Elderly Caregivers in Skipped-generation Households in Zambia

Sammanfattning: In Zambia recent socio-economic changes are placing an undue burden on the elderly. The burden is greatly associated with the HIV and AIDS epidemic, which has led to increased mortality of prime aged adults. As a result of this the elderly are called upon to shoulder the responsibility of the family, as they become the principal caregivers for young children. The traditional family roles are being reversed as ageing family members move from being recipients of care to being the primary caregivers. This study aims to explore care for and by older persons, highlighting understudied aspects of older persons experiences of ageing and care in Zambia. This study uses the conceptual framework of welfare regime theory and intergenerational transfer to help focus and understand the complex interdependent relationship around carework. Drawing on data from in-depth interviews and focus group discussions this study investigates the impact of caregiving on elderly and their coping mechanisms in two rural districts in Zambia. The study provides evidence on the current formal and informal provision of care available to elderly in Zambia. Findings point to inequitable access to public resources and fragmented social protection programmes at the same time as the extended family is becoming overburdened by care and support for its elderly population. Despite this, strong family obligations have managed to stay resilient and this study concludes that despite changing family relations the extended family is still remaining the core support system for the elderly.