The Growing Concern of Elderly Poverty in France
Since the early 1970s, the mean standard of living for senior citizens above 65 years old in France has significantly improved. Complying with the guidelines that the second U.N. World Assembly on Aging (WAA) in 2002 and the Madrid International Plan of Action on Aging (MIPAA) brought up, France keeps implementing aging policies that focus on the health and well-being of elderly people, their participation and benefits in the social development and a more enabling and supportive environment. However, elderly poverty in France remains a socioeconomic issue. As of 2012, 17.5% of French people are over 65 years old, whereas working-age people between 15 and 64 take up 63.8% of the total population. A 2019 study reported that around one out of 10 elderly people in France lives in poverty, which is to say, there are now more than one million French people of old age living below the poverty threshold.

Wealthier than the Younger Population

Although elderly poverty in France is a significant issue, senior French citizens are not the most susceptible group to poverty. The elderly population is far behind young adults, females and immigrants in terms of one’s risk of poverty. The French National Institute of Statistics and Economic Studies (INSEE) reported that in 2015, elderly people more than 65 years old are not only half as likely to fall into the lowest-earning 10% as their counterparts between the ages of 25 and 64, but their proportion among the lowest-earning 20% also decreases in the 21st century.

Such situations are the comprehensive outcome of a more continuous career and higher wages, higher retirement pensions, mandatory supplementary schemes and so on. They also have more time and opportunity for inheritance and savings, and their forms of resources are less sensitive to economic fluctuations. As such, it is not too hard to understand why the mean standard of living for elderly people is 3% higher than that for the younger generations in France.

Health Status

Yet, despite accumulated wealth, health status deteriorates remarkably with age, which may cause extra expenses that Social Security does not cover and lead to elderly poverty in France. In 2015, 43% of French people more than 65 years old endured at least one long-term illness, and the percentage keeps rising over the years.

When the deterioration in health causes a partial loss of autonomy and home care is no longer suitable, the elderly people have to live in an institutional setting such as a nursing home, and this would be another large expense that many are not able or not willing to afford. Only fewer than 2% of people aged below 75 live in a nursing institution, and for those more than 85 years old, the number climbs to 10 times higher.

The Incoming Challenge of Population Aging

As the problem of population aging is becoming increasingly serious in Europe, it is too early for the elderly to be too optimistic. In 2012, there were 15 million French people aged more than 60 years old, and this number could reach 24 million in 50 years, alongside the extended life expectancy. Over the last decade, more people went into retirement, and there were 5% of elderly people aged between 65 and 74 still in employment, many of whom were part-time employees with low qualifications, shopkeepers and older farmers.

The French government has to adjust the retirement pension and health care policies to ensure the well-being of old age. So far, various actions are underway, but the results are far from satisfying. For instance, a large national strike began in December 2019 to protest against President Macron’s pension system reform. The government must take into consideration the growing elderly poverty in France and actively work to alleviate poverty rates with policies and financial support.

Jingyan Zhang
Photo: Flickr

Elderly Poverty in China
China has one of the largest elderly populations in the world. About 128 million people in China are older than the age of 60. By the year 2050, there will be approximately 400 million people older than 60. Elderly poverty in China is a major concern as 22.9% of the elderly population lives below the poverty line. This poses health concerns as well because there is a strong correlation between health and wealth. According to a survey based on interviews from 2011 and 2012, of the elderly population, 26.2% of those living in poverty needed assistance with everyday activities compared to 22.7% of those above the poverty line. Fortunately, China recognizes a need to develop regulations and programs to help the elderly.

Caring for the Elderly

Elderly poverty in China is due in part to the struggles elderly people face in meeting their own needs. Traditionally, the elderly would live with one of their children. It was the child’s duty to care for their elderly parents and ensure their needs are met. However, today, children are more frequently moving out of family homes, leaving their parents to live alone. Family-based care is becoming impractical in China as middle-aged children do not have the time to take care of their parents. More than 23% of China’s elderly population now lives alone.

The number of homes for the elderly is not enough to support the population. China currently has 289 pension homes that can only house 9,924 people. This only accounts for 0.6% of China’s population older than 60. The rest of the population must fend for themselves when it comes to health care and housing.

Thankfully, China has put in place regulations to encourage private and foreign investment in homes for the elderly. The National Convention on Aging along with other departments created a 13th Five-Year Plan (2016-20) to increase access to health care and housing for the elderly population in an effort to solve elderly poverty in China.

China’s 13th Five-Year Plan

The first part of the plan included allocating more beds for the elderly in hospitals. The plan stated that the number of beds in public hospitals and care agencies for the elderly will account for 50% of the total capacity by 2020. In addition, 35% of middle and top-tier hospitals will establish specific geriatric care departments. Health care and pension plans will improve as well, with basic pension insurance covering 90% of the population and basic health insurance covering 95%.

Since 2019, wait times for the elderly to secure a place at a nursing home have significantly decreased. Wait times before the plan could be as long as 20 years. Now, these homes can place the elderly on a waiting list and the elderly can enter a private nursing home within one month. The rise of private nursing homes in 2019 stemmed from multiple municipalities announcing nursing homes would no longer have to obtain permits. The government is also incentivizing institutions to provide homes for the elderly. Furthermore, the government grants community centers a reduction in utilities and increased subsidies if they provide care to the elderly.

Hopefully, an additional phase of the plan will continue to alleviate the burdens the elderly face in finding housing and care in China. Moving forward, it is essential that the government continues to prioritize the eradication of elderly poverty in China.

Rae Brozovich
Photo: Flickr

Elderly Poverty in Taiwan
In recent decades, Taiwan has made rapid improvements in the quality of life of its people, resulting in less than 1% of the population being poor or low income. Although these facts are definitely something to celebrate, Taiwan’s demographic has changed drastically during this time. People are living longer and having fewer children, causing the rate of aging in Taiwan to accelerate. In fact, Taiwan’s accelerated rate of aging is so high that it more than doubles that of European countries and the United States.

The World Health Organization (WHO) classifies an “aging society” as when 7% of the population is 65 and older. Taiwan became an aging society in 1993 and estimates have determined that it will become a “super-aged society” by 2025 as about 20% of the population could be over the age of 65.

As the size of the ever-growing elderly population expands, their quality of life dissipates. Many rural counties in Taiwan have a dependency rate (the number of people 65 and older to every 100 people of traditional working ages) in excess of 10%. These rural townships lack even more services and resources, having limited access to essentials like medical and transportation services— and most notably, caregivers who leave and move to metro areas for jobs and education. This leaves the island with a dilemma on how to promote systematic endeavors— both in policies and research, as well as encouraging more involvement in non-government organizations to help with this aging issue. Here are five positive changes regarding elderly poverty in Taiwan.

5 Positive Changes Regarding Elderly Poverty in Taiwan

  1. Providing Proper Healthcare Coverage: In 2013, Taiwan introduced the National Health Insurance Program (NHI), a single-payer compulsory social insurance plan that covers annual health examinations for seniors 65 and older. NHI grants go to those aged 70 years or older with medium to low income, and grants that may include fiscal constraints from local authorities can go to citizens aged 65 to 69.
  2. Ensuring Economic Stability: A National Pension that launched in 2005 serves Taiwanese citizens who do not receive coverage from public funds. They have assured a living allowance based on their family’s financial circumstances. This secures regular, lifelong pension benefits for an elderly population living on a lower income. If there are seniors who are not receiving shelter or resettlement services from institutions, family caregivers may receive a monthly special care allowance as an additional aid. The Pilot Program, an option for senior citizens to convert their houses and land into monthly payments, is another coverage plan also taking effect and creating a positive change in regard to elderly poverty in Taiwan.
  3. Building a Long-term Care Plan: The SFAA (Social and Family Affairs Administration) implemented an initiative to improve Taiwan’s long-term home and community-based services. Beneficial services like daily routine assistance and mental and physical healthcare for the disabled are improving the quality of life of Taiwanese seniors. The SFAA has also enacted an assistive device acquisition to support in-home mobility and improvement of residential accessibility, respite care to support family caregivers, transportation to those who require long-term care, as well as providing daily healthy meals to economically disadvantaged or disabled seniors.
  4. Establishing Access to Social Welfare Programs: New developments like tour buses are providing care services spanning from inner cities to the more rural areas of the island. The SFAA developed this to encourage seniors to step outside and interact with the community. Through this service, they can learn more about social welfare benefits like health counseling, senior care, leisure and entertainment. The SFAA has also funded Senior Citizen Schools where seniors can join courses that enhance their quality of life after retirement. Seniors also have the asset of participating in the Double Ninth Festival which insights ideas of healthy-aging by staying active and involved in competitions and other activities.
  5. Addressing the Rising Alzheimers and Dementia Crisis: A dramatic rise in patients suffering from Alzheimer’s and dementia has ignited involvement in government and non-government organizations (NGOs). Amongst these organizations making a difference in elderly poverty in Taiwan is the School of Wisdom, based in Taipei. This program enables Alzheimer’s and dementia patients to keep physically and mentally stimulated and live a fuller, happier life. Programs such as these provide helpline services, care and nursing facilities, education websites and support gatherings for the patients and their caregivers.

Adapting to a New Demographic

As Taiwan’s economic prosperity continues to evolve at a continuing rate, it is important to pay attention to those who may be falling behind. Taking affirmative action on positive changes to end elderly poverty in Taiwan is the greatest way for the Taiwanese to stay true to their rooted cultural values of respecting one’s elders and to ensure that citizens in need are experiencing an optimal quality of life.

– Alyssa McGrail
Photo: Flickr

Elderly Poverty in Mexico
In today’s society, people sometimes see the elderly as excess baggage rather than actual human beings. A place where this unfortunate reality is present is in Mexico, where 7.8% of the population is above the age of 65. Within this percentage, 41.1% live in poverty, 34.6% in moderate poverty and 6.6% ($1.90 a day) live in extreme poverty. Here is some information about elderly poverty in Mexico.

Poverty and Mental Health

About 29.2% of all elderly people live alone or with their spouses, be that in a small house or on the streets. The government covers only 46% (which only consists of the formal economy) of the elderly; the other 54% must struggle on their own. With no welfare, retirement plan and aid from the government, more than 32 million have no choice but to work past their prime. It is not uncommon for these elders to experience abuse, or for customers, employers or employees to take advantage of them. Due to this, many elderly are vulnerable to mental health issues such as depression, stress and loneliness that come from poverty.

The day-to-day struggle to scrape up money and food for themselves and their families is at times a burden too heavy to bear. Results from an analysis of suicide rates in Mexico go as follows; from January 2014 to December 2015, 990 residents died from suicide, with 78.28% being males and 21.72% being females. The highest death rates amongst males were 20-24 and 75-79. For females, the highest mortality rate was from 15-19 years old.

Of course, there are ways both the elderly and their families can do to improve mental health. For the elderly that live with families, positive family dynamics (conversations, actions of kindness and a feeling of contribution) can greatly aid their mental health. For many seniors, nothing compares to the support from family. Another type of support is social support, which is the support that comes from outside the immediate family. This commonly comes in the form of encouragement from community members, co-workers and strangers.

Solutions

One reason elderly poverty in Mexico persists is that only 46% of them (within the Formal economy) have access to assistance programs. Nevertheless, it would be unfair to state that Mexico does nothing to help its elderly. INAPAM (Instituto Nacional para las Personas Adultos Mayores) is a popular program that allows any Mexican resident (above the age of 60) to acquire worthwhile discounts (10%-50%) on a wide range of goods and services such as food, medicine, transportation, clothing and recreational activities. Mexicans can apply easily if they have the necessary requirements. One specific requirement states that the person in question must present a form to confirm their address. Many elderly have no official home, so that fact can immediately disqualify them from applying.

Aztin is a nonprofit organization that focuses on providing needs such as education, nutrition, water and health. Since 1977, Aztin has worked closely with families trapped in poverty in the village of Tlamacazapa, Guerrero, Mexico, providing programs that vary from helping with dental hygiene, providing aid to those with special needs and implementing sanitation programs. Locals run Aztin with the idea of social participation in the hope that a sense of personal empowerment will begin with an inner spark of possibility and continue to grow.

Informal Workers and Poverty

For formal workers (workers officially hired, have a set salary, receive health benefits and work benefits), taking a day off is an option. However, 60% of Mexico’s workforce is informal and within this percentage there are 32 million elderly that work informally, thus eliminating any chance of receiving the benefits listed above. It is not uncommon to find a woman well past her 80s working 60-hour shifts in a supermarket without it officially hiring her. As a result, her only way to earn money is from the tips from her customers. For informal workers old and young, this is the lifestyle that poverty has burdened them with. Some may have money, but it is often not enough to call savings. At most, the money may last a week, but after that, these individuals may not have any choice but to work. Necessity and poverty corner the elderly.

A popular program that helps the informal population is called Seguro Popular. This program is an income-based health-insurance program that is available to all non-salaried people who cannot access social security due to not having employment under the government. This includes independent workers (freelancers), people with disabilities and the elderly who do not participate in the labor force. This program provides financial assistance to more than 50 million Mexicans and is slowly improving access to health care, especially for the poor.

The Mexican government and its people are diligently working to find ways to provide for their elderly population. Through the continued work of Aztin and the Mexican government, elderly poverty in Mexico should reduce.

– Aaron Samperio
Photo: Flickr

Elderly Poverty in Australia 
What is the happiest nation on Earth? Well, according to BBC News’ qualifications, Australia held the title for three straight years. Australia boasts a long life expectancy, a thriving economy and low rates of unemployment. Australia also consistently beats OECD (Organization for Economic Cooperation and Development) averages when it comes to economic standards. For example, Australia is above the OECD average employment rate for people 15 to 64 years old. More than 73% of this demographic has employment, establishing the country as a place of opportunity and economic success. This statistic may explain why many consider Australia “happy,” but it leaves out a significant portion of Australia’s population: the elderly. They often experience exclusion from employment statistics, being a largely retired group, leaving their story untold and unrecognized. Here is some information about elderly poverty in Australia.

Elderly Poverty in Australia

Poverty inevitably throws its hardest punch on vulnerable groups like women or children. These groups have since become the focus of government programs and charities that aim to protect these demographics. However, people too often forget the elderly, another vulnerable group.

Elderly poverty is a very real threat, even in developed nations like Australia. In fact, almost a third of Australians on pension live in poverty. The poverty rate for all of Australia’s elderly aged 65 and up is 19.5% and this number increases to 28.7% in groups over 75. With such shockingly high numbers, the question is, how is Australia neglecting its elderly?

In 2016, an OECD report found that Australia spends more than 50% less of its GDP on pensions than other OECD countries. In fact, only 3.5% of the country’s GDP goes toward providing people with a pension. That leaves elderly people on a pension that is less than the median household income for Australia. The annual payment for one person is around $22,000. Considering the relatively high cost of living in Australia, this amount leaves many in need. The Australian government has ignored calls to raise pensions so far with pensions rates dropping or remaining stagnant since 2002.

Elderly people in Australia are especially at risk to fall into poverty. With so many people past the age of retirement and unable to work, they must depend on Australia’s unreasonably low pension to live. Aging is already a stressful process that, combined with financial stress and housing insecurity, becomes overwhelming.

The Solution

Thankfully, elderly people in Australia are not without help. Australians and people from all over the world are fighting for them. Specifically, Mission Australia has made elderly poverty one of its focuses. It calls for age pension reform and passionately advocates for Commonwealth Rent Assistance Recipients (of which many are elderly) to receive benefits that preserve a dignified and comfortable standard of living.

Council on the Ageing’s Chief Executive, Ian Yates, has admitted that raising the pension will be difficult, but that it is a necessary step. He said that “Claims that the age pension is somehow too extravagant and unsustainable do not bear out.”

Elderly poverty in Australia presents a problem that too often slips under the radar. However, with more people agreeing with Ian Yates or joining Mission Australia’s cause, the solution to the problem could be on the near horizon. Unlike most poverty issues, the solution to this one is simple, improve pension and/or other government programs in place for the elderly.

Elderly populations deserve respect and dignity just like any other group. Additionally, only after the Australian government has addressed elderly people’s plight can one truly consider Australia the “happiest nation on Earth.”

– Abigail Gray
Photo: Flickr

HelpAge InternationalThe World Bank estimates that the number of people living below the global poverty line, or those who live on less than $1.90 a day, has decreased by nearly 40% since 1990. This is largely due to the efforts of the United Nations and other global partnerships. Although these organizations are making outstanding progress, one demographic remains in seemingly inexorable poverty: the elderly. Fortunately, organizations like HelpAge International focus on helping elderly people around the world overcome poverty.

Many elderly people have little ability to provide for themselves. A lack of income, support and resources, may keep them in poverty. This is particularly prevalent in low-income countries. Especially during COVID-19, elderly people need more help than ever as they are at greater risk for infection and death. While more organizations are recognizing challenges facing older populations worldwide, their assistance is not enough to give the elderly the stability they need to lead healthier lives. This is where HelpAge International steps in.

Aging in Poverty

According to the United Nations Department of Economic and Social Affairs Program on Ageing (UNDESA), the average poverty level for populations over 75 years old in OECD countries, or members of the Organization for Economic Cooperation and Development, is 14.7%. This represents a 3.5% increase in poverty compared to those who are between 66 and 75, an astonishing rate for the world’s most prosperous nations in terms of world trade and investment. Statistics are unclear regarding elderly poverty rates in developing countries due to a lack of consistent data collection.

However, UNDESA explains that the “absence of social protection systems [in low-income countries] … are usually not sufficient to guarantee adequate income security.” Social protection systems are vital for the elderly who reduce their work hours as they age or stop working entirely due to dementia or other health conditions. Without those systems, they are left alone in inescapable poverty. What is more concerning is that the number of people across the world who are 80 years old or more is surging. An estimated 434 million people will reach this age group by 2050, two-thirds of whom will reside in underdeveloped nations. Therefore, poverty rates among elderly populations will not only become more severe, but they will also become more widespread, creating an even greater need for assistance programs.

HelpAge International

After witnessing older refugee abandonment during the Somalia and Ethiopia wars, Sir Lesley Kirkley, Chair of Help the Aged’s Overseas Committee, and Chris Beer, the organization’s future CEO, formed HelpAge International in 1983 with the goal of creating a solid global support system.

The project initially began in Canada, Colombia, Kenya, India and the United Kingdom but has since spread to include 80 countries. Eye and community care were the initial priorities, but HelpAge International’s mission has evolved into delivering all necessary resources to help elderly men and women overcome poverty. The organization aims to create an inclusive, non-discriminatory environment for all older adults. Here are some of HelpAge International’s contributions and accolades.

  1. In 1999, HelpAge International distributed recommendations that specifically addressed elderly care during emergency response situations.
  2. In 2002, HelpAge aided in the formation of the United Nations Madrid International Plan of Action on Ageing, a plan focusing exclusively on elderly development, health and prosperity progress. The plan also aims to create sensitive and sympathetic environments for older adults.
  3. Also in 2002, HelpAge International launched an education initiative intended to teach the elderly about their rights, social pensions, access to healthcare and lobbying opportunities.
  4. In 2007, HelpAge participated in Age Demands Action, a global initiative to mobilize the elderly to express their policy and issue concerns to their governments.
  5. In 2012, HelpAge received the Conrad N. Hilton Humanitarian Prize, recognizing the organization for its efforts in reducing global human suffering.
  6. Since 1980, HelpAge International has performed more than 45,000 surgeries in India alone aimed at restoring sight to the elderly.

COVID-19 Response

Elderly people have suffered the most from COVID-19, with more than 50% of deaths occurring in people aged 65 years or older since mid-April 2020. Underlying health conditions and lack of access to care and information cause many COVID-19 deaths in Venezuela and Jordan. HelpAge Venezuela is focusing its efforts in La Guajira, an underdeveloped and overpopulated area that rarely receives humanitarian aid. In partnership with Humanity and Inclusion and Pastoral Social, HelpAge is providing psychosocial support and COVID-19 awareness classes to the elderly via radio in order to reach remote populations.

The organization coordinated a more detailed and widespread response in Jordan by implementing several preventive and protective measures. HelpAge is serving elderly Jordanians by monitoring food and medicine deliveries across communities, delivering hygiene kits, providing financial assistance and conducting weekly remote outreach programs. All together, these actions affect more than 5,000 people. For its outstanding impact, the government of Jordan recognized HelpAge International as a crucial COVID-19 first responder and acknowledged its unique dedication to solely serving the elderly.

Impact

In its nearly 40-year existence, HelpAge International has changed thousands of lives worldwide, focusing on those neglected by other aid organizations. Seventy-three-year-old Salem Thyab Al Salaimeh of La Guajira, Venezuela expressed his gratitude to HelpAge for finally providing him and his family with protection, safety and comfort. Neither he, his 110-year-old mother nor his fellow elderly siblings had ever been helped by any organization until HelpAge began operations in Venezuela. Hopefully, as HelpAge International grows, more elderly people like Salaimeh and his family will receive the proper care, support and attention they deserve in order to escape poverty. By overcoming the poverty-induced challenges that hinder their ability to survive, the elderly will have greater potential to remain healthy and thrive.

Natalie Clark
Photo: Flickr

Poverty in Israel
Israel is a country known for its wide ethics and religious diversity. However, it has one of the highest rates of poverty among developed countries. In fact, about 1.8 million people in Israel live in poverty, and that number rose from 19.4% of the population in 2017 to 20.4% in 2018. Of the 1.8 million people, 874,000 are children. Child poverty grew by 50% between 2008 and 2005 in Israel, and while the poverty rate has remained largely the same since 2005, Israel still has one of the highest rates of poverty in the developed world. With the amount of Israelites in poverty steadily increasing over the years, there are many ways to address the growing number of families and children living in poverty in Israel through various organizations and targeted relief efforts.

Statistics About Poverty in Israel

The socioeconomic divide is steadily increasing in Israel, with the divide between wealthy and low-income neighborhoods becoming more drastic. Additionally, previous legislative measures did not address poverty in the long term, and focused more on tax cuts rather than implementing social welfare programs that help poverty on a systemic level. In an interview with The Borgen Project, Anna Rajagopal, a student at Austin University and a Jewish and multiethnic educator, pointed out that “getting diaspora jews involved in donations, involved in monetary programs, involved in helping with financial aid and financial needs” is the best way to address poverty within smaller groups.

Rajagopal works to spread awareness about various issues plaguing Israelites and the Jewish community, such as anti-semitism and poverty. She noted that Orthodox Jews and Arabs are the ones poverty most disproportionately affects, and keeping their interests in mind is important for poverty alleviation efforts. In fact, 47% of the Arab population in Israel live in poverty, along with 45% of Orthodox households. Rajagopal also noted that poverty in Israel most often affects minorities and communities of color.

Movements and NGOs Targeting Poverty

Alongside these points, grassroots work has occurred to alleviate poverty in Israel by providing medical care, proper housing and other basic needs. One such organization working to provide aid is the Latet organization, which works to combat food insecurity among vulnerable groups, like the elderly, through a food bank and various financial assistance programs. Alongside these efforts, Latet has created youth programs to foster a sense of community. Its advocacy efforts are helping many poor people in Israel find support while spreading awareness of this issue to other countries.

Lastly, Rajagopal mentioned a more grassroots form of aid through a woman named Bracha Kappach, an Israelite woman who has worked towards poverty reduction efforts in Israel for the past 40 years. She operates on a small scale and opens her home to anybody who needs food or other financial assistance.

With this increasing awareness of Israel’s precarious situation, the government is working to increase the employment rate and make changes to the existing welfare program so that laborers can find jobs. Rajagopal’s insight into how the Israeli government can properly address poverty also includes involving multiethnic Jews in the conversation, because others often forget and villainize them when it comes to their portrayal in the media. “In fitting needs, there are ways to do it in which alienation wouldn’t be the forefront,” Rajagopal says. She believes that incorporating religious efforts will provide unity and highlight more poverty reduction efforts.

Conclusion

Israel remains entangled in a conflict with Palestine, which has shifted the focus away from poverty reduction for the time being. As such, organizations and grassroots movements like Haverim and Latet, and the work of individuals such as Kappach are primarily focusing on redirecting efforts towards helping the poor, and are especially important for providing essential aid and supplies for the most vulnerable parts of the population. These efforts in Israel prove that targeted aid and addressing the sociopolitical and religious identities of the Israeli and Jewish populations are essential to mitigating poverty in Israel in the long run.

– Xenia Gonikberg
Photo: Flickr

 

COVID-19 disrupts volunteer workAs the COVID-19 pandemic has swept across the world, no area of life has been left untouched. From millions of people working remotely to the severe curtailing of international travel, COVID-19 and its impacts are inescapable. One area of work in particular has been impacted. In many ways, COVID-19 disrupts volunteer work around the world. Efforts to fight the pandemic have been absorbing much of the global community’s attention and resources. However, the global community is now in danger of neglecting some of the most essential and under-appreciated workers in the word: volunteers. As wallets tighten due to the economic impact of the coronavirus, volunteerism may experience harsh cutbacks.

In some cases, volunteer organizations are finding that their previous model of activity, usually focused around bringing people together, is no longer possible due to social distancing requirements. This has sparked creative and thoughtful solutions about how to serve people who most need help without further endangering their health, overcoming the ways in which COVID-19 disrupts volunteer work.

Who Are the Volunteers?

While these solutions are helpful, there is another problem that is more difficult to confront: the general decline in volunteers. American senior citizens volunteer at a rate of 23.9%, as opposed to the 18.8% of people in their early 20s who volunteer. This rate is consistent in other countries, such as in Northern Ireland, where an estimated 25% of volunteers are over 65, and in France, where the vast majority of regular volunteers are over the age of 55. CDC data shows that COVID-19 becomes far more deadly as people age, with hospitalizations per 100,000 increasing exponentially past the age of 50. Regardless of creative solutions, the essence of volunteer work requires close contact between volunteers and the people they are trying to serve. Thus, the crisis in volunteerism becomes evident: older people are the majority of volunteers but are also those most vulnerable to the coronavirus. Consequently, COVID-19 disrupts volunteer work.

A Local Impact

Ms. Violaine Motte, a volunteer at the Église de la Sainte Trinité, understands how COVID-19 has disrupted volunteer work. The Parisian church distributes food four times a week to any who ask. Motte, who has worked with the church for six years, says that they have been distributing food for over 30 years.

The church sees a large variety of visitors seeking help, from workmen who cannot afford local prices to homeless people to retired people living on a fixed income. In the time of quarantine and social distancing, people coming from such diverse and varied backgrounds present a danger of infection. It is impossible to control or even fully know their movements and contacts. This is a particularly relevant risk for the volunteers at the Trinité church, as they fit the global trend of volunteers. Ms. Motte says that, before the pandemic, volunteers “were getting quite old because the average of the ladies coming is more or less 70 years old.” This creates a serious risk for volunteers at the church, who are thus unable to help while protecting themselves from infection.

As a result, COVID-19 disrupts volunteer work at the church. “The day of the confinement, due to the fact that we have old people in the volunteers, they were no longer allowed to come,” Motte says. “They’re too old; it’s a risky population. The priest decided not to have them anymore preparing the meal or serving the food.” Furthermore, Motte says that as a result of the new rules, the group was forced to take its operation out of the church and into the street, as well as drastically reduce the size of the team preparing food.

In addition, COVID-19 disrupts volunteer work through forced quarantine, which impacts many elderly volunteers. “For the old volunteers, it’s something very sad because they were told not to come anymore. In my point of view, the service is very important for the people who receive the service, but also for the people doing the service,” said Motte. “A big part of them are people living alone, and to come to the church and prepare food for others is a way to be inside their lives.” As the church moves forward in its activities, it remains unclear what can be done to ensure the participation of older volunteers.

This is a problem for the church, as they find it difficult to attract new volunteers. Motte says, “Since I’ve worked there, it’s still quite the same volunteers.” As a result, while older volunteers have been compelled to stay home, there hasn’t been anybody coming to take their place. Motte is frank about the challenges the church faces as a result of the coronavirus: “Now the rules are totally changing, and we don’t know what’s going on in September.”

However, Motte is equally frank about what needs to be done in order to ensure that this important work continues, despite the ways in which COVID-19 disrupts volunteer work: “Encourage more young people to volunteer.”

– Franklin Nossiter
Photo: Wikimedia Commons

Reasons for Elderly Poverty in the United Kingdom
Having worked for the past 40 to 50 years, most adults feel as though retirement will bring a new lifestyle. This includes feelings of excitement and joy as they think of ways to spend their newfound free time. However, the reality of retirement is far from this expectation in the United Kingdom. The U.K. has the worst poverty rate for the elderly population in Western Europe.

Defined as having an income of 40 percent less than the median average, a significant number of the elderly population in the U.K. faces poverty. A recent study by Professor Bernhard Ebbinghaus at the University of Oxford found that the U.K. is one of five countries that has experienced an increase in the number of people over the age of 65 that are experiencing poverty. The U.K.’s increase is by far the largest compared to other Western European countries. Mainly, there are three reasons for elderly poverty in the United Kingdom.

3 Reasons for Elderly Poverty in the United Kingdom

  1. The State Pension System: The state pension system is extremely strict as to who qualifies for the pension. In order to receive the state pension after reaching the retirement age of 65, one must have 10 qualifying years on their National Insurance record. This means that for 10 years, they must have paid their National Insurance tax while earning over £166 a week from one employer. Meanwhile, those who do not have a National Insurance record must have 35 qualifying years of employment. Because of such intense regulations, many do not qualify for the pension and end up in poverty.
  2. Low Basic Payments: The basic payment that comes with the state pension system is extremely low at £168.60. This only amounts to about 16 percent of average earnings. Because the pension is not enough to sufficiently cover one’s retired life, especially with regard to medical expenses, a portion of those who receive a pension will still find themselves living in poverty.
  3. Means-Tested Supplements: Every sixth pensioner in the United Kingdom received means-tested supplements as a way to bring themselves out of the poverty, expected from the low basic pensions. These supplements include private pensions taken out at most U.K. banks. This also includes workplace final salary pensions, the auto-enrolment scheme for employees and private pensions. Means-tested supplements are effective for some. They often provide an additional source of retirement income; however, they also result in a rise in financial inequality and exacerbate poverty. The government feels less of a need to increase the state pension because of the increase in privatization, meaning those who cannot afford private pensions remain stuck in poverty with no hope of change.

The pension age, set to rise to 66 between the years 2024 and 2026, occurred the last time the pension system changed in 2011. Since 2011, no other changes have taken place. Further, the labor government has refused to undertake any paradigmatic reform actions. This means the current problems of the pension system will likely persist in the future. Unless the government chooses to step in and make a difference, a portion of the elderly population in the U.K. will continue to suffer from poverty.

Living on a low income as an elderly person is extremely difficult. No future sources of income require budgeting every penny. Shopping lists are minimal and they save money for bills, meaning there are no luxuries. Retirement is the time to celebrate the end of work; however, for those living in the U.K., retirement is a burden in itself.

– Shvetali Thatte
Photo: Flickr

Eldercare in Sub-Saharan AfricaThe world is experiencing rapid demographic aging. In sub-Saharan Africa, a population of 165 million people above the age of 65 is expected by the year 2050, a number more than three times greater than today’s demographics in the region. The care needs of the elderly are much greater in developing countries than in developed countries. However, the WHO works to create sustainable, organized, affordable and accessible long-term care infrastructure that will protect the rights and dignity of vulnerable elderly people. Implementation of universal health coverage, which will make quality eldercare feasible, is its biggest priority in this regard.

The most successful models for eldercare in sub-Saharan Africa are collaborative and meet the rights, needs and preferences of individuals while encouraging their purposeful participation in society and their independence to the greatest extent possible. Oftentimes, this effective care allows for the elderly to remain in the home of a relative but with in-home care visits and access to a variety of supportive programs that meet their basic needs and also combat loneliness and isolation. A few innovative programs in sub-Saharan Africa meet the long-term care needs of the elderly. The study of these models facilitates their recreation for greater numbers of elderly citizens.

Examples of Successful Models for Eldercare in sub-Saharan Africa

  • Ghana: Care for the Aged Foundation provides organized, in-home care visits and assistance with personal care errands. Volunteer workers receive free health care in exchange for their service. Trust has grown in the community for this type of care and there is a long waitlist to participate.
  • Kenya: Private Nursing Agency [name protected per WHO policy] is a private company also providing individualized, in-home care from professionals. This efficient model is growing in popularity, but it is inaccessabile for those without insurance due to the cost.
  • South Africa: Rand Aid is a nonprofit organization with a retirement village model. Residents have security, a high quality of life and care as needed. The returned equity for their spot in the village (as with a condo as opposed to non-returned rent or nursing home expenses) draws people in. Care focuses on freedom of choice and autonomy, translating to the best quality of life.
  • Tanzania: HelpAge International works to improve access to in-home health care services to combat symptoms of poverty and alleviate long-term illnesses. HelpAge implements the Better Health for Older People in Africa program funded through U.K. aid. The program is widespread, individualized and collaborative with families. The program assists physical, emotional, spiritual, social and even the economic wellbeing of the clients.

These programs have the following characteristics in common:

  1. Involvement of family members in plan implementation
  2. Taking into consideration the preferences of the elderly person in care
  3. Adequate training of the caregivers
  4. Integration of comprehensive healthcare services
  5. Equitable access
  6. Quality of conditions for care providers
  7. Financial sustainability of programs

Filial Piety in sub-Saharan Africa

Currently, in sub-Saharan Africa, tradition and societal norms, as well as the lack of large-scale organized infrastructure, dictates that children of the elderly carry out the majority of eldercare in their homes, known as filial piety. The overwhelming burden of long-term care falls on girls and women. Most elderly requiring long-term care (those who no longer live independently) receive that care in an unregulated manner. This strain can prolong the cycle of poverty for far too many households.

In addition, the quality of care can be highly inconsistent leaving room for neglect and lack of basic needs being met. Girls and women who care for the elderly may miss out on education or employment opportunities because of this expectation. Furthermore, their own physical and mental health may suffer.

Continued research will increase understanding of the dynamics of eldercare globally. A Health and Retirement Study in the U.S. has expanded to several international sister studies and the World Health Organization is conducting a longitudinal study collecting data on adult health and aging.

What Can Be Done?

In order to meet the needs of the elderly in sub-Saharan Africa and establish integrated long-term care systems in the decades to come, several steps are needed according to the WHO:

  1. A comprehensive understanding of how people age and what their needs are.
  2. Analysis of deficits in current care models as well as the burdens placed on others.
  3. Close mapping of successful models and how to replicate them.
  4. Sharing of information and best practices cross-culturally and cross-nationally.
  5. Nurturing cultural acceptance of effective models that may differ from current practices.
  6. Coordinating and establishing national efforts, including funding; build infrastructure. Training and monitoring of caregivers are essential to this structure.

– Susan Niz
Photo: Wikimedia