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Elderly Poverty in Cameroon

Elderly Poverty in CameroonElderly poverty in Cameroon manifests in several ways. About 12.2% of male elderly heads of households and 21.4% of female elderly heads of households live in poverty. For many, accessing health care is difficult, and the country’s average life expectancy is 60. Only 3.8% of the population is 65 or older. Lack of social insurance allows elderly poverty to persist, which limits opportunities for personal development. 

Health Threats

One of the greatest consequences of elderly poverty in Cameroon is reduced access to health care. Citizens have to pay for services, and availability is often limited in the northern and eastern regions. Additionally, the people in these regions can distrust health services. The elderly are the leaders of households because families value their experience, and many elderly people dislike technology for fear that it devalues that experience.

In 2022, more than 400,000 Cameroonians were living with HIV and health facilities reported more than 9,000 new cases. The infection rate among the elderly in rural areas is 2.6%. HIV-positive Cameroonians in their prime years can struggle to support the elderly. If they die, orphans and widows must depend on the elderly for income, forcing them to continue working despite their age.

Cameroon has used rapid molecular diagnostic tests to identify TB since 2012, but health facilities only reported 24,000 TB patients in 2019, compared with the estimated average of 52,000 TB patients per year, indicating a significant diagnostic gap. In 2021, the mortality rate of TB (excluding people also infected with HIV) was 30 cases per 100,000 people.

Food security is another health concern. In a community in Yaoundé, the nation’s capital, 37.5% of the elderly were food insecure in 2024.

The Cameroonian government spends less than 5% of GDP on health care, and while the 2017 National Social Protection Policy set the goal of increasing coverage, it was unclear as to the methods that would be used.

Limited Social Insurance

As people age and become unable to work, their only source of income is social insurance, making it a necessary response to elderly poverty in Cameroon. The country’s social insurance system only covers those in the formal sector, the portion of the economy that is subject to taxes and social contributions, but the majority of the labor force works in the informal sector. Only 118,000 citizens, less than 0.01% of the population, receive a pension. Widows only receive a survivor pension if they do not have children in the workforce.

Because of this, many Cameroonians rely on family, religious institutions or tontines for support, but these are more volatile than government programs. At the moment, all government programs are contributory, and social safety nets protect 0% of the poorest quintile of the population.

Barriers To Personal Development

Government spending on education has remained at 3% of GDP for the past decade, and tertiary education receives far less funding than primary or secondary education. Along with restrictions on access to tertiary education based on gender, ethnicity or political affiliation, this hinders many Cameroonians’ ability to potentially gain certain types of jobs, which may force them into work with greater health risks and less insurance coverage through their elderly years.

Banking services are largely unavailable outside urban areas, and less than 20% of citizens have access to them. This prevents many people from saving money they can rely on as they age, which could worsen elderly poverty in Cameroon.

Solutions

Positive-Generation, a Cameroonian nonprofit, has collaborated with The Regional Centre for Research and Training in Clinical Management in Fann, Senegal, to improve care for those living with HIV over 50. They prioritize diagnosis and treatment of comorbidities, two or more medical conditions that affect a single patient at the same time. The initiative has reduced the price of drugs for high blood pressure and diabetes. Additionally, the organization has administered free care for cervical cancer and provided education and screenings for more than 1,200 people 50 or older. It also refers patients to organizations that promote healthy aging through exercise and physical therapy.

From 2009 to 2017, the World Bank Group treated 10,000 cases of tuberculosis and taught hygiene practices to avoid contraction of diseases. Health care workers in the village of Kagnol visited all households twice a month to assess health conditions. If necessary, they escort patients to nearby health care facilities.

In response to the lack of social safety nets, the Group’s International Development Association (IDA) established a cash transfers program that has benefited 85,000 households since 2013. The IDA plans to train more than 60,000 young people in entrepreneurship and business development. Training initiatives will allow them to care for themselves financially as they age. 

The International Fund for Agricultural Development (IFAD) has invested in a project to increase production of rice and onion. Furthermore, the project aims to rehabilitate land and build new crop storage facilities. The project targets 216,000 people in the northern and far northern regions. Poverty levels in these regions are particularly high, as well as northwestern and western regions. 70% of these people are adults or elderly, and the IFAD specifically focuses on those with disabilities. 

The IFAD’s Aquaculture Entrepreneurship Development Support Programme similarly identifies the elderly as a target group. The plan includes guidelines for farm contractors to reduce dust and particulates, which pose health risks for the elderly.

Looking Ahead

Many programs have effectively addressed elderly poverty in Cameroon. Improved health care access and agricultural production will continue to let the elderly support themselves. Progress in that area shows this issue can be beaten.  

– Tyler Payne

Tyler is based in Allentown, PA, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

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Combating Elderly Poverty in Kazakhstan

Elderly Poverty in KazakhstanDespite making a significant economic recovery since the onset of the COVID-19 crisis, Kazakhstan still faces challenges with elderly poverty. In 2024, 413,000 Kazakh citizens received assistance through the government’s Targeted Social Assistance (TSA) program, according to official data. Although TSA provides some relief, social stigma mitigates the economic impact of a program that many say still is not enough to cover basic costs. Here is more information about elderly poverty in Kazakhstan.

Lowering Poverty Rates Still Impacts the Elderly

The Asian Development Bank reported in 2023 that 5.3% of Kazakhstan’s population lived below the national poverty line. Anecdotal evidence suggests the elderly bear a substantial amount of this burden. Kazinform notes that Kazakhstan has one of the largest elderly populations in the world. 

The National Library of Medicine reported that elderly citizens in Kazakhstan face substantially higher difficulties in daily life than those who live in hospitals or care centers. 

Concerns Amid an Aging Population

In recent years, Kazakhstan’s population has seen a rise in its elderly retirees. Human Rights Watch notes that the government has coordinated with the United Nations (UN) to pioneer the Active Aging program. 

According to Kazinform, Kazakhstan’s official state news agency, the Active Aging program established centers around the country that “improve the quality of life of older people and create a new culture of aging.” The success of these centers, in coordination with the United Nations Population Fund, highlights how proper care for the elderly is not only a growing issue in Kazakhstan but a government priority.  

Though Kazakhstan has made much progress, many of its elderly citizens work side jobs to supplement their pensions and other benefits. The Targeted Social Assistance (TSA) program, Kazakhstan’s primary government program for alleviating poverty, requires participants to hold or actively seek full-time employment. 

Working a formal job is not always feasible for the elderly, and Human Rights Watch notes that many elderly citizens in Kazakhstan have taken up side jobs such as cab drivers. Speaking with the United Nations Population Fund, Aigul, 63, described how her retired husband took up driving a taxi to help her support their grandchildren. Although there is an imbalance in elderly coverage by TSA, there are also promising signs of economic growth that may contribute to long-term policy solutions. 

Promising Signs of Growth Despite Challenges 

Last year, the International Monetary Fund (IMF) reported that Kazakhstan’s real GDP grew to 5.1% in 2023. In 2024, the IMF reported that inflation dropped to 8.7%. 

The war in Ukraine poses a risk of economic uncertainty in Kazakhstan, as low oil prices and uncertain foreign investment threaten recent gains. Despite the risk, the IMF report points to signs of steady economic recovery, meaning that elderly citizens’ money can now go further to cover basic costs.

ARDAGER Improves Elderly Quality of Life 

According to HelpAge, an international nonprofit that works with the elderly, ARDAGER is a Kazakhstani NGO working with the country’s elderly citizens. The United Nations describes ARDAGER’s mission statement as to “assist senior people to improve their social status through different services.”

ARDAGER provides Kazakhstan’s elderly population with critical medical, technical and quality of life support. Kazakhstan’s growing civil society, along with government coordination with the UN, are making robust strides in addressing the challenge of poverty among Kazakhstan’s elderly. Though obstacles remain, growing attention to the issue and a stabilizing economy point to a brighter future.

Looking Ahead

Elderly poverty in Kazakhstan remains a complex problem that economic growth alone cannot solve. While government initiatives like the Active Aging program and nonprofit efforts such as ARDAGER have expanded resources and awareness, challenges like social stigma and restrictive eligibility requirements continue to limit access to aid.  Though obstacles remain, growing attention to the issue and a stabilizing economy point to a brighter future.

– Noah Frank

Noah is based in Ho Ho Kus, NJ, USA and focuses on Good News and Politics for The Borgen Project.

Photo: Flickr

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Elderly Poverty in Turkmenistan

Elderly Poverty in TurkmenistanDespite holding abundant gas and oil reserves, 45% of Turkmenistan’s population live below the poverty line, with 2.15% of the population, or 50,200 people, living on less than $2.15 a day. This has caused the nation to have the lowest life expectancy in Central Asia of 69.1. Between 2005 and 2021, Turkmenistan’s life expectancy rose by only 3.2 years, while life expectancy in neighboring Tajikistan rose by 5.1 years for a life expectancy of 71.29. It is in this context that elderly poverty has become an all too familiar occurrence in Turkmenistan. Here is more information about elderly poverty in Turkmenistan.

Support To Address Elderly Poverty in Turkmenistan

Elderly poverty rates are often higher than the overall population, and Turkmenistan is no exception. While specific data on this is limited, significant cuts to state pensions in 2006 may have left 300,000 people in poverty, including the elderly. Following the cutbacks, of the 229,000 people still receiving state pensions, many received no more than between £5.60 and £51 a month. This move occurred because government pension funds were already overburdened, forcing the government to dip into its currency reserves to meet the demand.

Since this occurred, state pensions have risen slightly, so the minimum one could receive is £21, but this is still not enough for most people. Furthermore, one only begins to receive their pension at the ages of 62 for men and 57 for women. While this would have relatively low pension ages in many developed countries, because of Turkmenistan’s low life expectancy, it forces people to work much later in life. This, coupled with the low payout from state pensions, leaves the elderly overburdened, forcing them to work long hours for wages that remain low.

Food Insecurity

Pensioners often have little support beyond their pensions. During the height of the COVID-19 pandemic in 2020, the nation plunged into a food crisis. Shortages of subsidized food had been occurring since 2016, and the government lacks a strategy to solve this issue. Instead, it exacerbated the problem, going as far as to deny the existence of poverty in the country so that the most vulnerable groups did not have access to social assistance and international food standards were ignored.

In November 2019, Human Rights Watch found, based on interviews with families, that families often spent 70-80% of their money on food, with one pensioner stating that her family spent all their money on getting enough to eat. Because of the food shortages, even getting a limited amount of food involves standing in line for hours at state shops that sell the limited government-subsidized food that remains, with privately owned shops being too expensive for the majority of citizens. These stores do not seek to support the most vulnerable; instead, they broadly attempt to treat all equally, leading to long waiting lines for food, meaning stores will often close without warning after running out of supplies. Due to their age, pensioners, especially those who are single or without family support, are especially vulnerable to these shortages that have not ceased despite beginning almost a decade ago.

Logistical Problems

On top of this, since 2018, in order to receive their pensions, the elderly must prove that they are not deceased. While this may sound simple enough and a way to prevent families from stealing funds supposed to go towards a now deceased relative, the lack of logistical planning for this makes it very hard for people to prove they are alive. One can only get proper documentation to receive a pension if a doctor and three government officials have seen them. As many lack access to a doctor, this is very hard for people to do, especially without family help.

Furthermore, due to the fact that the country has been experiencing a shortage in its national currency since 2016, many are unable to withdraw cash from their funds. Often, the cash they can withdraw is too old and unusable in most shops. As the purchase of foreign currency is illegal, many are unable to use their pensions to pay for basic goods and services.

Signs of Improvement

Considering all of this, it may be surprising that Turkmenistan is in the top 20 in the world in terms of being philanthropic. However, there are no charities or NGOs directly focused on combating elderly poverty; instead, they focus on fighting poverty across all aspects of society. However, investment from the Central Asian institute has provided indirect aid for the elderly through significant investment projects.

Most crucially for the elderly is the construction of health clinics in the city of Ashgabat, as well as the construction of residential buildings. These health clinics have also received aid from UNICEF, which provided the clinics with new oxygen plants in order to provide oxygen therapy. While this form of therapy is primarily for new mothers and children, it can help provide greater care for the elderly in the hope that life expectancy will increase. While it is only a small help within the national context, it is a step in the right direction, with the Central Asian Bank currently in the early stages of a four year plan (2024-28) to make the nation’s economy more resilient. This could have a transformative effect on the thousands of elderly members of society who are struggling.

Addressing Food Insecurity

In terms of fighting food insecurity, while there is still a long way to go to solve the insecurity, some are working to fight it. One prominent NGO is Eco-Durmush, a Turkmenistan based NGO that is female lead. Its aims is to promote sustainable agriculture and organic farming techniques in local communities to protect against changing weather patterns and a lack of government aid when it comes to food. Eco-Durmus has collaborated with the United Nations Development Programme (UNDP) to further stretch its sphere of influence. Because such local communities are often small and remote, their elderly population will rely on such business to gain the basic necessities they need. Furthermore, as Eco-Durmush is female lead, it gives a voice to elderly female members of society who without them would lack a voice that shines a light on their suffering.

Looking Ahead

The people of Turkmenistan have suffered under a regime that has been accused of countless human rights breaches and having failed to provide adequate living standards for them. Because of the totalitarian structure of government, an accurate picture of the oft-forgotten nation is hard to come by, especially on specific figures related to elderly poverty. However, from the data that one can gather, a picture forms of a nation that struggles to support its elderly and most vulnerable. With limited pensions, food and state support, the elderly have to fend for themselves in an unforgiving system, ultimately contributing to a life expectancy far lower than neighboring nations with little more wealth. However, hopefully, the efforts to improve the health system will help eliminate elderly poverty in Turkmenistan.

– Felix Hughes

Felix is based in the UK and focuses on Global Health and Politics for The Borgen Project.

Photo: Wikimedia Commons

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Elderly Poverty in Eritrea

Elderly Poverty in EritreaEritrea, a small country in the Horn of Africa, faces significant challenges regarding elderly care and poverty. The World Health Organization (WHO) estimates that the elderly in Eritrea (aged 65 and above ) constitute approximately 5.4% of the population. Most elderly citizens live in rural areas with limited access to essential services.

Economic Hardship

The deterioration of traditional family support systems for the elderly in Eritrea is predominantly linked to prolonged conflict, emigration and financial constraints. Indeed, one of the primary factors for elderly poverty in Eritrea is the substantial effect of national service on family structure. Furthermore, this is compounded by the inadequate wages provided to conscripts.

In Eritrea, national service is mandatory for individuals aged 18 to 50, impacting nearly 3 million of the 6.1 million population. As of January 2020, conscripts are remunerated with a minimal monthly salary of 3,000 nakfa. The salary is equivalent to approximately $190, which fails to suffice for basic family necessities. This inadequate income may contribute to rising poverty levels among the elderly, as numerous families rely on the insufficient earnings of conscripts. Ongoing conflicts and limited opportunities have resulted in significant emigration, leaving behind elderly individuals without adequate care.

Health Care Challenges

Access to health care is a significant issue for elderly people in Eritrea. The World Health Organization (WHO) states that there are only 0.8 physicians for every 10,000 residents in the country, one of the lowest figures globally.

The Eritrean Population and Health Survey (EPHS) found that 75% of Eritreans reside within a convenient 10 kilometers of a health facility. This is a concerning reality for some elderly people who are left with the daunting task of traveling beyond this distance to reach a health care center capable of addressing their age-related health conditions. Many elderly individuals face financial hardships that prevent them from affording the necessary transportation to access essential health services.

During an advocacy meeting on aging and health from March 26 to 28, 2019, Dr. Andebrhan Tesfatsion, the acting Director General of Public Health Services, affirmed that Eritrean elderly receive respect and support from families and communities, viewing aging as a positive aspect. However, he pointed out significant challenges for healthy aging, including unprepared health systems, insufficient social support, inadequate nutrition, food security and a lack of health information systems for aging indicators.

Limited Pension Coverage

Elderly poverty in Eritrea is becoming an increasingly pressing issue, with many older adults facing significant financial hardships. One key reason for this rise in poverty is the limited effectiveness of the current social support programs available to the elderly. Unfortunately, these programs reach only a small fraction of older adults in the country. This leaves many vulnerable individuals without the assistance they desperately need.

In Eritrea, the formal social protection system for senior citizens is minimal. Official programs aimed at helping elderly individuals and pensioners account for a mere 1.8% of all national social protection initiatives. This staggering statistic highlights the lack of resources and support structures necessary to assist a growing elderly population.

According to ILOSTAT data, as of 2021, social protection covers only 8.4% of Eritrea’s overall population. This means that a vast majority of people, including the elderly, do not receive any form of social safety net. The situation is dire and many seniors struggle to meet their basic needs.

Food Insecurity

The Food and Agriculture Organization (FAO) reports that 65% of Eritrea’s population faces undernourishment, especially in rural areas where 78% live. Despite this, agriculture only contributes 14% to the country’s GDP, revealing a gap between rural conditions and economic support.  

Elderly poverty in Eritrea is a critical concern, with 37% experiencing severe food insecurity. Indeed, only 60% can secure adequate nutrition in good years, and during droughts, this drops by 25%. This fluctuation highlights the vulnerability of agricultural systems and the urgent need for sustainable solutions to improve food security and quality of life for affected populations.

Solutions

Eritrea has progressed in elderly health concerns, from basic health care access to a comprehensive strategy aligned with international frameworks like the UN Decade of Healthy Ageing. The initial program (2017-2021) established objectives and a national focal point.

Eritrea’s current strategic plan (2022-2026) sets an ambitious goal of increasing healthy life expectancy from 53.7 to 63.6 years by 2026. Furthermore, the strategic plan addresses ageism and promotes age-friendly environments under the UN Decade of Healthy Ageing. It includes enhancing community care for older adults, improving data collection on healthy aging and revising health care policies to remove the fees for seniors. A nominal hospital registration fee of 6 Nakfa applies with waivers for those in need. Additional provisions include 24-hour emergency services, medication access for major non-communicable diseases (NCDs), improved governance and regional healthy aging programs.

– Vanuza Antonio

Vanuza is based in London, UK and focuses on Good News and Global Health for The Borgen Project. 

Photo: Unsplash

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Addressing Elderly Poverty in Azerbaijan

Elderly Poverty in Azerbaijan
Azerbaijan’s government and international initiatives are reducing elderly poverty in Azerbaijan, but the world still needs to take more action to fight it. The Asian Development Bank estimated that Azerbaijan’s poverty rate was 5.5% in 2022, as opposed to the World Bank’s estimate of 49.6% in 2001, showing a significant decrease in poverty. However, it is not an uncommon sight to see elderly people working in manual labor well after their retirement age. Here is more information about elderly poverty in Azerbaijan including what is being done to address it.

Economy and Demography in Azerbaijan

Ever since gaining its independence in 1991, Azerbaijan has been experiencing gradual economic development efforts. Poverty rates have decreased steadily, and the country is slowly progressing into a position of economic stability despite economic challenges such as the economic crisis of 2009.

Azerbaijan’s population of 10 million is expected to increase by 8.8% by 2050 according to the World Health Organization (WHO). The International Monetary Fund (IMF) projects that Azerbaijan’s GDP will grow by 2.5% in 2025 which the IMF described as moderate growth. The percentage of those 60 years or older in Azerbaijan is 11.6% and the World Bank is expecting that the number of elderly to make up 25% of the population by 2050.

The WHO also estimated that Azerbaijan’s life expectancy has increased by 7.68 years in 2021 compared to 2000 which means that the average Azerbaijan today will live until 72.9 years rather than 65.  All of this threatens an increase in elderly poverty in Azerbaijan due to increased constraints on the pensions and benefits system.

The Pensions System and Working Age in Azerbaijan

Much of the progress that Azerbaijan has made in fighting poverty and elderly poverty in the 2000s is due to its rapid economic growth which led to reforms to the pensions system. Pensions increased from 42% of the subsistence level in 2001 to 95% in 2008, according to the European Commission for Employment, Social Affairs and Inclusion. This change led to a decrease in poor households. These changes were part of the reason for the elimination of poverty amongst retirees in Azerbaijan.

However, elderly poverty is still a problem in Azerbaijan despite these reforms with those 65 years-old or over and living alone among the most vulnerable groups for poverty and social exclusion according to the European Commission.

Azerbaijan continues to make progress in access to its pension system to fight elderly poverty such as the introduction of an automatic and electronic pension payment system in 2019, which led to easier access to pensions. For example, during the first eight months of 2021, authorities automatically appointed 16,299 people, representing 60.2% of all pension assignments.

The Dependency Ratio

The World Bank expects Azerbaijan’s dependency ratio to increase from 44 dependents per 100 working-age persons in 2010 to 54 dependents per 100 of the working population by 2050 with old-age being the main driver of this increase. The dependency ratio is a measure of those who work and contribute the pensions and benefits system compared to those who do not work and rely on pensions and benefits. Azerbaijan’s rising population is also primarily driven by old age and increased life expectancy with reforms to pensions being the main policy used to fight elderly poverty, meaning that Azerbaijan will need more help to ensure that its policies promote more employment in order to fight elderly poverty.

Looking Ahead

Azerbaijan has made significant strides in reducing elderly poverty, but challenges remain due to its aging population and growing dependency ratio. Economic growth and pension reforms have helped but continued efforts are still needed to ensure that Azerbaijan’s pensions system and growth plans are well-equipped for its expected demographic changes. For example, there are currently no big global NGO initiatives fighting elderly poverty in Azerbaijan.

– Takey Elbarky

Takey is based in the UK and focuses on Business and Good News for The Borgen Project.

Photo: Flickr

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Elderly Poverty in Uruguay: Lowest Rate in Latin America

Elderly Poverty in Uruguay
Elderly poverty in Uruguay presents extreme challenges for individuals and society. Although Uruguay leads the region in social welfare and maintains one of Latin America’s lowest elderly poverty rates of 2.2%, gaps in the nation’s safety nets reveal ongoing struggles. This article explores the overlooked realities of elderly poverty in Uruguay and examines its impact on social isolation, mental well-being and the growing strain on the country’s renowned social security system.

Why Elderly Poverty in Uruguay Exists

Social isolation often compounds these difficulties, as financial constraints can limit mobility and access to community resources, leaving many elderly individuals feeling disconnected and unsupported. While programs like the Non-Contributory Pension provide vital assistance, some seniors still rely on family support or informal work. These challenges highlight the need for continued investment in social protection and targeted initiatives to address the unique vulnerabilities of Uruguay’s aging population.

Considering that one in four elderly individuals in the country lives alone, the issue of social isolation becomes an increased risk. Living alone often exacerbates feelings of loneliness and disconnect, particularly for those already struggling with limited mobility or financial constraints. Addressing this issue requires not only expanding economic assistance but also fostering a more inclusive social environment that ensures all elderly individuals can age with dignity, connection and support.

The Overlooked Realities

Uruguay’s relatively low elderly poverty rate in Latin America does not eliminate the significant consequences of this issue. The country’s robust social security system and progressive policies aim to support its aging population. However, even in a nation lauded for its social safety nets, elderly poverty still affects many individuals and creates far-reaching problems.

Limited financial resources often force elderly individuals to live in inadequate housing. Additionally, social isolation, often a byproduct of financial hardship, undermines their mental and emotional well-being which leads many to navigate their golden years in loneliness and insecurity. These realities impact not only individuals but also strain Uruguay’s social infrastructure. This demonstrates the need for focused strategies to address the unique challenges that elderly poverty in Uruguay poses.

The PNC’s Impactful Programs

Uruguay significantly reduced its elderly poverty rate through pioneering social protection programs such as the Non-Contributory Pension for the Elderly and Disabled (PNC). Established in 1919, this initiative provides critical financial support to individuals over 70 and those with disabilities who lack the means to cover basic living expenses. The Banco de Previsión Social (BPS) administers the program, which ensures a monthly cash benefit of $135 for eligible recipients. This offers a lifeline to the most vulnerable.

Two decades later, Uruguay continues demonstrating its commitment to social protection. By 2022, the elderly poverty in Uruguay dropped to just 2.2%. Remarkably, this low rate exists alongside a significant elderly population, as 17.3% of Uruguay’s residents fall within the age of 65 or older. This proportion ranks remarkably high among other countries. In perspective, the United States stands at 16.5% while Canada is at 16.3%.

Additionally, Uruguay’s dual pension system combines mandatory savings for higher earners with non-contributory support for those in need, creating economic stability for its aging population. With social security spending accounting for 8.7% of the GDP as of 2012, the PNC not only reflects Uruguay’s strong political commitment to income security but also serves as a model for addressing elderly poverty across Latin America.

In contrast, 29% of Latin America’s population lived in poverty in 2022, including 11.2% experiencing extreme poverty. These challenges disproportionately affect women, indigenous communities and rural populations, highlighting the need for strategies like Uruguay’s to alleviate poverty among seniors.

Empowering Elders to Avoid Isolation

Social isolation deeply harms mental health, often leading to loneliness, anxiety and depression. Prolonged isolation increases risks of cognitive decline, weakens immune systems, and raises the likelihood of substance abuse.

On a societal level, social isolation undermines social infrastructure by weakening community bonds, reducing civic engagement and diminishing the collective sense of trust and support. This erosion of social cohesion can lead to less effective collaboration in addressing shared challenges, from economic inequality to public health crises.

There are some countries reporting that up to one in three older people feel lonely. With the likeliness of this, investing in initiatives that foster connection and inclusivity is essential not only for individual well-being but also for maintaining a resilient and thriving society.

Latin America’s Most Robust Social Welfare System

Uruguay’s social security system, considered one of Latin America’s most comprehensive, supports nearly 90% of the elderly population through a mixed system of public and private schemes. In 2018, social security spending accounted for 11% of Uruguay’s GDP, surpassing funding for sectors like health and education.

Despite the challenges, this robust welfare system highlights the commitment to reduce elderly poverty in Uruguay by showcasing the potential of comprehensive social welfare frameworks. However, experts and policymakers, stress the urgent need for reform—such as raising the retirement age and recalibrating pension formulas—to ensure long-term stability.

While these reforms face political resistance and public opposition with 69% of Uruguayans opposing the raise of retirement age, they are crucial for maintaining Uruguay’s pioneering social welfare model, which has become a cornerstone of the nation’s commitment to addressing elderly poverty.

How Other Countries Can Reduce Elderly Poverty

Uruguay’s approach to addressing elderly poverty offers valuable lessons for nations aiming to build robust social welfare systems. Its combination of non-contributory pensions for the most vulnerable and mandatory savings for higher earners ensures broad coverage while mitigating economic disparity among seniors.

Other nations could adopt similar policies by implementing means-tested financial support programs and promoting inclusive pension systems. Additionally, initiatives aimed at reducing social isolation—such as community centers, digital literacy programs and intergenerational projects—can help protect the mental and emotional well-being of older adults. By allocating meaningful resources to social security, governments can reduce elderly poverty, strengthen social cohesion, and create a more equitable society where aging populations receive the dignity and care they deserve.

– Bailie Cross

Bailie is based in Pensacola, FL, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Aging in Deprivation: Elderly Poverty in Trinidad and Tobago

Elderly Poverty in Trinidad and TobagoThe Caribbean islands of Trinidad and Tobago are grappling with their ability to support the elderly members of their country as life expectancy increases. The older community is the fastest growing part of the population, with a current estimate of 14%, which is putting a natural strain on the government’s ability to provide for their housing and health care needs. It is unclear exactly how many of the elderly are in poverty, but due to their estimated growth to 30% of the population by 2050, protective measures are being taken.

When they can no longer support themselves, the elderly are “the prime target to be victims of poverty, exclusion and marginalization, and may suffer from the effects of negative stereotyping.” It grows increasingly more difficult for them to meet their daily needs as they struggle with unexpected health costs and no source of income. Members of a lower socioeconomic status, and without family to financially support them, are left lonely and in a position of hopelessness when they reach the age of retirement.

Exacerbating Elderly Poverty in Trinidad and Tobago

There are a multitude of factors that can contribute to or exacerbate poverty. Two of the larger contributors to elderly poverty in Trinidad and Tobago are the development of chronic illnesses and health care costs. These unpredicted costs force the elderly into making sacrifices in order to financially support their health needs.

Multimorbidity is the development of multiple chronic medical conditions, and its prevalence is found to increase with age. Multimorbidity is not seemingly more common in low socioeconomic communities, however, its occurrence in those members is far more detrimental. The correlated increased hospital visits, medicinal costs and medical bills would only push the elderly further into poverty and unhealthy living conditions. 

The majority of the population of Trinidad and Tobago does not receive coverage from health insurance, while “inequalities in coverage persisted across socio-economic status: only 4% of the population among the poorest income quintile” had coverage. Additionally, long term care facilities are highly dependent on pensions to meet costs. This is marginalizing the proportion of the population that does not receive a pension and makes escaping the cycle of poverty more difficult.

Solutions

Government programs from the Ministry of the People and Social Development have already been implemented to support the health of the elderly. A few of these programs being: Necessitous Patients Programme/Medical Aid Programme, Adult Cardiac Surgery Programme and the Memory Clinic. All of these programs and the continual betterment of national health services sets a positive precedent for the elimination of elderly poverty in Trinidad and Tobago.

A major success is the adoption of the Chronic Disease Assistance Programme (CDAP). This program provides government funded medication to people with “non-communicable diseases such as hypertension, diabetes, heart disease and certain cancer therapies.” Alleviating the factors contributing to elderly poverty in Trinidad and Tobago displays progress towards a better future and provides the aging community with some sense of relief and care.

Habitat for Humanity

There are a multitude of organizations that are dedicated to finding solutions to the issue of elderly poverty in Trinidad and Tobago. One of those organizations is Habitat for Humanity, which approaches tackling poverty by facing the demand for housing throughout the country. The organization helps people who do not qualify for loans, due to either their age or income, by providing housing solutions.

It has worked in Trinidad and Tobago since 1997 and has since then served 845 individuals through building and repairing homes. It began its program in the country after the release of an estimate that 200,000 people were living in informal settlements and the wait for government housing was 25 years. In order to provide aid, it utilizes both donations and volunteers.

Looking Ahead

A lot of commendable work has occurred to combat the issue of elderly poverty in Trinidad and Tobago. The government has made strides in noticing and addressing the needs of the older community, specifically in regards to their health care needs. There are still areas to address in order to lift the community out of poverty, but there are numerous volunteer and support opportunities to help achieve that goal.

– Sydney Morrow

Sydney is based in London, UK and focuses on Global Health, and Politics for The Borgen Project.

Photo: Freepix

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Elderly Poverty in Bosnia and Herzegovina

Elderly Poverty in Bosnia and HerzegovinaAccording to the Swiss Cooperation Programme, elderly poverty in Bosnia and Herzegovina is a concern. Predictions state that more than 30% of the population will be above the age of 65 by 2060. More than 16.9% of Bosnians live below the poverty line but the post-war economy in Bosnia and Herzegovina has significantly restricted the ability for economic prosperity. Following the Bosnian War, many Bosnians lost economic assets and experienced displacement, and they are still experiencing those effects today. In the words of the Wiley Online Library, “Bosnia-Herzegovina still experiences political instability, genocide denial, and growing poverty levels that particularly impact the aging war victims.”

Pension System Struggles

Bosnia and Herzegovina’s pension system consists of two different pension funds, The Federation (FBiH) and Republika Srpska (RS). However, The International Journals of Integrated Care (IJIC) reports that nearly 60% of the elderly population lacks access to pension benefits and social care. Due to the financial consequences of the Bosnian war, a proper pension system became necessary for the people of Bosnia. In 2011, Republika Srpska (RS) launched a pension reform to reduce pension contribution arrears. In 2018, The Federation (FBiH) took on a similar reform in hope for a better pension system for Bosnians. According to a 2021 weekly briefing by the China-CEE institute, both pension systems will be stable for the next decade. However, for future sustainability both systems would need further reformation such as labor incentive policies and making these systems administrative friendly.

A Need for Long-Term Health Care

Without a universal healthcare system, the large elderly population of Bosnia has had unequal access to health care. Those who do have access to health care have to spend an undesirable amount on health care and “almost entirely consisting of out-of-pocket payments which are mainly spent on medicines and therapeutic appliances” according to the European Observatory. Bosnian citizens spend twice as much for health care than European Union citizens.

The Bosnian War, which physically and emotionally scarred many citizens, has made access to adequate health care vital. According to the World Bank, the Bosnian government spends only 9% of its GDP on health care, which is three times lower than any other country in the EU. As a result, Bosnia and Herzegovina has one of the lowest-quality healthcare systems in Europe. The COVID-19 pandemic only set back years of positive work done for health care in Bosnia however, with humanitarian groups like World Bank, many Bosnians will likely have more adequate health care in the years to come.

Positive Change Incoming

Humanitarian groups such as the World Bank, have made strides to tackle elderly poverty in Bosnia and Herzegovina through projects like the Strengthening Transparency and Accountability of Bosnia and Herzegovina’s Health Systems Project. The Project, which started in 2022, focuses on improving the transparency and efficiency of Bosnian health systems. One goal of the project is to ensure better health care for all citizens with an emphasis on the elderly individuals who are disproportionately effected.  Other groups such as the United Kingdom Agency for International Development (UKAID) and the UK Good Governance Fund (GGF) have been working closely with specifically health ministries in Bosnia for health care reformation. With the BiH working in partner with these groups, elderly Bosnians can have hope once again.

Looking Ahead

Elderly poverty in Bosnia and Herzegovina has continued to overwhelm the BiH for more than 30 years, failing to provide adequate social support and healthcare systems. However, with current social system reforms and outside humanitarian groups, Bosnians have hope. While conditions are improving, sustained collaboration between the government and other outside groups is vital for reducing elderly poverty in Bosnia and Herzegovina.

– Naseem Rahman

Naseem is based in Highland Village, TX, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Aging in Need: The Struggles of Elderly Poverty in Liberia

elderly poverty in liberiaLiberia is a country on the west coast of Africa with a population of around 5.5 million and ranks as “the ninth poorest country in Africa and the world.” Still recovering from years of civil conflict and the Ebola crisis over the past decade, Liberia has achieved significant development progress, focusing on reducing poverty and enhancing basic service delivery for its population, while successfully transitioning between democratically elected governments This essay will discuss the state of the elderly poverty in Liberia, the work that the government has been doing to address this growing crisis.

Elderly Poverty in Liberia

The elderly living in poverty in Liberia face significant challenges, as it lacks a “universal statutory social security system for its older population.”  The highest level of poverty is among individuals aged 60, with more than 60% living in absolute poverty, 48% facing food poverty and 22.2% in extreme poverty.

As most elderly citizens have not participated in the formal labor market, they are not eligible for pension schemes that could provide income security. At present, the only available option is a contributory national pension scheme. Unlike high-income countries that provide comprehensive pension systems, few African nations including Liberia, offer similar protections.

For those who do have pensions, coverage remains inadequate, lacking the support systems for surviving spouses and children that are typical in wealthier nations. According to the International Monetary Fund (IMF) study, there is only a small fraction—approximately 300,000 people—qualifying for the national pension scheme.

NASSCORP

The Liberian government operates the National Social Security and Welfare Corporation (NASSCORP), a statutory public trust established in 1975. NASSCORP administers the country’s social insurance program, providing benefits for individuals who contributed premium fees while employed. The program addresses “income loss due to injury, invalidity, old age, or the death of a breadwinner.”

Despite this framework, Liberia faces significant unemployment challenges, with many citizens unable to secure formal-sector jobs and, consequently, not contributing to NASSCORP. As they age, a majority rely on family support rather than a pension. NASSCORP aims to pay a monthly pension equal to at least 25% of a retiree’s average monthly earnings, funded by contributions from employers (3%) and employees (4.75%)—a total of 7.75% of monthly wages. To qualify for this pension, individuals must be at least 60 years old and have made contributions for a minimum of 100 months, with additional contributions increasing the pension.

However, many eligible citizens struggle to prove their entitlement due to the loss of records during 15 years of civil war, and a significant number lack any history of formal employment, particularly in rural areas. Consequently, elderly individuals often depend on family care, which is more sustainable in rural communities than in urban areas, where higher living costs and weaker traditional bonds complicate support systems.

PAPD

The Pro-Poor Agenda for Prosperity and Development (PAPD) 2018-2023 aims to address elderly poverty as part of Liberia’s broader national development strategy, according to the IMF report. This agenda builds on previous strategies and lessons learned from past poverty reduction efforts and focuses on enhancing the welfare of vulnerable populations, including the elderly poverty,

The four major pillars of the PAPD are:

  • “Power to the people:” Empowering citizens, including the elderly, with necessary skills and tools for better life control.
  • “The economy and jobs:” Fostering private sector-led growth and job creation, with an emphasis on economic inclusion,
  • “Sustaining the peace:” Promoting social cohesion to support sustainable development
  • “Governance and transparency:” Strengthening state capabilities for inclusive governance.

As for the way forward on empowerment, stakeholders consistently cited access to good quality education and health as the top priorities for the PAPD. Demand for more and better health and education facilities and, for good quality instruction, was high. Water and sanitation facilities were also high in demand. Moreover, special programs targeting youth, empowerment of women and people with disability and support for the elderly were high on the order of priorities, the IMF reports.

Conclusion

Liberia’s elderly population faces a significant crisis of poverty. The absence of a universal pension system, coupled with high unemployment rates and the historical impact of civil conflict, has left many older citizens without the means to support themselves. While the National Social Security and Welfare Corporation (NASSCORP) offers some relief through a contributory pension scheme, its coverage is limited and many eligible individuals struggle to access these benefits due to lost documentation and a lack of formal employment history.

– Hoi Ieng Chao

Hoi is based in Macau and focuses on Politics for The Borgen Project.

Photo: Flickr

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Tackling Elderly Poverty in Somalia  

Elderly Poverty in Somalia
Since the collapse of Somalia’s central government in 1991, the country has faced decades of civil war and lawlessness. Political instability and ongoing conflict have driven widespread poverty, leaving Somalia as one of the world’s poorest nations. Regarding this, 69% of the population lives below the poverty line, earning less than $2.15 a day. Estimates indicate that the poverty rate among the vulnerable and the elderly ranges between 70% and 80%. As the country’s infrastructure deteriorated, so did its ability to provide services to its vulnerable demographic. Elders, who once held revered position in Somali society, now largely depend on their families for survival. However, widespread poverty among younger generations has weakened these traditional support systems. Instead, international organizations are implementing systems to tackle elderly poverty in Somalia.

Conflict Issues

 Years of armed conflict between government forces, militant groups like Al-Shabaab and clan-based factions have caused mass displacement across Somalia. As of 2024, there are more than 3 million internally displaced persons (IDPs) in Somalia. Many elderly individuals, who often lack the physical ability to flee quickly, experience relocation into overcrowded and poorly resourced IDP camps. In these camps, elders endure harsh living conditions with limited access to food, clean water and health care.

Moreover, elderly-headed households are often more susceptible to impacts of violence than households headed by younger people. In contrast, households in the top 20% of the consumption distribution manage to weather these crises better because they typically have savings or alternative income sources. This financial shield allows them to soften the economic shock from terrorist activities and maintain their consumption levels. Consequently, when violence occurs, poverty-stricken elderly individuals suffer more than those in Somalia’s wealthier communities.

Health Care Difficulties

Conflict has decimated Somalia’s already fragile health care system, leaving the population, including the elderly, without essential medical care. However, as the Somali government channels most of its resources into military and security operations, it underfunds and neglects health care facilities. As a result, Somalia faces an alarming doctor-to-patient ratio of 0.4 doctors per 10,000 people.

Environmental Challenges

Somalia has experienced recurring droughts over the past decade, and as of 2024, it grapples with its worst drought in 40 years. With five consecutive failed rainy seasons, Somalia’s agricultural sector has been severely damaged.

Exacerbated by the droughts, heavy rainfall has caused devastating floods in parts of the country. As a result, the World Food Programme (WFP) reports that these environmental disasters killed 4 million livestock and pushed 6.6 million Somalis to crisis levels of hunger. Farmers will take years to restore ruined farmlands and pastures, which puts Somalia in urgent need of humanitarian aid.

Fighting Elderly Poverty in Somalia

“Understanding the magnitude and importance of income shocks, such as drought or conflict, in causing and perpetuating poverty is critical to designing policies aimed at building reliance and contributing toward the goal of ending poverty,” says Utz Pape, lead economist in Poverty and Equity Global Practice at the World Bank Group (WBG). This underscores that to tackle elderly poverty in Somalia, policymakers must address the root causes of these crises by focusing on safety nets and enhancing health care infrastructure.

HelpAge, in partnership with Horn International Relief and Development Organization (HIRDO), are working to provide critical support. They are offering cash assistance to help elderly individuals purchase food and medicines, as many do not receive aid directly and struggle to afford treatment for health conditions. In addition to financial assistance, the initiative also includes referrals for medical care and mental health support to address the physical and psychological toll of poverty crises on older populations. These efforts are crucial as food prices soar and the elderly, who no not have pensions, face increasing hardships.

Additionally, the Somali Help-Age Association (SHAA) has introduced innovative policies and practices with strategies aligned with the Sustainable Development Goals (SDGs) to fight poverty and hunger among vulnerable communities in Somalia. Their efforts specifically target the most at-risk elderly individuals through relief, recovery and development programs. SHAA works to address immediate needs while advocating for basic social, economic and cultural rights of elderly people. As a result of their initiatives, SHAA has reduced hunger by providing food vouchers and cash relief to elderly and disabled individuals living in IDP camps and rural areas. This approach successfully met 60% of the elderly’s immediate needs, making a substantial impact on their survival and well-being.

Looking Ahead

By aligning emergency relief with long-term development, Somalia can make progress toward reducing elderly poverty and achieving broader eradication goals. These efforts not only respond to immediate challenges but also work to break the cycle of poverty that entraps vulnerable communities.

– Nour Mostafa

Nour is based in Gloucester, UK and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr