Health Sciences

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Browsing Health Sciences by Author "Aku-Akai, Larai"

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    Awareness and Attitude Toward Old-Age Homes among Older Persons in Namibia
    (International Journal of Sub-Saharan African Research (IJSSAR), 2025-09) Haufiku-Weyulu, Mouyelele; Mahalie, Roswitha; Aku-Akai, Larai
    Background: The burgeoning population of older persons is widely acknowledged as a pertinent societal concern. Understanding the attitude and awareness of older persons towards old-age homes is crucial, as these homes are a viable option when family support falls short. Objectives: This study assessed older persons' awareness and attitude toward old-age homes in three selected regions of Namibia. Methods: A mixed-methods, cross-sectional survey design was employed to study individuals aged 60 years and above. Quantitative data were analysed using Statistical Package for Social Sciences version 30 at significance (P < 0.05). Thematic analysis was utilised to interpret qualitative data. Results: The outcomes revealed a marginal disparity in preference for remaining in the community vs relocating to old-age homes, with a statistically significant association among living arrangements, educational attainment, and number of dependents (P<0.001). Interviews with key informants and caregivers revealed pension misuse, transport-related barriers to healthcare, and caregiver challenges, including mood fluctuations, forgetfulness, and inadequate mobility aids to assist older persons. Conclusion: The preferences of older persons in their living places are influenced by significant factors such as education level and familial obligations. Unique Contribution: This study is among the first in Namibia to integrate quantitative and qualitative data on older persons’ awareness and attitude toward old-age homes. It contributes to the limited research on this population and identifies that education, number of dependents, and family obligations influence their living preferences. Moreover, it brings forward the voices of caregivers and community leaders, revealing systemic gaps in training, resources, and awareness. Key Recommendation: The findings underscore the potential value of implementing targeted community awareness campaigns, training caregivers, and expanding affordable, well-equipped old-age homes. Furthermore, policies should strengthen caregiver support and ensure pensions are effectively utilised to enhance the welfare of older persons.
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    Capacity of Old-Age Homes to Meet the Needs of Older Persons in Namibia: Analysis of Quality and Care Gaps
    (International Journal of Sub-Saharan African Research (IJSSAR), 2025-12) Haufiku-Weyulu, Mouyelele; Mahalie, Roswitha; Aku-Akai, Larai
    Background: The population of older persons is increasing, while the Traditional Joint Family System (TJFS) is declining, often leaving older persons isolated and vulnerable. This may increase the demand for old-age homes, underscoring the need to understand the capacity and limitations of these facilities in Namibia. Objectives: This study evaluated the capacity of old age homes to accommodate the needs of Namibia's older population aged 60 years and above in three selected regions of Namibia. Methods: A mixed-methods, cross-sectional survey design was employed in this study, utilising a checklist to assess the old-age homes and interview guides for the social workers and heads of facilities. Quantitative data were analysed using Statistical Package for Social Sciences version 30 at significance (P < 0.05). Qualitative data were analysed manually and presented in themes. Results: Old age homes in Namibia are scarce, urban-concentrated, and operating at (or near) full capacity. Private old-age homes are generally better resourced and rated, while public homes are lower-cost but face significant deficits in infrastructure, staffing, and accessibility. The voices of key informants highlight chronic funding shortfalls, transportation issues, and the need for renovations and additional staff. Conclusion: There is an insufficiency of old-age homes, and disparities exist in facilities between publicly and privately run homes. Unique Contribution: This study is one of the current Namibian triangulated analyses that link structural capacity, and staff perspectives in both the public and private old-age homes. It addresses a reported evidence gap in institutional long-term care in Namibia and offers context-specific insights to the broader literature on ageing and residential care. Key Recommendation: The study recommends a phased expansion and decentralisation of old-age homes, prioritising the need for attention to the northern regions, alongside targeted investment to upgrade public old-age homes and strengthen regulatory oversight.