Browsing by Author "Kotecho, Messay"

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    Effects of Social Isolation on the Well-Being and Coping Mechanisms of Older Adults in Bishoftu Town, Ethiopia
    (Oxford University Press, 2024-12-31) Kotecho, Messay; Kassay, Abraham; Adamek, Margaret; School of Social Work
    Research concerning older adults is gaining attention in Ethiopia. Nevertheless, previous research has disregarded the issue of social isolation among elders in Ethiopia. The prevalence of social isolation among older adults is now a significant concern worldwide due to its impact on both individuals and society at large. This study examined how social isolation affects the well-being of older adults and their coping mechanisms, focusing specifically on the experiences of older adults in Bishoftu Town, Ethiopia. A phenomenological approach was used to investigate the experiences of 10 older adults (5 male and 5 female) aged 60 and above, purposefully selected for in-depth interviews and observations. The results indicate that participants are increasingly susceptible to social isolation due to factors such as negative perceptions of aging, loss of meaningful relationships, economic hardships, and age-related health issues. Consequently, elders experience a reduction in social connections, health issues, psychological distress, and challenges in meeting basic needs. Despite these obstacles, older adults have developed various coping strategies, including engaging in prayer and spiritual practices, depending on intergenerational support, participating in traditional savings associations (Idir), and sleeping excessively. Nonetheless, many participants express feelings of pessimism, weakness, lack of affection, and a sense of worthlessness about their future. Additionally, participants report facing disengagement and a loss of social ties alongside grappling with severe poverty and inadequate access to healthcare services. The study underscores the urgent need to bolster intergenerational solidarity and social capital within the community to tackle the multifaceted challenges confronting older adults in Ethiopia.
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    "Hunger Would Kill Us Instead Of The Pandemic:" Elders' Responses To Covid-19 In Ethiopia
    (Oxford University Press, 2021) Kotecho, Messay; Takele, Anduamlak; Adamek, Margaret; School of Social Work
    The COVID-19 pandemic has posed unpredictable challenges globally. Urban elders in Global South nations are among the major population groups vulnerable to COVID-19. A qualitative case study design was used to uncover the challenges and sources of support for poor urban elders during COVID-19 lockdown in Ethiopia. Data were collected from 27 elders age 60 and above in Debre Markos Town via in-depth interviews and document review. Narrative data were analyzed using thematic data analysis. Four prominent themes were identified: 1. Food insecurity (“Hunger would kill us instead of COVID-19”), 2. Hopelessness (“Feeling hopeless and begging to die”), 3. Social isolation (“We prefer social support rather than food donations”) and 4. Gratitude (“Feeling thankful”). The physical distancing program introduced to contain the pandemic isolated many elders and diminished their capacity to access support from others needed to perform their daily activities. An institutional welfare system is needed to ensure older adults in the Global South can live a joyful and dignified life, even through a global pandemic. Moreover, a special emergency fund to meet older adults’ basic needs during a pandemic like COVID-19 should be introduced to minimize the effect of crises on vulnerable groups like destitute older adults in Ethiopia.
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    Is Active Aging Possible In Ethiopia? Perceptions Of Rural Older Adults
    (Oxford University Press, 2022) Teshome, Abraham; Kotecho, Messay; Adamek, Margaret; School of Social Work
    Despite historical veneration of elders, older adults are increasingly viewed as a burden in many Sub Saharan African nations. Using a hermeneutic phenomenological approach, in-depth interviews were conducted to explore the aging experiences of 20 adults aged 70 and older in rural Ethiopia. Themes that emerged from the interviews were analyzed in light of the three pillars of the World Health Organization’s Active Aging Framework: health, security, and participation. Despite facing multiple barriers to active aging including lack of health care, financial hardship, ageism, and social exclusion, study participants were determined not to withdraw from activities in an effort to retain their autonomy, independence, and sense of dignity. As one participant shared, "the government does not care about us because it considers us as a useless segment of the society." Three themes reflected their major struggles: dwindling health and lack of access to health care, financial hardship, and social exclusion tied to ageism. The fourth theme--willful and purposive engagement--reflects the older adults’ response to these struggles. Contrary to myths about rural aging, study participants faced multifaceted challenges that kept them from realizing active ageing as they were not provided with sustained opportunities for health, security, and participation. Study findings point to the need for policymakers and other concerned bodies to develop supportive policies and programs to promote older adults’ well-being. The study calls for a paradigm shift that involves adopting the WHO’s Active Aging Framework, developing rights-based policies and programs, popularizing active aging, and revitalizing intergenerational solidarity.
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    Life On The Streets Is Horrible: Older Rural-Urban Migrants Cope With Homelessness In Ethiopia
    (Oxford University Press, 2022) Gebeyaw, Getachew; Kotecho, Messay; Adamek, Margaret; School of Social Work
    The prevalence of homelessness among older adults in Ethiopia is growing. While prior studies examined the push factors and challenges of homeless elders, little is known about how older people in Sub Saharan Africa cope with homelessness. This study explored the coping strategies of homeless older people in Kobo Town, Ethiopia. Purposive sampling was used to identify 10 homeless older people and four key informants. Study participants were homeless for a year or longer. Thematic analysis was used to analyze the data collected through in-depth interviews. To cope with the challenges faced on the street, homeless older people used various strategies including begging, holy water, drying leftover food, using river water for hygiene and sanitation, sleeping in church compounds, and creating their own social networks. Despite their efforts, the coping strategies used by elders were not sufficient. In the absence of family and government support, study participants relied heavily on begging to meet their survival needs. The findings call attention to the need for a national income support program and other supportive services for older adults. Homelessness is the product of a failing support system. Despite Ethiopia having a Plan of Action for Older Persons and Social Protection Policy for Vulnerable Groups, these policies have not been effectively implemented leaving older adults with no safety net. This study calls for the development of new policies to empower older people in Ethiopia and prevent them from turning to begging as their only recourse.
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    Non-Response to Population Aging in Sub-Saharan Africa: A Survey of Gerontology Scholars
    (Oxford University Press, 2021) Adamek, Margaret; Kotecho, Messay; Chane, Samson; Gebeyaw, Getachew; School of Social Work
    Life expectancy is increasing globally, with the biggest gains expected in sub-Saharan Africa. In fact, most of the population growth globally in the next few decades will occur in sub-Saharan Africa. Using an online survey we investigated the perspectives of gerontology scholars on the challenges of aging in sub-Saharan Africa as well as the assets of elders. Respondents (n=72) from 17 countries, primarily in Africa, and representing 16 disciplines, identified the top issues facing African elders as: poverty, lack of trained professionals, food insecurity, disability/health issues, and long-term care. Older adults’ unique strengths were noted as indigenous knowledge systems, being holders of cultural heritage, and their contributions to development. Respondents’ biggest concerns about older adults in sub-Saharan Africa were the lack of government attention to aging issues (63%) and a lack of social services targeted to elders’ needs (57%). Government funding (77.8%) and international partnerships (38.9%) were noted as resources needed to support aging research in sub-Saharan Africa. The response or non-response of governments in sub-Saharan Africa will determine whether the growing number of older adults will increasingly experience unmet needs and whether their assets will be considered in development efforts. Establishing professional networks of gerontology scholars in the region will help to document the challenges faced by elders, to plan for the coming demographic shift, and to empower elders to thrive as valued community members.