Long-term Care for Older People in South Africa

The Enduring Legacies of Apartheid and HIV/Aids

Dados Bibliográficos

ID2115991
AutoresPeter Lloyd-Sherlock (0000-0002-1367-0703, University of East Anglia, autor correspondente)
Ano2019
Volume48
Fascículo1
Páginas147-167
Data de publicação2019-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Social Policy (JOURNAL)
Identificadores do periódicoISSN: 0047-2794 • E-ISSN: 1469-7823
EditoraCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0047279418000326
OpenAlexW2800465859
IdiomaEN
Citações recebidas17
Referências citadas42

This paper sets out a general framework for analysing long-term care (LTC) systems for older people in different countries and then applies this framework to a specific national setting. The paper considers the extent to which South Africa's emerging LTC system conforms to broader patterns observed across low- and middle-income countries and how far it has been shaped by more local effects. It finds that patterns of demand for LTC vary across different racial categories. Despite having lower rates of ageing that the white population, Africans account for the majority of LTC demand. Residential services cater primarily for older whites and there is a widespread perception that LTC for Africans should be a family responsibility. Across the sector there is evidence of gaps in service availability, limited state oversight and uneven service quality. In 2016 this led to a high-profile political scandal which may prompt more effective state responses to this growing societal challenge

Demographic economics · Development economics · Economic growth · Economics · Economy · Long-term care · Older people · Perception · Political science · Politics · Population · Population ageing · Service (business) · Sociology · State (computer science) · Demography · Intergenerational Family Dynamics and Caregiving · Medicine · Migration and Labor Dynamics · Poverty, Education, and Child Welfare · Psychology · Gerontology