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The Old Beggars Who Should Be At Home

By Isabella Gyau Orhin 

Public Agenda September 8, 2003

Taking a brisk walk through the heart of the city of Accra notably Nkrumah circle and other traffic joints during rush hours reveal a lot. Beggars calling out is most outstanding.

A number of these beggars are women- some with children including twins. The most pathetic of them all are the older women who should be nursing their grand children at home.

Some older women who look very sick, with some visually impaired are helped by children of school going age to beg for alms.

Others in wheel chairs are more concerned about the money they get than their lives and cross on-coming vehicles anyhow.

One would ask what has led to their current state of life?

According to a lecturer at the Department of Sociology, University of Ghana, Prof. Nana Araba Apt the story of many African older women are sad.

Faced with widespread poverty, deprivation, illiteracy, poor health and banishment, many older African women are still struggling .

The fact that a woman may live longer does not in any case indicate that she is healthier than a man or that a woman has more qualitative existence.

Women's greater longevity means that the world of older people is predominantly one of poor women, often-widowed and suffering from social seclusion.

The UN's information on ageing states that in 1950, the proportion of older persons to the total world population was eight per cent. It rose to 10 per cent in 2000 and is projected to increase by 21 per cent to the year 2050.

Today, the number of older people in the world is 629 million with women forming about 328 million. This is also projected to grow to about two billion by the year 2050.

In developing countries like Ghana, the report says the rate of increase in the number of older persons between 1990 and 2025 is expected to grow seven to eight times higher than in Britain and Sweden.

Again available data also indicate that 78 per cent of older men are married compared to 44 per cent of older women. Additionally, widowed men are more likely to get married than widowed women.

Prof. Apt also pointed out that older women face many hardships and these are directly linked to their economic conditions.

Prof. Apt who was speaking at a meeting on gender and the aged said there exist gender-related differences in the allocation of pensions and age benefits. "Women who do not take up remunerated work in the formal sector have little or no access to pensions, a situation, which is much pronounced in Africa," she said.

She explained that in developed countries, the level of pensions of widows is linked to the level of pension of their former husbands.

Furthermore, women's work history is characterised by low paid jobs, and frequent interruptions of their professional life for childbearing, child care and family responsibilities.

Truth is in Africa and the rest of the developing world existing pensions generally cover a small proportion of the population and even a smaller proportion of female population.

According to Prof. Apt, the extra years that women have over men can rather disadvantage women.

"Most older women must of necessity continue to work physically harder to survive after their childbearing years and after they become widowed or divorced," Prof. Apt said, adding throughout their lives, African women have poor access to resources with the cumulative effect that in their old age, they have insufficient resources for a decent quality of life," the sociologist explained.

The improvement and quality of life therefore can only be achieved through the understanding of the relationship among biology of ageing related conditions and social characteristics.

Prof. Apt was also of the view that, the health problems of older African women is linked to economic insecurity and social rejection often as a witch after many years of physical toil to keep her family going.

He also pointed out that health and welfare is an important element to women's social participation. Vaginal infections, cancers of the reproductive organs and fibroids have direct effect on women's morbidity and mortality and have increasingly cumulative effects on the elderly African woman who is already weakened through excessive childbearing, she said.

Presently in Africa many women in old age are already afflicted with chronic conditions or will develop them in the near future, however, they continue to function with their chronic situations.

Prof. Apt said the gravest disadvantage of older African women is that they lack education.

This, she said, has many consequences: older women are less likely to participate fully or benefit from national development issues.

According to a retired cardiologist, Dr. Joe Pobee, old people suffer a lot of diseases beginning from wrinkled skin, menopausal problems, brittle bones and breathing difficulties.

He explained that constipation, loss of teeth and falling hair are common features of old age. Added to these, there are also the problem of hearing losses, strokes, Alzheimer's disease, acute confution, kidney problems leading to urinary incontinence, immobility due to arthritis, diabetes, thyroid disease and falling due to the malfunctioning of the nervous system.

Dr. Pobee said a study conducted by the Ministry of Health indicates that over the past 50 years, the focus has been on primary health and safe motherhood with little or no health programme for the aged.

Governments all over the world and most importantly in developing countries have come to accept the fact that population ageing is no longer a thing for the developed world. A draft policy on the aged in Ghana has identified key areas for programming and implementation by the various sectors including Non-governmental organisations. Some of the key areas are health and nutrition, social welfare, income security, housing and living environment, legal aid and preparation for retirement.


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