Abstract
Health is one issue that cannot be compromised. With changing demographics in aging, older cohorts experience decline in health and psychosocial well-being. It then follows that the next line of action is care-giving. This study examined the perceived challenges and coping strategies with health and psychosocial well-being of older cohorts and social work intervention for them and their caregivers. Results were presented from a qualitative analysis using Focus Group Discussion (FGD). Fifty-six (56) participants from four purposively selected rural communities in Enugu-West Senatorial zone (forty (40) caregivers and sixteen (16) older adults) were enlisted in the study. Result indicated that older cohorts in Nigeria face tremendous challenges in coping with health and psychosocial well-being particularly in three major areas including, changes in family structure, absence of social support and health service utilization. The study recommends the implementation of government policy particularly in health and social service sectors; recruitment of skill based medical social workers with other health personnel to coordinate coping strategies including skill acquisition, intervention, follow up treatment, counseling and inculcating health education programs to older cohorts and their caregivers.
Keywords: caregivers; health; older cohorts; psychosocial; social workers and well-being.
References
- Abanyam, N.L, (2011). The problem of the aged in Nigeria. Journal of Research and Contemporary Issues, 6 (1&2). Retrieved from https://www.researchgate.net.3309...
- Abanyam, N., L.(2013). The changing privileges and challenges of older people in contemporary African society. Global Journal of Art, Humanities and Social Sciences, 1(4), 34-44. Retrieved from http://www.ea.journals.org
- Adebanjo, K. (2019, January 30). Older person’s day: Eight months after law passage, Nigerians senior citizens still out of sight. Premium Times Newspaper, pg.5.
- Adebowale, S. (2016). Nigeria’s population elderly to constitute 20% in 2016. Retrieved from https://the eagle.online.com.ng > Nigeria
- Adebowale, S.A, Attle, O.& Ayeni O. (2012). Elderly well- being in a rural community in North- Central Nigeria, sub-Saharan African. Public Health Research, 2(4), 92-101. DOI:10.5923.j.phr.201202040.05.
- Adeleke, R.O., Adebowale, T.O, Oyinlola, O.I (2017). Profile of elderly patients presented with psychosocial problems in Ibadan. O.J Gerontology & Geriatric, 1(1), 26-36.
- Adinma, E. D., Brian, D.J. & Adinma, I. (2010). Community based health care financing: An untapped option to a more effective health care funding in Nigeria. Nigerian Medical Journals, 2(1), 21-31.
- Agbawodikeizu, U., Agwu, P., Okoye, U. & Igwe, I. (2019). Controversies in preparing for end-of-life in Nsukka town, Nigeria and suggestions for Nigerian based social work practice. Journal of Social Work & Social Sciences, 20 (2), 47-64.
- Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhl & J. Beckman (Eds.), Action-control: From cognition to behavior (pp. 11–39). Heidelberg: Springer
- Alawajud-adewusi, M.B (2019). Psychosocial problems of elderly persons in Lagos State, Nigeria. Implication for counseling practice. Retrieved from https://www.researchgate.net/profile/Alwajud-adewusi-mirian-Bukola/publication332652987.
- Alenoghena, I., Aigbirenolen, A.O, Abjegali, C. & Ejiemai, E. (2017). Primary health care in Nigeria: Strategies and constrains in implementation. Retrieved from https://www.researchgate.net>publication.
- Akpunne, B.C. (2015).Psychosocial factors and psychological wellbeing of formal caregivers. European Journal of Humanities and Social Sciences, 34(1), 98-112.
- Animasahun, V.J. & Chapman, H.J. (2017). Psycho-social health challenges of the Elderly in Nigeria: A narrative review. African Health Sciences, Makerere Medical School Journal, 1(1), 17-23.
- Ayangunna, J. A. & Mojoyiola, J. K. (2012). Social Work and Welfare of the Aged in Nigeria. In H., O. Osinowo, O. A. Moronkola, D.A.Egunyomi, D. A. (Eds.). The adults and aged in Nigeria: Issues and researches (pp17-30). Ibadan: Royal people Ltd.
- Barham, E.J, DelPrette, Z.A & Queluz, F.N. (2018). The relationship between social skills and psychosocial adjustment among those who care for older adults. Retrieved from https://doi.org/10.1590/1982-4327e2917.
- Berg, B. L. (2001). Qualitative research method for the social sciences. United State of America: Allyn and Bacon publishers.
- Correa-Torres, S. M., Conroy, P., Rundle-Kahn, A., & Ogilvie T (2018). Experience of students who are visually impaired receiving services by Disabilities Support Services (DSS) office in higher education institutions. Journal of Blindness, Innovation and Research, 8(2), 122-131.
- Dokpesi, A.O. (2017). Senior citizens health insurance programme (SCHIP): a policy framework for healthy ageing in Nigeria. Ageing International Journal,42, 290-305.DOI:10.1007/s12126-017-9299-7
- Ene, J.C. (2010). Adult Off-springs’ Perception of their Care Giving Role towards Elderly Parents: A Case Study of Nsukka G.A of Enugu State. (Master’s thesis, University of Nigeria, Nsukka, Nigeria).
- Ene, J.C, Nnama-Okechukwu, C., Uzuegbu, C. & Okoye, U. (2018). Social work with family. In U.O, Okoye, N. Chukwu & P. Agwu (Eds.). Social work in Nigeria: Book of Readings (Chapter 16, pp198-211). Nsukka, Enugu state: University of Nigeria Press.
- Ene, J., Adewoyin, Y., Chukwu, A. & Patrison, T. (2018). Determinants of primary health care utilization by older adults and the implication for social work practice in Enugu State, Nigeria. Proceedings of the 1st International conference of the Department of Social Work, University of Nigeria, Nsukka.
- Friedemann, M.,L. & Buckwalter, K., C. (2014). Family caregivers’ role and burden related to gender and family relationship. Journal of the American Geriatric Society, 58(1) 937- 943.
- Irish Association of Social Work (IASW, 2011). The Role of the Social Worker with older adult persons. Prepared by: The Irish Association of Social Workers (IASW). Special Internet Group Ageing (SIGA) p7.
- Kalof, L., Dan, A., & Dietz, T. (2008). Essential of social research. New York: Open University Press.
- Litwin, H., Stoeckel, K.J & Roll, A (2014). Relationship status and depressive systems among older co-resident caregivers. Ageing and mental health, 18(1), 225-231. DOI: 10.1080113607863.2013.837148
- National Ageing Research Institute (NARI, 2014). Healthy ageing. Retrieved from https://www.who.int.ageing.
- National Bureau of Statistics (2017). Demographic Statistics Bulletin 2018. Retrieved from https://nigerianstat.gov.ng.demographicstatisticbullentin
- Moody, H.R (2010). Ageing: Concepts and controversies (6th). U.S.A: Pine Forge Press
- Okafor, A.E, Onalu, C., Ene, J.C & Okoye, U.O (2017). Social work in health care setting.
- In U.O, Okoye, N. Chukwu & P. Agwu (Eds.). Social work in Nigeria: Book of readings (Chapter 12, pp172-183). Nsukka, Enugu state: University of Nigeria Press.
- Okoye, U.O. (2014). Financial incentive to support family caregivers of older adults in Nigeria: A policy consideration. Research on Humanities and Social Sciences 4(4) 15-22. Retrieved from https://pdfs.semanticschloar.org/.../12fef06cfca21eb10cdf2482a5706fe7aa4.pdf
- Okoye, U., O. & Asa, S., S. (2011). Care giving and stress: Experience of people taking care of elderly relations in South-Eastern Nigeria. Arts and Social Science Journal, 29(2),12-20. Retrieved from https://astonjournals.com/manuscripts/vol2011/ASSJ-29- pdf.
- Okoye, U.O., Ebimgbo, S., & Ene, J. (2017). Social work with older adults. In Okoye, U., Chukwu, N., Agwu, P. (Eds.). Social Work in Nigeria: Book of Readings (Chapter 14, pp172-183). Nsukka, Enugu state: University of Nigeria Press Limited,
- Oluwagbemiga, O. (2014). Effect of social support system on the psychosocial wellbeing of the elderly in old people’s home in Ibadan. Journal of Gerontology & Geriatric Research, 5(5), 343-352. Doi:104172/2167-7182.1000343.
- Penning, M.J., Zheng Wu, L. (2016). Caregiver stress and mental health: Impact of care giving relationship and gender. The Gerontologist 56 (6), 1102-1113. Retrieved from https://doi.org110.1093/geront/gny038
- Portray, J.A (2016). Importance of medical social workers. Retrieved from www.ajmc.com-julie-potyraj-2016/03.
- Schnabel, K., Binting, S., Witt, C., Teut, M. (2014). Use of complementary and alternative medicine by older adults- a cross sectional survey. BMC geriatric Journal, 14(38), 45-49.
- United Nations Department of Economics and Social Affairs, Population Division (UNDESA, 2012). World Population prospects: The 2010 revision. Retrieved from http://www.un.org/esa/population /2012WorldPopAgeingDev Chart/2012 PopAgeing and Dev-WallChart.pdf.
- United States Census Bureau Statistic (2016). An Ageing World: 2015. International Population Reports. FIAP. Boletin-0tras publications.
- Usman, A. (2018, May 8). Nigeria has only 7 geriatrics to carter for over 9m aged persons. News Agency of Nigeria. Retrieved from http://www.pluse.ng>local>nig
- World Health Organization (WHO, 2010). Health system financing: The part to universal World Health Report. WHO Publications.
- World Health Organization (2014). Global Health Expenditure: Nigeria Health Expenditure. .Index Mundi. Retrieved from htttp://www.who.int/nha/database.
- World Health Organization (WHO, 2017). World health report executive summary achieving health for all. Retrieved from https://www.who.int/whr/1998/media.center/executivesummary6/en.
- Wrigon, C. (2018, August 8). Nigerian government partners with the World Health Organization to improve healthy ageing. World Health Report. Retrieved from https://www.afro.who.int/news/nig.
Corresponding Author
Jecinta Chibuzor. Ene (Ph.D candidate)
DOI: https://dx.doi.org/10.18535/jmscr/v8i4.93
