Browsing by Author "Teshome, Abraham"
Item Intergenerational Equity: An Urgent Call for Aging Policies in Sub-Saharan Africa(Oxford University Press, 2024-12-31) Teshome, Abraham; Adeniji, Dolapo; Ashirifi, Gifty; Adamek, Margaret; School of Social WorkContrary to popular belief, family-based care and support for older people in Sub-Saharan Africa is gradually eroding due to various factors, including urbanization, migration, and modernization. As the issues of older people and aging are not mainstreamed into national economic and development agenda and policies, most older people in the region live in abject poverty, which has undermined their healthy aging and quality of life. Although many Sub-Saharan African countries are signatories to the 2002 Madrid International Plan of Action on Ageing (MIPAA), only a few have developed national aging policies to meet the needs of their older population. Against this backdrop, we conducted cross-sectional qualitative study to learn why public policy in Sub-Saharan Africa is sluggish in responding to the needs of the region’s growing older population. We conducted an online survey (n=78) and three FGDs (n=13) with African scholars and practitioners from 12 nations. Based on descriptive and thematic analyses, our study revealed five themes: a) lack of political will, b) disconnect between researchers and policymakers, c) lack of research and comprehensive data related to older people, d) inappropriate aging policy, and e) budget constraints. Our study’s findings call for more research and comprehensive data regarding the needs and challenges of the region’s older population, policy advocacy, and awareness-raising about older adults’ issues among policymakers, involvement of all stakeholders in aging policy development, and regular dialogues between policymakers, researchers, older adults, and other stakeholders.Item Is a Universal Term for Older Adults Culturally Appropriate? Considering Preferred Terms in Africa(Oxford University Press, 2024-12-31) Adamek, Margaret; Ashirifi, Gifty; Adeniji, Dolapo; Teshome, Abraham; School of Social WorkTerminology matters. For consistency’s sake, one may argue that aging scholars should use one universal term for older adults regardless of what part of the world they are studying. Others may argue that the terms used by scholars in the Global South to refer to older adults should not be dictated by scholars in the Global North. If the term “elder” is a term of respect for older adults in Sub-Saharan Africa, should African scholars writing about aging be required to use the preferred term of the Global North? Can a universal term for older adults be culturally appropriate globally? With such questions in mind, we conducted a mixed methods study of preferred terms for older adults. Respondents included 78 African scholars and practitioners who completed an online survey. For this study we analyzed responses of 13 scholars from 6 African nations who participated in online focus groups. Using descriptive narrative analysis, our results indicate a wide variety of preferred terms for older adults including elder (Ethiopia), elderly, senior citizen, seniors, pensioners, and golden agers (Malawi). Many terms for older adults exist in local dialects—some connoting respect for elders, others that are derogatory. Respondents indicated older Africans prefer terms that convey respect, honor, and endearment. In scholarly dissemination efforts, we recommend a balanced approach with a universal term such as older adults for international audiences and yet leeway for native scholars to use the term for older people (e.g., “elder”) that is a best fit for their culture.Item Is Active Aging Possible In Ethiopia? Perceptions Of Rural Older Adults(Oxford University Press, 2022) Teshome, Abraham; Kotecho, Messay; Adamek, Margaret; School of Social WorkDespite 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.