A critical review of intervention and policy effects on the health of older people in sub-Saharan Africa. (April 2020)

• Record Type: Journal Article
• Authors: Lloyd-Sherlock, Peter; Amoakoh-Coleman, Mary
• Is Part Of: Social science & medicine. Volume 250(2020)
• Publication Date: 2020-04
• Subjects: Older people -- Sub-Saharan africa -- Interventions -- Policies -- Review; Social medicine -- Periodicals; Medical anthropology -- Periodicals; Public health -- Periodicals; Psychology -- Periodicals; Medicine -- Periodicals; Medicine -- Periodicals; Médecine sociale -- Périodiques; Anthropologie médicale -- Périodiques; Santé publique -- Périodiques; Psychologie -- Périodiques; Médecine -- Périodiques; Electronic journals; 362.105
• DOI: 10.1016/j.socscimed.2020.112887
• Languages: English
• ISSNs: 0277-9536

Abstract

Abstract: This paper provides a critical review of publications containing information about specific health effects on older adults of interventions and policies in sub-Saharan Africa. Interventions and policies fell into the following categories: testing or treating HIV, the provision of pensions, screening for non-communicable diseases (NCDs), health service financing and interventions related to visual conditions. The review finds that the relevant literature is very limited relative to the size of older populations in the region. Conditions of particular relevance to older adults, such as NCDs, are under-represented and most studies treat older people as a single category, typically including all adults aged 50 and over. The paper concludes that evidence about the health effects of interventions and policies on the region's rapidly growing older populations remains minimal, and that this both reflects and reinforces a bias against older people in health policy. Highlights: Evidence about the effects of interventions on the health of older people in sub-Saharan Africa is very limited. 19 of 41 studies related to HIV/AIDS, a condition accounting for under 2 per cent of DALYs for people aged 60 and over. Only 6 studies related to non-communicable diseases, conditions accounting for over half of DALYs for people aged 60 and over. Only 7 studies included data disaggregated by different age groups within the older population. From the available evidence, it is not possible to identify significant health effects of pensions or social insurance.