Abstract
In Ethiopia where family care is a centuries-long tradition, living in an elder care institution invariably brings social devaluation. Accordingly, this study explored the psychosocial needs of older adults in a residential elder care center in Ethiopia from the perspective of both staff and residents. Three focus group discussions of 24 residents and interviews with 5 staff persons revealed that elders were living a subsistence lifestyle, eating the same meal every day, mostly cutoff from the surrounding community, and lacking basic amenities. Despite the absence of basic amenities, residents yearned even more so for meaningful social interaction. Psychosocial support was both undervalued and underutilized by staff members, and thus, residents’ psychosocial well-being appeared to be at risk. The addition of social workers in institutional care in Ethiopia may help to promote improved living standards. Advocacy is needed on behalf of residents to establish and implement guidelines on care and support of residents in old age homes. As elders in developing countries are living longer--a growing number with disabilities--at the same time that informal supports are waning, the need for developing long term care policies is becoming critical.
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References
Anderson, K. A., & Dabelko-Schoeny, H. J. (2010). Civic engagement for nursing home residents: a call for social work action. Journal of Gerontological Social Work, 53, 270–282.
Bartle, P. (2007). The dependency syndrome. http://cec.vcn.bc.ca/cmp/modules/pd-dep.htm.
Brodsky, J., Habib, J., & Hirschfeld, M. (2003). Long-term care in developing countries: ten case studies. World Health Organization http:///www.who.int/ncd/long_term_care/index.htm.
Bureau of Labor and Social Affairs. (BOLSA).(2006). Draft final report for study on elderly, Addis Ababa.
Cantwell, L. (2008). An exploration of the psychosocial needs of older people in extended care settings: a qualitative study. Retrieved 3/5/2013 from repository.wit.ie//1057//.
Central Statistical Agency. (CSA). (2011). The 2007 population and housing census of Ethiopia: the situation of older persons in Ethiopia. Addis Ababa: Federal Democratic Republic of Ethiopia, Ministry of Finance and Economic Development.
Conradie, G. (1999). Dealing with institutional abuse in a multicultural South African society. Journal of Elder Abuse & Neglect, 10(1/2), 153–163.
Decker, C. & Adamek, M. (2003). Meeting the challenges of social work research in long term care. Social Work in Health Care, 38(3), 47–65.
Drower, S. J. (2002). A South African perspective. Journal of Social Work in Long Term Care, 2, 9–14.
Dubey, A., Bhasin, S., Gupta, N., & Sharma, N. (2011). A study of elderly living in old age home and within family set-up in Jammu. Studies on Home and Community Science, 5(2), 93–98.
Fasil Nigussie. (2010). Exploring the effects of institutional care on the life of older persons. Unpublished Master’s Thesis, Addis Ababa University, Addis Ababa, Ethiopia.
Given, L. M. (Ed.). (2008). The Sage encyclopedia of qualitative research methods. Thousand Oaks: Sage.
Government of the Federal Democratic Republic of Ethiopia. (2006). National plan of action on older persons (1998–2007). Addis Ababa: Ministry of Labor and Social Affairs.
Habjanic, A. (2009). Quality of institutional elderly care in Slovenia. Academic dissertation P117, Retrieved 31/03/2013 from, http://herkules.oulu.fi/.
Help Age International. (HAI). (2011). Psychosocial care and support for older carriers. Retrieved 21/2/2013 from, www.Helpage.org/
Ibrahim Qusai Abdallah Mahmoud.(2009). Problems of elderly people in Palestinian society. Retrieved 24/2/2013 from: http://uqu.edu.sa/.
International Federation of Social Workers. (IFSW). (2012). Ageing and older adults. Retrieved 2/24/2013 from http://ifsw.org/policies.
Kennard, C. (2006). Elder care in different countries. Retrieved 05/3/2013 from: http://alzheimers.about.com/od/.
Lewinson, T., Robinson-Dooley, V., & Grant, K. (2012). Exploring “home” at an assisted living facility: looking through residents’ lenses with Photovoice. Journal of Gerontological Social Work, 55(8), 745–757.
Lloyd-Sherlock, P. (2002). Formal social protection for older people in developing countries: three different approaches. International Social Policy, 31(4), 695–713.
Lucas, P.M. (2009). Old age pension as a social security initiative: the case of Botswana. Retrieved 3/28/2013 http// www.ubrisa.ub.bw/bitstream/handle.
Ministry of Labor and Social Affairs. (MOLSA). (2006). The study of elderly beggars in Addis Ababa. Addis Ababa: MOLSA.
Perrin, N., & Polowy, J. (2008). The role of the social worker in the long-term care facility. Missouri long-term care ombudsman program. health.mo.gov/seniors/ombudsman/pdf/RoleLTCsocialworker.pdf
Rash, E. M. (2007). Social support in elderly nursing home populations: manifestations and influences. The Qualitative Report, 12(3), 375–376.
Rashid, A., Ong, E.K., Wong, Y., & Shu, E. (2012). IJCRIMPH report, the attitude towards ageing among residents of an elderly care institution in Penang, Malaysia. IJCRIMPH Report, Retrieved 1/4/2013 from: http://www.thefreelibrary.com/reterived.
Smith, M. L., & Rosen, D. (2009). Mistrust and self-isolation: barriers to social support for older adult methadone clients. Journal of Gerontological Social Work, 52(7), 653–667.
Teshome Cheru, Getachew Gonfu., Kefale Alemu & Tarekegne Tefera.(1998). Evaluation report Debre Libanos Bet Selihome Elders Care Center. Addis Ababa, Ethiopia.
Tester, S., Hubbard, G., Downs, M., MacDonald, C. & Murphy, J. (2003). Exploring perceptions of quality of life of frail older people during and after their transition to institutional care. Retrieved 2/4/2014 www.esrc.as.uk/my-esrc/grants/L480254023/read.
Timonen, V., & O’Dwyer, C. (2009). Living in institutional care: residents’ experiences and coping strategies. Social Work in Health Care, 48(6), 597–613.
Vitorino, L. M., Paskulin, L. M., & Viana, L. A. (2012). Quality of life among older adults resident in long-stay care facilities. Revista Latino-Americana de Enfermagem, 20(6), 1186–1195.
Wu, B., Mao, Z., & Xu, Q. (2008). Institutional care for elders in rural China. Journal of Aging & Social Policy, 20(2), 218–239.
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Teka, A., Adamek, M.E. “We Prefer Greeting Rather Than Eating:” Life in an Elder Care Center in Ethiopia. J Cross Cult Gerontol 29, 389–404 (2014). https://doi.org/10.1007/s10823-014-9244-7
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DOI: https://doi.org/10.1007/s10823-014-9244-7