The unmet needs of older people in Nsawam, Ghana.
Ghana
functional ability
preferential healthcare
unmet needs of older people
Journal
Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359
Informations de publication
Date de publication:
11 2022
11 2022
Historique:
revised:
17
03
2022
received:
02
10
2021
accepted:
22
04
2022
pubmed:
14
5
2022
medline:
20
12
2022
entrez:
13
5
2022
Statut:
ppublish
Résumé
Although healthy life expectancy is projected to be increasing among older people in Ghana, a high proportion and number of older people will live with functional disability, warranting their need for long-term care. We explored the expressions used by older people to describe their needs and preference of care and support. Using the descriptive qualitative approach, 14 older people were engaged via semi-structured interviews, and the data were analysed thematically. The study found that older people desired a decent accommodation, preferential healthcare, adequate nutrition, and an opportunity to interact with their peers at social functions. A provision of sufficient financial assistance, adequate healthcare, the periodic organisation of social and group events for older people, and the availability of home care and support could help older people address these needs. The paper reveals the need for interventional research on how a model incorporating social, health and environmental factors even during a pandemic can address older people's varying needs.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e4311-e4320Informations de copyright
© 2022 John Wiley & Sons Ltd.
Références
Aboderin, I. (2004). Decline in material family support for older people in urban Ghana, Africa: Understanding processes and causes of change. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 59(3), 128-137.
Adatara, P., & Amooba, P. A. (2020). A qualitative study to explore the experiences of older people utilising outpatient healthcare services from a teaching hospital in Ghana. BioMed Research International, 1-8. https://doi.org/10.1155/2020/2593795
Aikins, A., Sanuade, O., & Anie, K. (2016). Ageing and neurodegenerative diseases in low- and middle-income countries. In A. de-Graft Aikins & C. Agyemang (Eds.), Chronic non-communicable diseases in low and middle income countries: A synthesis of research, interventions and policies (pp. 50-68). CABI Publishers.
Aikins, A. D. G., & Apt, N. A. (2016). Aging in Ghana: Setting priorities for research, intervention and policy. Ghana Studies, 19(1), 35-45.
Apt, N. A. (1993). Care of the elderly in Ghana. An emerging issue. Journal of Cross-Cultural Gerontology, 8(4), 201-312.
Asante, E. A., Awuviry-Newton, K., & Abekah-Carter, K. (2021). Social networks in limbo. The experiences of older adults during COVID-19 in Ghana. Frontiers in Public Health, 1-9. https://doi.org/10.3389/fpubh.2021.772933
Ashong, G. I. B. (2019). Assessing the effect of second tier fund management on social security and National Insurance Trust (SSNIT) pension scheme (Doctoral dissertation). University of Ghana.
Awuviry-Newton, K., Byles, J., & Tavener, M. (2017). Evolution of familial care and support for older people in Ghana: A literature review. Emerging Researchers in Ageing, 1, 1-11.
Awuviry-Newton, K., Nkansah, J. O., Newton, A., & Abekah-Carter, K. (2021). Older people's long-term care experiences during the COVID-19 pandemic in Ghana: A qualitative descriptive study. International Journal of Care and Caring, 6, 1-16.
Awuviry-Newton, K., Nkansah, J. O., & Ofori-Dua, K. (2020). Attributions of elder neglect: A phenomenological study of older people in Ghana. Health & Social Care in the Community, 28(6), 2172-2178.
Awuviry-Newton, K., Tavener, M., Wales, K., & Byles, J. (2020). Interpretative phenomenological analysis of the lived experiences of older people regarding their functional activities in Ghana. Journal of Primary Care and Community Health, 11, 1-12.
Awuviry-Newton, K., Tavener, M., Wales, K., Denham, A. M., & Byles, J. (2021). A meta-synthesis of care and support for older people in Africa. Journal of Family Studies, 1-22. https://doi.org/10.1080/13229400.2021.1897031
Awuviry-Newton, K., Wales, K., Tavener, M., Kowal, P., & Byles, J. (2021). Functional difficulties and toileting among older people in Ghana: Evidence from the World Health Organization study on global AGEing and adult health (SAGE) Ghana wave 1. Ageing and Society, 1-23. https://doi.org/10.1017/S0144686X21000453
Botchwey, G. (2017). Public expectations in local governance: Unit committees under Ghana's decentralised system. Ghana Journal of Development Studies, 14(1), 166-187.
Braimah, J. A., & Rosenberg, M. W. (2021). “They do not care about us anymore”: Understanding the situation of older people in Ghana. International Journal of Environmental Research and Public Health, 18(5), 2337.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101.
Brown, L. A. (2015). Elderly caregiving in Ghana: An exploration of family caregivers' perceptions (Doctoral dissertation). Texas Woman's University.
Bruggencate, T. T., Luijkx, K. G., & Sturm, J. (2019). When your world gets smaller: How older people try to meet their social needs, including the role of social technology. Ageing and Society, 39, 1826-1852.
Coe, C. (2019). Beyond kin care? Institutional facilities in the imaginations of older Presbyterians in southern Ghana. Africa Today, 65(3), 69-88.
Doh, D., Afranie, S., & Aryeetey, E. B.-D. (2014). Expanding social protection opportunities for older people in Ghana: A case for strengthening traditional family systems and community institutions. Ghana Social Science Journal, 11(1), 26-52.
Dovie, D. A. (2019). The status of older adult care in contemporary Ghana: A profile of some emerging issues. Frontiers in Sociology, 4(25), 1-12.
Eastern Regional Coordinating Council. (2016). Nsawam Adoagyir. Eastern Regional Coordinating Council. http://www.easternregion.gov.gh/index.php/nsawam-adoagyiri/
Ghana Statistical Service. (2014). District analytical report: Nsawam-Adoagyiri Municipality. Ghana Statistical Service. https://ww2.statsghana.gov.gh/docfiles/2010_District_Report/Eastern/NSAWAM%20ADOAGYIRI.pdf
Ghana Statistical Service (GSS). (2013). The elderly in Ghana: 2010 population and housing census report. GSS.
Given, L. M. (2008). The SAGE encyclopedia of qualitative research methods. SAGE Publications, Inc.
Kpessa-Whyte, M., & Tsekpo, K. (2020). Lived experiences of the elderly in Ghana: Analysis of ageing policies and options for reform. Journal of Cross-Cultural Gerontology, 35, 341-352.
Kwankye, S. O. (2013). Growing old in Ghana: Health and economic implications. Postgraduate Medical Journal of Ghana, 2(2), 88-97.
Lambert, V. A., & Lambert, C. E. (2012). Qualitative descriptive research: An acceptable design. Pacific Rim International Journal of Nursing Research, 16(4), 255-256.
LEAP Programme Ghana. (2017). 46TH payment cycle of leap social cash grant to all beneficiary households across the country. LEAP Programme Ghana. http://leap.gov.gh/46th-payment-cycle-of-leap-social-cash-grant-to-all-beneficiary-households-across-the-country/
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Sage.
Marvasti, A. (2004). Qualitative research in sociology. SAGE Publications Ltd.
Ministry of Gender, Children and Social Protection. (2015). Programmes and interventions for the aged (Ghana). Ministry of Gender, Children and Social Protection. https://www.mogcsp.gov.gh/projects/programmes-and-interventions-for-the-aged-ghana/
Mitchell, J. M., & Kemp, B. J. (2000). Quality of life in assisted living homes: A multidimensional analysis. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 55(2), 117-127.
Mulliner, E., Riley, M., & Maliene, V. (2020). Older People's preferences for housing and environment characteristics. Sustainability, 12, 1-25.
Murphy, A., Kowal, P., Albertini, M., Rechel, B., Chatterji, S., & Hanson, K. (2018). Family transfers and long-term care: An analysis of the WHO study on global AGEing and adult health (SAGE). The Journal of the Economics of Ageing, 12, 195-201.
Newton, A., Awuviry-Newton, K., Oppong Nkansah, J., & Abekah-Carter, K. (2021). Understanding older people' functioning and health-seeking behaviour during the COVID-19 pandemic in Ghana: A descriptive qualitative study. Health and Social Care in the Community, 30(3) 823-831.
Nkansah, O. J., Awuviry-Newton, K., Gyasi, M., Newton, A., & Boateng, A. S. (2021). “Who doesn't have challenges? I have a lot of challenges”: Exploring the challenges and coping strategies of neglected older people in Ghana. Journal of Cross-Cultural Gerontology, 36, 91-104.
Nortey, S. T., Aryeetey, G. C., Aikins, M., Amendah, D., & Nonvignon, J. (2017). Economic burden of family caregiving for elderly population in southern Ghana: The case of a peri-urban district. International Journal for Equity in Health, 16(1), 1-9.
Obiri-Yeboah, H., & Obiri-Yeboah, D. (2014). Ghana’s pension reforms in perspective: Can the pension benefits provide a house a real need of the retiree? European Journal of Business and Management, 6(32), 121-133.
Ofori-Dua, K. (2014). Extended family support and elderly care in Bamang, Ashanti region of Ghana (doctoral dissertation). University of Ghana.
Parmar, D., Williams, G., Dkhimi, F., Ndiaye, A., Asante, F. A., Arhinful, D. K., & Mladovsky, P. (2014). Enrolment of older people in social health protection programs in West Africa-does social exclusion play a part. Social Science and Medicine, 119, 36-44.
Robinson, S. M. (2018). Improving nutrition to support healthy ageing: What are the opportunities for intervention? Proceedings of the Nutrition Society, 77(3), 257-264.
Sandelowski, M. (2010). What's in a name? Qualitative description revisited. Research in Nursing and Health, 33(1), 77-84.
Son, J. (2017). Back translation as a documentation tool. Translating and Interpreting, 10(2), 89-100.
Steiner-Asiedu, M., Pelenah, S. J. M., Bediako-Amoa, B., & Danquah, A. O. (2010). The nutrition situation of the elderly in Ghana: A case study. Asian Journal of Medical Sciences, 2(3), 95-103.
Sun, C., Ding, Y., Cui, Y., Zhu, S., Li, X., Chen, S., Zhou, R., & Yu, Y. (2021). The adaptation of older adults' transition to residential care facilities and cultural factors: A meta-synthesis. BMC Geriatrics, 21(1), 1-14.
United Nations, Department of Economic and Social Affairs. (2019). World population ageing 2019 highlights. United Nations, Department of Economic and Social Affairs. https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Highlights.pdf
Zhao, C., Wong, L., Zhu, Q., & Yang, H. (2018). Prevalence and correlates of chronic diseases in an elderly population: A community-based survey in Haikou. PLoS One, 13(6), 1-11.