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Africa’s Longevity Boom Is Outpacing Care, Leaving Elders Behind

Field reporting from Uganda shows services overwhelmed by aging that is accelerating faster than systems can adapt.

Fathiya Natukunda places a cake at a picnic to celebrate a friend's birthday in a park, Sunday, Nov. 24, 2024, in Kampala, Uganda. (AP Photo/David Goldman)
Students play at a special school for children being raised by their grandparents run by the NGO Reach One Touch One Ministries to help support seniors in the community, in Magogo, Uganda, Saturday, Nov. 16, 2024. (AP Photo/David Goldman)
Pafras Jjemba, 88, who barely has anything to eat and survives on the pity of neighbors who give him bananas, stands in his home in Nkulagirire, Uganda, Friday, Nov. 15, 2024. (AP Photo/David Goldman)
Norah Kasozi, 73, gestures to her granddaughter, Shalom, 4, to be careful near a ditch as she's pushed in a wheelchair to her home by Isaac Okware following a physical therapy visit to a nearby clinic, Saturday, Nov. 16, 2024, in Mukono, Uganda. (AP Photo/David Goldman)

Overview

  • The 60-plus population in sub-Saharan Africa has grown about 50% in 15 years to roughly 67 million, with WHO projecting 163 million by 2050.
  • NGOs such as Reach One Touch One Ministries report long waitlists and limited reach, with rising costs forcing cutbacks to basics like food deliveries.
  • Dementia cases are increasing with little diagnosis or support, and caregivers sometimes confine relatives for lack of alternatives.
  • Only about two in ten people of retirement age in sub-Saharan Africa receive a pension, and in Uganda roughly four in ten older people live in extreme poverty with a small SAGE payment beginning at 80.
  • Aid reductions and uneven government follow-through have closed or scaled back programs, deepening gaps in health care, caregiving and disaster response for older adults.