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Family Caregiving Programme

Of Elder Persons in Southern Africa

South Africa, Namibia, Malawi and Botswana

The five year Wellcome Trust research project is a multiple-case qualitative longitudinal study of family care of older persons across four countries in Southern Africa.

Overall Objective: To investigate how family care for older persons is experienced across time and place, drawing on rich, contextual evidence.

Emerging recommendations:

  1. First, we advocate for the introduction of a caregiving compensation to acknowledge and support the vital work caregivers perform. 

  2. Second, we call for accessible home-based care services, which are essential for easing the care load, offering respite, and supporting the mental health of family caregivers. 

  3. Thirdly, we urge improved access to incontinence products, reliable medication delivery for those with high care needs, and nutritious food. These practical supports would significantly lessen the caregiving burden in resource-constrained settings.

This research investigates how family care for older persons is experienced across time and place, drawing on rich, contextual evidence.

We work with 340 families across four countries and nineteen sites, spanning two time periods. Alongside in-depth engagement with families, we’ve conducted extensive community mapping of local services at each site.

Our teams have also convened large community meetings with up to 600 participants, including older persons, family caregivers, home-based carers, social workers, traditional and community leaders, to ensure a broad and inclusive dialogue.

We take an interdisciplinary approach, applying both qualitative and quantitative methods to understand the complexities of family care. Ethnographic research has illuminated issues such as the low receipt of disability-related social grants among older persons, while our quantitative analysis provides a broader view of the social and economic positioning of households where care occurs.

While the research is ongoing, key findings are already emerging.

Project Partners

The University of Cape Town, The University of Botswana, The University of Malawi, The University of Namibia

Project Reports

Scroll through the list below and select a report to view or download on ZivaHub.

Report Title
Language
Older Persons and Community Care in Namibia
English
Older Persons and Community Care in Namibia (Brief)
English
Kaira Khoen tsî ǀHûhâsib ǃnâ ǃÛiǃgâhes Namibiab ǃnâ: !Nurimās
Nama/Damara
Ovakurundu nondjevero okuza motjiwaṋa mOnamibia
Oshiwambo
Esiloshimpwiyu lyaakulupe moNamibia: Omauyelele
Lozi
Vakurupe nouteku mo nkarapamwe mo Namibia
Shona
Older Persons and Community Care in Botswana
English
Older Persons and Community Care in Botswana (Brief)
English
Tlhokomelo ya Bagodi Botswana: Dintlha Kgolo
Setswana
Older Persons and Community Care in Malawi
English
Older Persons and Community Care in Malawi (Brief)
English
Anthu Okalamba ndi Chisamaliro cha m'madera m'Malawi
Chichewa
Kupwererera Ŵanthu ŵalala mu vikaya mu Malawi
Chitumbuka
Family Caregiving of Older Persons in South Africa
English
Family Caregiving of Older Persons in South Africa: Fact Sheet
English
Family Care of Older Persons in South Africa: Appendix Section
English
Older Persons and Community Care in South Africa
English
Older Persons and Community Care in South Africa (Brief)
English
Ukunakekelwa Kwabantu Abadala Kanye Nomphakathi Eningizimu Afrika: Okufingqiwe
isiZulu
Ouer Persone en Gemeenskapsorg in Suid-Afrika: Opdrag
Afrikaans
Ukhathalelo lwabantu abadala kwakunye noluntu lokuhlala: Okufutshane
isiXhosa
Policy Brief 1: Insecurity Amongst Female Family Caregivers of Older Persons in South Africa
English
Policy Brief 2: Addressing the Gaps in Long-Term Care for Older People in Southern Africa
English
Moore, E., & Kelly, G. (2024). Struggles over elder care in South Africa. Development Southern Africa, 41(6), 1062–1077
English
Rewald, Rebecca, Tamara Sandoul, and Elena Moore. "Carer poverty: what can and should policy makers do about it?." International Journal of Care and Caring (2025): 1-7
English
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