Nearly 60% of the Eswatini population lives below the national poverty line. While poverty affects much of the population, studies consistently find that older persons are overrepresented in these poverty rates. One can trace elderly poverty in Eswatini back to three structural factors: limited social protection, rural economic dependence and long-term effects of the HIV/AIDS epidemic. These structural factors continue to affect elderly poverty in Eswatini, and people across the country.

Weak Social Protection and Limited Pensions

Eswatini spends about 1% of its GDP on its social protection programs. This is the lowest share of GDP to social protection expenditure in the region. Social protection programs include the Old Age Grant, which gives a monthly stipend of E500 to Eswatini people age 60 and over. This amount, which translates to roughly $26 or €24, must stretch across multigenerational households. 

According to the International Fund for Agricultural Development (IFAD), more than 70% of the Eswatini population depends on small-scale agriculture for income and subsistence. This means that workers do not contribute to formal pensions. Because of this, many elderly Eswatini people rely solely on the Old Age Grant. 

Rural, Low-Productivity Economic Structure

About 75% of the Eswatini population live in rural areas, where poverty is highly prevalent, and depend on subsistence farming. Agriculture in Eswatini is vulnerable to drought and adverse weather, and the country ranks 128 out of 187 countries on the ND-GAIN climate vulnerability index. For older adults, this rural economic structure means income is often tied to physically demanding, climate-sensitive work. 

Beyond income limitations, access to services also plays a role in elderly poverty. Rural communities often face limited access to healthcare facilities, transportation and formal employment opportunities. For older adults, traveling long distances to clinics or markets can add additional financial strain. 

At the same time, high unemployment rates among younger generations reduce the likelihood that elderly parents will receive consistent financial support from adult children. In a country where generations often share household resources, economic instability affects not only working-age adults but also older family members who depend on collective income.

Long-Term Economic Effects of HIV/AIDS

Though Eswatini’s reported HIV prevalence has declined as treatment coverage expands, the epidemic continues to affect the population. UNAIDS data show roughly 27% of adults between the ages of 15 and 49 are living with HIV.

Earlier waves of the epidemic led to high mortality among working-age adults. This reshaped household structures and shifted caregiving responsibilities to grandparents and older relatives. 

A United Nations report on the impact of HIV/AIDS on generational roles found that older adults in heavily affected countries often assume primary caregiving roles for orphaned children. In Eswatini, where many elderly already rely on limited social grants, supporting younger dependents continues to strain household income and contribute to persistent poverty.

Although Eswatini has made progress in expanding HIV treatment coverage and increasing the reach of its Old Age Grant program, structural pressures continue to affect elderly poverty in Eswatini. In response, new community based initiatives have emerged. The Philani Maswati Old Age Home, established in 2017 and 2018 as the country’s first residential care facility for older persons, was created to provide housing and daily support for elderly individuals who face neglect or extreme poverty. The facility offers stable living environments for older adults who may not have reliable family support. This facility indicates recognition of the need for formal care services. While challenges persist, initiatives such as Philani Maswati signal gradual efforts to strengthen protections for older citizens and address elderly poverty in Eswatini.

Looking Ahead

Elderly poverty in Eswatini is shaped by limited pensions, a rural economy built around subsistence farming and the long-term effects of the HIV/AIDS epidemic. Programs like the Old Age Grant show that the country is beginning to address these challenges. Continued efforts to expand support for the elderly is important as Eswatini works to reduce poverty across generations.

– Kale Overton

Kale is based in Ames, Iowa USA and focuses on Good News and Politics for The Borgen Project.

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