In rural Uganda, grandparents are caring for their grandchildren full-time while needing care themselves

Crossmark: check for updates

Authors

  • Neema Stella Department of Sociology and Anthropology, Makerere University, Kampala 7062, Uganda
  • Nankwanga Annet Department of Biochemistry and Sports Science, Makerere University, Kampala 7062, Uganda

DOI:

https://doi.org/10.17140/antpoj.2024.v7.i01.pp10-17.1761

Keywords:

Grandparents, Care, Orphans, Grandchildren, Skip-generation, Uganda

Abstract

Background
In most African countries, the elderly face challenges that affect their health and wellbeing and are more pronounced because of the systemic factors of inadequate health care, food insecurity and the general care. Increasing population of the elderly persons in Uganda is raising concern than ever before. The purpose of this paper to ascertain care available to the rural elderly persons and their role as carers for their grandchildren and implications on their wellbeing.
Methods
This was a qualitative study conducted among the rural elderly aged 60 years and above in eight purposively selected district that included Lira, Nebbi, Kampala, Luwero, Pallisa, Jinja, Mbarara, and Ntungamo. The study sample consisted of 101 elderly person from whom in-depth interviews were conducted. Data was analysed using qualitative thematic content analysis.
Results
Rural elderly in Uganda face a lot of constraints that include access to healthcare and information, poor economic status, food insecurity and poor nutrition, and poor accommodation and housing conditions. Two broader themes emerged inductively from the analysis that include care available for the rural elderly and providing care to grandchildren. These themes generated several subthemes. Taking care of grandchildren crippled the elderly and reduced the economic benefits. That said some rural elderly were happy and felt fulfilled to care of the grandchildren despite the lack of resources.
Conclusion
The rural elderly in Uganda are living in doleful conditions with limited care and support. They need care but are the providers of care to the grandchildren. They are frails and may not afford to provide adequate care. They care for grandchildren many of whom are orphans and vulnerable yet they themselves need care. It is important the government and the community re-enforce this care not to put strain on elderly. The rural elderly unique challenges necessitates special targeting and mobilization of resources at the household, local, district and national levels.

References

Baars J, Dannefer D, Phillipson Ch, Walker A. Aging, Global-ization and Inequality: The New Critical Gerontology. Abingdon-on-Thames, UK: Routledge; 2006.

World Health Organization (WHO). Active Ageing: A Policy Framework. Geneva, Switzerland: 2002. https://apps.who.int/iris/ bitstream/handle/10665/67215/WHO_NMH_NPH_02.8.pdf;js essionid=29039CA7A247DCE9FE594C5861F60094?sequence=1

UN, 2016. Sub Sahara Africa’s growing population of older per-sons. Population facts. April 2016.

Ntozi J, Nakayiwa S. AIDS in Uganda: How has the household coped with the epidemic? In: Orubuloye I, Caldwell J, Ntozi J, eds. The Continuing HIV/AIDS Epidemic in Africa : Response and Coping Strategies. Australian National University, Canberra: Health Transi-tion Centre; 1999: 155-181.

Fry CL. Anthropological theories of age and aging. In: Bengt-son VL, Schaie KW, eds. Handbook of Theories of Aging. New York, USA: Springer; 1999: 271-286.

Jacob JC. The role of anthropology in gerontology: Theory. Journal of Aging Studies. 1992; 6(1): 41-55. doi: 10.1016/0890- 4065(92)90026-3

Perkinson MA, Solimeo SL. Aging in cultural context and as narrative process: Conceptual foundations of the anthropology of aging as reflected in the works of Margaret Clark and Sharon Kaufman. Gerontologist. 2014; 54(1): 101-107. doi: 10.1093/geront/ gnt128

Willcox DC, Willcox BJ, Sokolovsky J, Sakihara S. The cultural context of “successful aging” among older women weavers in a Northern Okinawan village: The role of productive activity. J Cross Cult Gerontol. 2007; 22: 137-165. doi: 10.1007/s10823-006-9032-0

Wandera SO, Kwagala B, Ntozi J. Determinants of Access to Healthcare by older persons in Uganda: A cross-sectional study. International Journal of Equity in Health. 2015; 14: 26. doi: 10.1186/s 12939-015-157

Zimmer Z, Dayton J. Older adults in sub-saharan Africa living with children and grandchildren. Popul Stud (Camb). 2005; 59(3): 295-312. doi: 10.1080/00324720500212255

Schatz E, Seeley J. Gender, ageing and carework in East and Southern Africa: A review. Glob Public Health. 2015; 10(10): 1185- 200. doi: 10.1080/17441692.2015.1035664

Nankwanga A, Phillips J, Neema S. Curbing the Effects of HIV/AIDS on older persons in Uganda. Journal of Community and Health Sciences. 2009; 4(2): 19-30.

Zimmer Z. Household composition among elders in Sub-Saharan Africa in the context of HIV/AIDS. Journal of Mar-riage and the Family. 2009; 71(4): 1086-1099. doi: 10.1111/j.1741- 3737.2009.00654.x

Velkoff VA, Kowal PR. Aging in Sub-Saharan Africa: The changing demography of the region. In: Cohen B, Menken J, eds. Aging in Sub-Saharan Africa: Recommendations for Furthering Research. Washington, USA: National Academies Press; 2006: 1-48.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures, and measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2): 105-112. doi: 10.1016/j.nedt.2003.10.001

Gioia DA, Corley KG, Hamilton AL. Seeking qualita-tive rigor in inductive research: Notes on the Gioia method-ology. Organizational Research Methods. 2013; 16(1): 15-31. doi: 10.1177/1094428112452151

Fitzgerald P, Coburn A, Sharon K. Dwyer. Expanding Rural El-der Care Options: Models That Work. https://muskie.usm.maine. edu/Publications/rural/Expanding-Rural-Elder-Care-Options. pdf.

Zanjani F, Rowles GD. “We don’t want to talk about that”: Overcoming barriers to rural aging research and interventions on sensitive topics. Journal of Rural Studies. 2012; 28(4): 398-405. doi: 10.1016/j.jrurstud.2012.03.005

Foster G. The capacity of the extended family safety net for orphans in Africa. Psychology, Health & Medicine. 2000; 5(1): 55-62. doi: 10.1080/135485000106007

Golaz V, Wandera SO, Rutaremwa G. Understanding the vulnerability of older adults: Extent of breaches in support sys-tems in Uganda. Ageing Soc. 2017; 37(1): 63-89. doi: 10.1017/ S0144686X15001051 Submit your article to this journal | https://openventio.org/submit-manuscript/

Williams A, Tumwekwase G. Multiple impacts of the HIV/ AIDS epidemic on the aged in rural Uganda. J Cross Cult Gerontol. 2001; 16(3): 221-236. doi: 10.1023/A:1011953126460

Williams A, Tumwekwase G. ‘An elephant has to carry its tusks’: Grandparents’ efforts to educate their grandchildren in ru-ral Uganda. In: Thomas P, Bissell S, eds. Education for Sustainable Development. Development Studies Network. Australian National Uni-versity, Canberra: 1999.

Douglass R. The aging of Africa: Challenges to African devel-opment. African Journal of Food, Agriculture, Nutrition and Development. 2015; 16(1): 1-15. http://www.bioline.org.br/pdf ?nd16010

Wright S, Zalwango F, Seeley J, Mugisha J, Scholten F. Despon-dancy among HIV-positive older men and women in Uganda. J Cross Cult Gerontol. 2012; 27(4): 319-333. doi: 10.1007/s10823-012- 9178-x

Mudege NN, Ezeh AC. Gender, aging, poverty and health: Sur-vival strategies of older men and women in nairobi slums. J Aging Stud. 2009; 23(4): 245-257. doi: 10.1016/j.jaging.2007.12.021

Szinovacz ME, DeViney S, Atkinson MP. Effects of surrogate parenting on grandparents’ well-being. Journal of Gerontology: Social Sciences. 1999; 54B: S376-S388. doi: 10.1093/geronb/54B.6.S376

Pruchno RA. Raising grandchildren: The experiences of black and white grandmothers. Gerontologist. 1999; 39: 209-221. doi: 10.1093/geront/39.2.209

Seeley J, Wolff B, Kabunga E, Tumwekwase G, Grosskurth H. ‘This is where we buried our sons’: People of advanced old age coping with the impact of the AIDS epidemic in a resource-poor setting in rural Uganda. Ageing and Society. 2009; 29(1): 115-134. doi: 10.1017/S0144686X08007605

Maniragaba F, Kwagala B, Bizimungu E, Wandera SO, Ntozi J. Predictors of quality of life of older persons in rural Uganda: A cross sectional study. AAS Open Research. 2018; 1: doi: 10.17605/ osf.io/vfb4w

Waldrop DP, Weber JA. From grandparent to caregiver: The stress and satisfaction of raising grandchildren. Families in Society: The Journal of Contemporary Human Services. 2001; 82: 461-472. doi: 10.1606/1044-3894.177

Bowers BF, Myers BJ. Grandmothers providing care for grand-children. Consequences of various levels of caregiving. Family Rela-tions. 1999; 48(3): 303. doi: 10.2307/585641

Madhavan S. Fosterage patterns in the age of AIDS: Continu-ity and change. Soc Sci Med. 2004; 58(7): 1443-1454. doi: 10.1016/ S0277-9536(03)00341-1

Downloads

Published

2024-07-13

How to Cite

Neema Stella, & Nankwanga Annet. (2024). In rural Uganda, grandparents are caring for their grandchildren full-time while needing care themselves. Anthropology , 7(1), 10–17. https://doi.org/10.17140/antpoj.2024.v7.i01.pp10-17.1761