The Predicaments of the Rural Elderly People in Tanzania: Which Type of Support Do They Need Most? A case of Kasulu District in Kigoma Region, Tanzania
This study focused on examining the predicaments faced by older people residing in rural areas of Kasulu District in Kigoma region, Tanzania. A mixed-methods approach was employed, utilising a cross-sectional and phenomenological research design. The population of interest encompassed all older people residing in three wards and six villages within the district. The study used a sample size of 379 respondents selected through a simple random sampling technique, and three key informants were purposively selected. Data collection involved structured interviews with respondents, unstructured interviews with key informants, and the use of focus group discussions to gather qualitative information from older people. Quantitative data underwent descriptive analysis, while qualitative data underwent thematic analysis. The study revealed that older people faced various predicaments in their daily lives, including lack of or insufficient income, inadequate access to food and medicine, lack of necessary farming implements and inadequate support from their families. Additionally, older people received limited benefits from support mechanisms such as TASAF (Tanzania Social Action Fund) and free healthcare policy. Based on the findings, the study recommends that government and non-governmental organisations reconsider their approaches to supporting older people. The government should revise policies to address the current needs of supporting families in caring for older people, such as establishing pensions for all older people to enhance their income status
Abdi, S., Spann, A., Borilovic, J. (2019). Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning disability and health framework (ICF). BMC Geriatr 19, 195 (2019). https://doi.org/10.1186/s12877-019-1189-9
Awuviry-Newton K., Tavener M., Wales K., Denham K.M.J., and Byles J. (2021): A meta-synthesis of care and support for older adults in Africa, Journal of Family Studies, DOI: 10.1080/13229400.2021.1897031
Borius C. and Mandoki R. (2020). Caring for Old Age: Perspectives from South Asia. Heidelberg University Publishing (heiUP) Heidelberg
Chhatwani M. (2021). Personal control and financial wellbeing among the elderly: Moderating role of the Big Five. https://doi.org/10.1016/j.paid.2021.111171
Cochran W.G (1977). Sampling Techniques, Third Edition, John Wiley and Sons, New York
Deter, Melanie (2020): Growing Old in the Tanzanian Periphery: Elderlies’ Voices on Wellbeing and Ageing. Development Geography Occasional Papers, No. 12, Bonn, April 2020.
Edward J. and Maluka S. O. (2021). The Effect of Elderly Exemption Policy on Access to and Utilization of Health Care Services in Tanzania. Tanzania Journal of Development Studies, Special Issue, 2021: 102 – 111
Naah F. L, Njong A. M., and Kimengsi J. N. (2020). Determinants of Active and Healthy Ageing in Sub-Saharan Africa: Evidence from Cameroon. Int. J. Environ. Res. Public Health 2020, 17, 3038; doi:10.3390/ijerph17093038
Haberlein. (2018). Complexities of Elder Livelihoods Changing Age-Inscriptions and Stable Norms in Three Villages in Rural West Africa: Anthropology & Aging, 39 (1), 33-47. DOI 10.5195/aa.2018.174
HelpAge Internation (HAI), (2022). ACTION NEEDED FOR Tanzania’s older people in crisis; Policy Brief December 2022: HelpAge International.
HelpAge Internation (HAI), (2018). Impacts of Malawi’s Social Cash Transfer on Older People and their Households: A mixed method evaluation of the Social Cash Transfer and discussion of a universal old age social pension for Malawi, HelpAge International
HelpAge International (HAI) (2020). Why social pensions? Achieving income security for all in older age, HelpAge International.
Hill, T. J. 2015. Family Caregiving in Aging Populations. Palgrave Macmillan, 2105, New York, DOI: 10.1057/97811560.0005
Malima R.C. Coping Strategies of the Elderly against Social Insecurity in Kilimanjaro Region, Tanzania. Tengeru Community Development Journal. ISSN 1821-9853(Print) ISSN 2665-0584(online), 7(2), 2020
Maniragaba F., Nzabona A., Asiimwe J.B., Bizimungu E., Mushomi J., Ntozi J., et al. (2019): Factors associated with older persons’ physical health in rural Uganda. PLoS ONE 14(1): e0209262. https://doi.org/10.1371/journal.
Mebane M.E., & Pezzuti L. (2020). Intergenerational solidarity in triads of adult grandchild, parent, and grandparent: the positive view of elders, positive expectations towards the future and young-elders divide, Educational Gerontology, DOI:10.1080/03601277.2020.1785672
Mfungo, B. D. and George, V. (2022). Trends of Intergenerational Support towards Elderly Parents in Coast Region, Tanzania. East African Journal of Education and Social Sciences 3(4), 11-23. Doi: https://dx.doi.org/10.4314/eajess.v3i4.193.
Mfungo, B. D., Kahimba, J. and Lupala, F. (2022). Elderly Perceptions Regarding Changes in the Parent-Child Relationship in the Modern Era: A Case of Coast Region, Tanzania. East African Journal of Education and Social Sciences 3(3), 63-75. Doi: https://dx.doi.org/10.4314/eajess.v3i3.180
Mussie K.M, Setchell J, Elger B.S., Kaba M., Memirie S.T., and Wangmo T., (2022). Care of Older Persons in Eastern Africa: A Scoping Review of Ethical Issues. Front. Public Health 10:923097.doi: 10.3389/fpubh.2022
Ncube, N. 2017. ‘Pathways to Institutional Care for Elderly Indigenous Africans: Navigating Contours of Alternatives’. National Association of Social Workers-Zimbabwe/Author(s) Volume 7(1), 2017.
Nishanthi R., and Sampath S., Kumar (2017). ‘Living Arrangement Patterns of the Elderly in West Tiruchirappalli, Tamilnadu, India’: Department of Sociology, Bharathidasan University, Trichy, Tamilnadu, India, International Research journal of social sciences,6(1), 7-11. www.isca.in, www.isca.me.
Ohemeng F., Small B., and Molinari V. (2020). Social Activities and Subjective Wellbeing of Older Adults in Ghana. https://doi.org/10.1007/s12062-019-09251-9
Rudnicka et al, (2020). The World Health Organization (WHO) approach to healthy ageing; https://doi.org/10.1016/j.maturitas.2020.05.018;journal homepage: www.elsevier.com/locate/maturitas
Samuel O. Ebimgbo, Chiemezie S. Atama, Emeka E. Igboeli, Christy N. Obikeguna & Casmir O. Odo (2021): Community versus family support in caregiving of older adults: implications for social work practitioners in South-East Nigeria, Community, Work & Family, DOI:10.1080/13668803.2021.1926222
Tanyi, Perpetua Lum, Pelser André, and Peter Mbah. (2018). ‘Care of the Elderly in Nigeria: Implications for Policy’. Edited by Kar-wai Tong. Cogent Social Sciences 4 (1). https://doi.org/10.1080/23311886.2018.1555201.
Ugargol, A. (2020). Ageing and Exchange of Care in Emigrant Households: Case Studies from Kerala and Goa, India. [Thesis fully internal (DIV), University of Groningen]. University of Groningen. https://doi.org/10.33612/diss.127734371
United Nations Department of Economic and Social Affairs, Population Division (UN DESA). (2022). World Population Prospects 2022: Summary of Results. UN DESA/POP/2022/TR/NO. 3.
URT (2018). Tanzania Human Development Report 2017; Social Policy in the Context of Economic Transformation, Economic and Social Research Foundation, Dar es Salaam, Tanzania
URT. (2003). United Republic of Tanzania; National Aging Policy, Ministry of Labour, Youth Developments and Sports.
Van Eeuwijk, Piet van, and Brigit Obrist. (2014). Ageing: A New Health Challenge in Indonesia and Tanzania, Dar es Salaam, Tanzania: Swiss Tropical and Public Health Institute (Swiss TPH)
Walsh K., Scharf T., Van Regenmortel S., and Wanka A. (2020). Social Exclusion in Later Life. Interdisciplinary and Policy Perspectives, ISBN 978-3-030-51406-8 (eBook) https://doi.org/10.1007/978-3-030-51406-8, Springer Nature Switzerland AG, Gewerbestrasse 11, 6330 Cham, Switzerland
WHO (2021). Social isolation and loneliness among older people: advocacy brief. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO.
Zelalem A, Kotecho G.M, and Adamek M.E. (2020). The Ugly Face of Old Age”: Elders’ Unmet Expectations for Care and Support in Rural Ethiopia: The International Journal of Aging and Human Development 00(0) 1–25 DOI: 10.1177/0091415020911900.
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