for stakeholders such as public social service agencies
(governments), private social service agencies (NGOs), family service agencies, social workers,
medical assistance, and other professional institutions in meeting the needs of the elderly. With
this in mind, the recommendations are tailored toward these agencies.
The growth in the ageing population is an opportunity for the Nigerian government not only to train
more social workers, nurses, and medical doctors to offer the much needed services but also for
individuals in different professions to come together and contribute to a positive and healthy societal
change that will benefit the elderly. The many social and economic challenges triggered by ageing are
an emerging issue and the government needs to table policies that will incorporate the elderly
policies that need to ensure that the elderly will feel valued and connected in their old age.
It is imperative that all government sectors design innovative policies specifically targeted to
meet the emerging issues that come with ageing as indicated in the findings of this study. These
emerging issues should be categorized accordingly: (1) The common challenges that prevail
among the elderly in both urban and rural areas; (2) planning for retirement and management
of pension schemes; and (3) issues surrounding social isolation.
Some of the challenges that are common among the elderly in both urban and rural areas are
the diseases that come with old age and the lack of well-trained doctors to care for the elderly. The
Nigerian government should make sure that there are trained geriatric doctors incorporated into
the health-care system to take care of the health needs of the elderly. The government should
either establish geriatric hospitals or have geriatric sections incorporated in all the teaching
hospitals across the country to care for the elderly. There should be a framework for supportive
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and protective care that comprises those services provided to frail, ill, or disabled older people to
support them and their caretakers while maintaining their capacity to live in the community.
Apart from geriatric doctors, Nigeria needs more trained social workers and nurses to care for the
elderly. The educational system should recognize the challenges of an ageing Nigeria and incorpo-
rate gerontology content into the curriculum. By doing so, these professionals will be taught about
the process of ageing and how to care for the elderly. Another challenge common among the elderly
in the urban and rural areas relates to the geographical environment. The rural areas have very bad
road networks and so this makes it very difficult for the elderly to move around. Meanwhile, in the
city centers, the roads are good but too congested for the urban elderly dwellers to move around.
The government should create suitable transportation services in both urban and rural local govern-
ment areas for the elderly to facilitate access to shops or marketplaces, attend church services, keep
appointments with doctors, visit friends, and maintain contact with the family members. This is
important for those who can no longer drive or use public transportation.
While many people in the developed countries view retirement as a period to travel around the
world and spend time with friends/relatives, take trips to places they cherish, carry out home
projects, tackle new hobbies, the majority of people in Nigeria want to stay at work because of the
agony that comes with retirement. The Government of Nigeria needs to create awareness among
all citizens about the importance of preparing and planning for retirement. The country could do
this by organizing workshops where people will be taught how to prepare themselves for retire-
ment. The planning component may include identifying sources of income, estimating expenses,
implementing a savings program, and managing assets.
The pension scheme in Nigeria is not functional and because this affects the retired older
population, the government needs to incorporate new ideas into the scheme so that pensioners,
who are mostly the elderly, would not struggle to get their benefits when they retire from service. In
this regard, the study recommends for the Nigerian government to consider the following steps: (1)
Adopt a pragmatic approach to the pensionersbiometric verification process (a system of self-
verification by pensioners capable of automatically updating the pensionersdatabase) consisting of
an initial face-to-face verification in order to minimize the frequency of subsequent face-to-face
verification exercises. (2) Pensionersbiometrics is to be included in a database that is suitable for
future actuarial valuation, demographic and financial projections, which would also eliminate ghost
pensioners. (3) An automation of pension/gratuity calculations and the pension payment system to
ensure that pension increases are implemented on a timely basis relative to increases in workers
salaries, thus allowing pensioners to receive their pensions/gratuities as and when due. The
Integrated Personnel and Payroll Information System for the federal public service should be
emulated at the state and local government levels. (4) A periodic actuarial valuation of the old DB
pension scheme as required by law needs to be carried out in order to ascertain the value of the
pensionersliabilities at a given date as the scheme runs off. This will enable a realistic annual
pension budget estimate to be made for government(s) which will reduce the insufficient funds
being allocated for pension payment. This would help in the administration of the PTAD in minimiz-
ing the delays and arrears in pension payment. (5) The PTAD should set up a realistic pension
stabilization fund with the primary aim to stabilize the pension/gratuity payment system which is
always in arrears. This will ensure that money is readily available to pay the arrears of pension
liabilities.
5. Conclusion
In the face of rapid demographic change, the major challenge facing Nigeria is developing policies
and appointing qualified personnel capable of understanding and responding to the current social
priorities and complex needs of an increasingly ageing population. More fundamentally, Nigeria is
passing through a phase of rapid socioeconomic and political transformation as well as unsustain-
able economic development that has a negative impact on the care of the elderly. Thus, old people
have to count on either financial support from their children or other relatives or are otherwise left
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to die in a depressed economy. However, the analysis shown in this study has revealed that the
traditional emphasis on family-centered care is collapsing rapidly and is not a reliable financial
safety net for elderly people. Therefore, to improve the living conditions of elderly persons in
Nigeria, there is a need for an urgent policy engineering and refocus on the issues of older persons.
This can be done by restructuring the pension scheme and other social policies in Nigeria to favor
the elderly people, including those who never worked in any government establishments.
Funding
The authors received no direct funding for this research.
Author details
Perpetua Lum Tanyi
1
E-mail: PerpetuaT@ufs.ac.za
E-mail: Lum.tanyi@unn.edu.ng
Pelser André
1
E-mail: pelseraj@ufs.ac.za
Peter Mbah
2
E-mail: peter.mbah@unn.edu.ng
1
Department of Sociology, University of the Free State, PO
Box 339, Bloemfontein 9300, South Africa.
2
Department of Political Science, University of Nigeria,
Nsukka, Nigeria.
Citation information
Cite this article as: Care of the elderly in Nigeria:
Implications for policy, Perpetua Lum Tanyi, Pelser André
& Peter Mbah, Cogent Social Sciences (2018), 4: 1555201.
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... The study of gait speed decline among older adults holds particular relevance in Nigeria due to the systemic neglect of older adults in government policies (Mbam et al., 2022). There is financial and social insecurity, limited social amenities, and inadequate health coverage for older Nigerians (Mobolaji, 2024;Tanyi et al., 2018). Though access to healthcare, social and financial security, critical in preserving mobility during old age, have been espoused in the nascent Nigerian National Policy on Ageing (Federal Republic of Nigeria, 2020), its implementation remains limited (Mbam et al., 2022;Mobolaji, 2024). ...
... The mission of these initiatives includes enhancing mobility in older adults by promoting physical activity, creating age-friendly environments, integrating health and social care, and fostering inclusivity. These initiatives are expected to be nationalised and implemented (Mbam et al., 2022;Tanyi et al., 2018) as governments in sub-Saharan Africa, including Nigeria have started enacting national policies on ageing (Federal Republic of Nigeria, 2020;Saka et al., 2019). ...
... The influences of post-colonisation and globalisation on Nigerian younger generations have led to the erosion of cultural values of respect and empathy for older adults, fostering implicit ageism and reducing community-based social support for older Nigerians (Tanyi et al., 2018). Ageism involves stereotyping and discrimination against older adults, which can reduce their confidence and lead to social isolation (Achenbaum, 2015). ...
Article
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Background: Gait speed is an important predictor of older adults' well-being. We estimated the influence of sociodemographic factors on the gait speed decline of community-dwelling older Nigerians. Methods: Using the Ibadan Study of Ageing (2007, 2008, and 2009 cycles), we completed a gender disaggregate analysis of sociodemographic influences on participants' gait speed trajectory using mixed-design ANOVA and growth curve analysis. Results: At baseline, 53.2% of participants were female, 61.9% were married, with an average age of 75.5 ± 6.8 years and gait speed of 0.96 ± 0.32 m/s. Gender-specific models showed slower gait speed decline in men (β = -0.05, p < .001) compared to women (β = -0.09, p < .001). Widowhood (β = -0.07, p = .001) for women, high socioeconomic status (β = -0.01, p = .009) for men, and chronic disease burden for women (β = -0.02, p = .010) and men (β = -0.03, p = .008) were significant predictors of gait speed decline. Conclusion: Addressing culture-related widowhood and women's vulnerabilities, improving health coverage, and promoting lifestyle modifications may mitigate mobility decline among older Nigerians.
... Tariq (2020) goes on to note that informal care enhances older adults' self-rated health and overall emotional and psychological health. Moreover, with reference to partial social security for older adults in Nigeria, informal care and support remain a critical component of the ageing process (Ebimgbo et al., 2021;Ekoh et al., 2020;Tanyi et al., 2018). ...
... Existing studies (Agbawodikeizu et al., 2021;Ekoh et al., 2022;Furstenberg, 2014;Oladeji, 2011;Oluwagbemiga, 2016;Tanyi et al., 2018;Tariq et al., 2020;Song, 2017 ) have explored several domains of issues related to care and support for older adults in Nigeria and other parts of the world. However, the growing population of older adults in Nigeria (UN DESA, 2022), insufficient and partial social security (Daramola et al., 2018;Fapohunda, 2013), constant changes in family structure and migratory trends have prompted more scholarly attention to the provision of informal care for older adults. ...
... According to the study, informal care for older adults is highly valued because it helps to strengthen family ties and instil a sense of reciprocity and responsibility. This aligns with previous studies (Oluwagbemiga, 2016;Tanyi et al., 2018;Ebimgbo et al., 2021;Oladeji, 2011), which identified family care for older adults as a shared and reciprocal responsibility that has been transmitted from one generation to another in traditional African culture. More so, the findings of this study revealed that informal care remains the most preferred care option for older adults because family members tend to provide personalised approaches to care for older adults because they understand their unique traditions, preferences, and dietary needs, as well as providing tailored companionship and care. ...
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Nigeria’s growing population of older adults and limited social security have continued to overstretch the informal care networks. More so, the alterations in the filial value for older adults in Nigeria have further threatened the availability and reliance on informal care arrangements. Exploring the experiences of rural-dwelling older adults on the availability of informal care is crucial in strengthening and sustaining the informal care system. Our study explored the perspective of older adults residing in rural parts of southeast Nigeria on their experiences with informal care. Data was collected using a qualitative phenomenological approach from 10 older adults aged 65 and above through semi-structured interviews. The data collected were coded inductively using NVivo 12 and analysed thematically. The findings of our study show that older adults preferred informal care because it provides a customised approach to care, especially in meeting dietary and medication needs. Issues such as economic hardship, declining filial value for older people, and migration of adult children were found to affect the provision of informal care to older adults in Nigeria. Thus, our study strongly recommends preserving filial values for older adults in Nigeria, improving and strengthening family-oriented care, establishing well-equipped and adequately funded care facilities for older adults in rural communities, and developing comprehensive social security for older adults in Nigeria.
... Previous research has said that the elderly are people aged 60 and up (Ayokunle et al., 2015;NBS, 2017;Tanyi et al., 2018;Fakunle et al., 2024), but others say that the elderly start at age 65 and divide them into three groups: those aged 65 to 74 are called "younger-old," those aged 75 to 84 are called "middle-old," and those aged 85 and up are called "oldest-old." Others categorized elders as 65-69 years, 70-79 years, 80-89 years, 90-99 years, and 100 years and above as sexagenarians, septuagenarians, octogenarians, nonagenarians, and centenarians, respectively. ...
... The findings on the socio-demographic characteristics of octogenarians in Nigeria are, in a few cases, inconsistent with related ones conducted in Nigeria and other parts of the world. Ayokunle et al. (2015), NBS (2017), Tanyi et al. (2018), andFakunle et al. (2024) all say that most studies on aging and the elderly focused on people aged 60 and up, but there isn't much real-world data on people in their 80s in Nigeria. However, in this study, only octogenarians (80-89-year-old people) were understudied. ...
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The study examined the socio-demographic profile of the octogenarians in Nigeria from an educational perspective. We adopted a cross-sectional research survey design. All octogenarians in Nigeria constituted the study population. A multi-stage procedure selected a sample of 1,774 individuals. We adopted a snowball sampling approach to select participants until we reached the desired sample size. An adapted version of the World Health Organization's (WHOQOL) questionnaire programmed in the Open Data Kit (ODK) was used for data collection. We analyzed the collected data using frequency counts and simple percentages. The mean age of octogenarians was 83 years. Male-headed households were most common (66.2%) among octogenarians. Vision (8.6%) and mobility (12.1%) issues were the types of disability common to octogenarians in Nigeria. Fewer Nigerian octogenarians are still flourishing and making productive contributions to society, but a greater proportion of them need social and educational supports and physical health needs for better well-being.
... For example, in Lagos, only wealthier individuals or those with supportive family networks were able to afford advanced dental care services, creating significant disparities in oral health outcomes [13]. In addition to these challenges, the absence of a national policy on the welfare of older Nigerians forces many to rely on their families and other informal supports for healthcare needs, including dental care [14]. This reliance often leads to inconsistent access to necessary treatments, further exacerbating oral health disparities among the older population. ...
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Aims Nigeria's rapidly aging population presents urgent challenges for the healthcare system, particularly in oral health, which remains an overlooked aspect of well‐being. While older adults are especially vulnerable to dental issues such as tooth loss, periodontal disease, and oral pain, access to care remains limited due to systemic, economic, and cultural barriers. This qualitative study explored the lived experiences of older Nigerians in accessing and utilizing dental care, with the goal of identifying key barriers, facilitators, and policy‐relevant insights. Methods Fifteen participants aged 50–83 years were purposively selected from urban and peri‐urban areas of Ilorin, North‐Central Nigeria. Using a semi‐structured interview guide, data were collected through face‐to‐face interviews and analyzed thematically following Braun and Clarke's methodology. Results Three overarching themes emerged: (1) barriers to accessing dental care, including high treatment costs, geographic inaccessibility, mobility challenges, and long waiting times; (2) facilitators of care, such as family support, employment‐based insurance, and culturally supportive health beliefs; and (3) perceptions of dental care, with participants recognizing its importance for nutrition, dignity, and overall quality of life. Findings reveal that dental care for older adults in Nigeria is shaped by a combination of structural neglect and individual adaptation. While participants valued preventive care, financial constraints, poor infrastructure, and a lack of geriatric‐trained professionals limited consistent access. However, social support networks and respectful provider interactions were critical enablers of care. Conclusions This study points to the need for age‐inclusive health policies that integrate dental services into primary healthcare, expand insurance coverage, and strengthen community‐based outreach. Addressing these gaps is not only a matter of public health, but of equity, dignity, and the right to age well.
... Additionally, a more pragmatic reason for valuing fertility is the role of children as caregivers to their parents. A lack in retirement homes and insufficient pension schemes renders them an important provision for old age (Fapohunda, 2013;Tanyi et al., 2018). ...
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The article scrutinises the concepts of fertility and infertility as reflected in Nigerian English. For this, a mixed‐methods approach is suggested that uses the Corpus of Global Web‐based English as a resource to shed light on lexical frequency and collocations, as well as a newspaper corpus of online articles from The Guardian and Vanguard for an analysis of cultural conceptualisations. On the basis of the findings, a Nigerian cultural model of fertility and infertility is proposed in the form of a network of interrelated cultural conceptualisations. It is also discussed how this model is conceptually connected to neighbouring cultural models. The aim of this article is, first, to show that Nigerian English has been conceptually adapted to the local setting and is fully capable of expressing cultural conceptualisations and, second, to highlight the usefulness of analytical concepts from Cultural Linguistics to the study of world Englishes.
... Studies have highlighted the importance of government readiness in addressing the multifaceted challenges of an aging population. Tanyi et al. (2018) and Sen et al. (2022) emphasize the need for policies that cater to the health, social, and economic needs of the elderly. The significance of saving and elderly care in policy formulation, as noted by respondents, echoes findings from research by Morrow-Howell et al. (2020) and Grinin et al. (2023), which underscores the vulnerability of the elderly without adequate savings. ...
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The global elderly population is increasing, with Thailand in Asia also experiencing a rise in its elderly demographic (Kungsung, 2021). The aim of the research is to provide a comprehensive understanding of how to support an aging society in Thailand. This qualitative research, conducted in February 2023, involved interviews with eight respondents selected through purposive sampling. Documentary and content analysis methods were employed for data analysis. The findings of the research are organized into three primary themes: 1) government readiness and policy effectiveness in handling an aging society, focusing on comprehensive strategies to address the challenges and opportunities of a growing elderly population; 2) preparedness of entrepreneurs in tailoring services for the elderly, highlighting the adaptation of business services and products to meet the needs of older adults; and 3) the critical role of individual financial preparedness for aging, emphasizing the necessity of personal financial planning and savings. By integrating these themes, the research provides a holistic view of the multifaceted approach needed to support an aging population in Thailand. It offers insights into supporting an aging population, encompassing government policy, private sector adaptation, and personal financial strategies.
... Ani (2014) also noted that lack of formal training, access to respite care, and support from the healthcare system further exacerbate the burden on caregivers. More so, Tanyi et al., (2018) observed that lack of comprehensive social welfare programs, affordable healthcare services, and community-based support networks specifically affect the roles associated with care giving to older adults with visual impairment. In addition, there is a shortage of trained professionals in the field of geriatric care and disability management, further hindering the provision of comprehensive care and support. ...
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The effect of visual impairment can be profound on older adults as well as their caregivers, affecting their independence, quality of life and ability to navigate daily activities. The study is designed to find out challenges faced by caregivers of older adults living with visual impairments in Enugu East Local Government Area of Enugu State, Nigeria. Multi-stage sampling technique which comprised purposive sampling technique, simple random sampling technique by balloting and availability sampling where used at various stages to select 24 participants which comprised of 4 male and 4 female who were caregivers to visual impairment older adults chosen from eye clinics within the three selected district that made Enugu East. Data was generated using an in-dept interview guide and analysied thematically using quotes from the research participants. The study revealed emotional stress and burden, insufficient time for personal care and activities, financial drain, depression and anxiety as the major challenges of the caregivers to visually impaired older adults, whereas factors such as poor medical facilities, financial constraints, and poor welfare packages where identified to be responsible for the challenges. Further findings revealed social workers could play crucial role by providing emotional support, resource coordination, advocacy, counseling to crisis intervention to assist caregivers cope with these challenges.
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One of the most marginalized groups in the accessibility of mental health care in Nigeria is the older adult population and this study seeks to find out the knowledge, practices and behaviour of this group towards mental health care. Therefore, a cross-sectional study was carried out on 318 older adults, using a multi-stage sampling technique to select eligible older adults in Kaduna Metropolis. An interviewer-administered closed-ended questionnaire was utilized as a data collection tool, and the collected data was analyzed using SPSS version 22. As a result of this study, 87.7% of respondents have adequate knowledge of mental health services in the state but 80.5% do not believe in their reliability. Also, 78.3% of the respondents access alternative mental health services such as traditional and spiritual healers. Negative influence from family members of the older adults, the older adults’ distrust, fear of discrimination andcosts are factors causing their poor utilization of Mental health services. In conclusion, there is a need for massive health promotional strategies in creating awareness among the older adults and their families in the state, and more research on their families, religious and traditional factors influencing mental health access with the possibility of incorporating these factors into the health system.
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People living in low - and middle-income countries are less likely to receive palliative care. Early delivery of palliative care reduces unnecessary hospital admissions and improves patients' and their families' quality of life. This systematic review has compiled and scrutinized adult cancer patients' benefits, barriers, and specific palliative care needs in sub-Saharan Africa (SSA) to provide stakeholders with vital information that can improve the support and care provided to this expanding patient population. A systematic literature search was conducted using PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Embase, Medline, and ProQuest under the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies included in the review focused on the utilization of palliative care among adult cancer patients in sub-Saharan Africa. The Joanna Briggs Institute (JBI) Critical Appraisal tools assessed study quality. This review synthesized findings from 16 studies and highlights that access to palliative care improves cancer patients' quality of life, satisfaction, and outlook on diagnosis. However, limited knowledge, financial constraints, and systemic obstacles impede access. Patients' needs were categorized into four themes: physical comfort, psychosocial support, spiritual well-being, and socioeconomic assistance. Palliative care improves adult cancer patients' quality of life in sub-Saharan Africa, but barriers hinder access. To address the challenges and meet patients' needs, enhancing literacy about palliative care, providing financial support, and implementing structured and sustainable palliative care models are essential for strengthening services and improving regional healthcare.
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Purpose This study investigates the housing preferences of older adults in Nigeria’s evolving real estate market, emphasizing the growing social sustainability gap driven by population aging, housing delivery challenges, property management services and cultural considerations. This study aims to inform strategies that enhance health, well-being and social sustainability for this demographic, integrating property management and cultural factors into housing solutions. Design/methodology/approach A cross-sectional survey was conducted with 120 Nigerian adults aged 65 and above. Data were collected with structured questionnaire and interviews and analyzed using nonparametric Mann–Whitney U tests. Findings Findings show strong preferences for health and safety features such as bathroom safety modifications, disability-friendly designs, accessible transportation and proximity to amenities. Property management services, such as responsiveness and senior-focused decision-making, and cultural preferences like multigenerational living, were also significant in shaping housing choices by gender and age. Practical implications The taxonomic breakdown of housing preferences offers valuable guidance for urban planners, housing providers and policymakers in designing age-appropriate, culturally relevant and service-integrated housing solutions that promote social sustainability and improve quality of life for older adults. Originality/value This study offers new insights into the intersection of housing, aging, property management and culture in emerging markets, providing strategies to address socioeconomic challenges.
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Background-It is unknown how socio-demographic variables impact on regularity of pension among the older persons in Nigeria. This has become essential in order to improve the preparation for old age among Nigerians. Reliable information is also required to formulate comprehensive social security system for the elderly. Methods-Quantitative data were collected through an individual-based questionnaire. Multi-stage sampling procedure was employed to select local government areas, enumeration areas and individuals for the study. In all, 810 respondents were interviewed. Findings-while age of respondents, religion, and family size are significantly related to the regular pension in model 2, in the Male Model, with the exception of religion, all other factors are significantly associated with regular pension. In this model, while males aged 60-64 are 1.2 times more likely to, those aged 65-69 are 2.0 times more likely to report regular pension than those aged 70 years and above. In terms of religion, while Christians are 2.1 times more likely to, Muslims are 2.4 times more likely to report regular pension than adherents of African traditional religion. With respect to family size, while those with 1-3 children are 2.8 times more likely to, those with 4-6 children are 1.4 times more likely to report regular pension than those with seven or more children. Conclusion-The idea that old-age security and well being in Nigeria should remain the primary responsibility of the family is untenable. The government must assume the primary responsibility in a partnership in which the family also continues to play a significant role.
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Over the last 30 years, the logic of market liberalization has increasingly permeated the social and economic facets of political and economic discourse to such an extent that the core values about the responsibilities and obligations of nation-states to their citizens have been strained. The welfarist ethos featuring in the public finance of some European and North American countries for much of the twentieth century included values such as equity and access, which manifested in the subsidization and affordability of social amenities. The welfarist concept, premised on the experience of western European economies, was based on the logic that if a large proportion of the population could not afford clean water, health care, or education for their children, long-term corporate interests of the society would be undermined. State-subsidized provision of these essentials was thus fully embraced because of the understanding of the short and long-term public interest involved. However, by the 1980s, changes in international markets fostered a precipitous decline in African economies. Many governments thus jettisoned its state-centered economic strategy since it could no longer fund public expenditure on sustainable basis. Nowhere was the shift in economic policy more pronounced as in Nigeria. The drastic decline in national revenue due to a dip in international price of oil led to Nigeria’s balance of payment deficit making the introduction of forced neoliberal economic policy inevitable. Analyzing the dynamics of policy formulation and implementation since the 1980s, this article argues that Nigeria’s uncritical embrace of Western-styled neoliberal …
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This study set out to investigate activities of civil society organisations (CSOs) and how they have promoted democratic consolidation in Ghana. Specifically, it assessed the contributions of three independent policy think tanks, the Institute of Economic of Affairs (IEA), the Centre for Democratic Development (CDD) and the Institute for Democratic Governance (IDEG) to the deepening of Ghana’s democracy. The study adopted a qualitative method and the author interviewed one hundred and sixty respondents on the key issues. The study found that CSOs in Ghana have promoted the integrity of Ghana’s election by observing every stage of Ghana’s electoral process. They have also advocated policy changes in some key governmental social and economic policies including the passage of the Disability and the Freedom to Information Acts. In particular, the IEA, CDD and IDEG have inculcated democratic values of civic participation, political engagement and tolerance in the population thereby promoting democratic citizenship. The study also found that CSOs faced challenges as far as funding is concerned and this affects the attraction and retention of experts. Moreover, this challenge hinders the implementation of some of their major programs. There is also the perception in Ghana that CSOs exist to pursue their parochial interests. It is noted in this article that, if CSOs are to contribute to democracy in Ghana, it may be necessary for their capacity to be strengthened in areas such as technical and human resources. In particular, this will enable them to improve their advocacy in policy issues that promote accountability and transparency.
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Background: Globally, national health systems are challenged to build successful aging models to prepare for biomedical, psychological and social changes. The integral component of psychosocial health in overall quality of life and well-being, however, is underscored and requires greater focus. Changing demographics in Nigeria, in addition to cultural considerations and absence of a social security system, present unique challenges to elderly. Objective: We aimed to review the literature that describes the current situation and challenges in psychosocial health status in the elderly in Nigeria and provide recommendations that promote health and well-being during the aging process. Results: Four primary factors affect psychosocial health status of elderly Nigerians, namely: changes in family dynamics, increased demand for healthcare services, increased economic stress, and decreased functional independence. Conclusion: Like other developing countries, the Nigerian national system faces similar challenges in preparing a national framework that can maximize coverage to citizens in the midst of demographic changes in aging. By focusing on five target areas such as the educational system, health services, community-based initiatives, local or regional policies and national strategies, current framework in Nigeria can be modified to prepare for changing demographics in aging.
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The South African population is set to experience significant ageing in the decades to come; reaching the stage of having a formally ‘aged’ or ‘old’ population by 2025. This looming yet profound demographic change is already impacting in certain sectors and will place numerous pressures on many socio-economic and developmental fronts, requiring the reconfiguration of the country’s development agenda, aims, programmes and policy. Drawing on both quantitative and qualitative data, this paper explores the demographic nature and socio-economic challenges of the ageing transition in South Africa and suggests some guidelines to improve policy responses targeting the implications of ageing. The paper concludes that South Africa will face a plethora of implications and challenges associated with population ageing, and recommends that further impetus be focused on enhancing programmes that facilitate the awareness of ageing implications as well as the mainstreaming of ageing concerns in public policy. Furthermore, more progressive research on the potential implications of ageing in a South African context should be initiated. © 2014, Union for African Population Studies. All rights reserved.
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This paper offers new evidence on the existence of disappearing dividend phenomenon in the Nigerian stock market and as to how clientele, catering and life-cycle theories of dividend affect firms' dividend paying behaviour. We did not find conclusive evidence to suggest that dividend payments had become second order of importance in firms' payout policies during 2003–2012 because we only observed a downward trend in dividend payments during 2010–2012. Logistic regression of a probability to pay or not to pay dividend and a panel regression of the size of dividend payment show that clientele theory stands out as compared to catering and life-cycle theories. Firms in our sample shape their dividend policies in line with the preference of foreign investors who have less preference for dividend over capital gain due to dividend taxes imposed on these shareholders. This underlines the importance of foreign investors on firms' corporate decisions given the fact they owned more than half of the total shares traded on the Nigerian Stock Exchange. Other determinants that affect the propensity to pay are profitability, investment opportunities, leverage, cash flow, crisis, stock market performance, past dividend and interest rate with signs that are consistent with the prediction of traditional dividend theories.