The proportion of South Africa’s aged 60 and over has been steadily increasing, rising from 7% in 1996 to 9.8% in 2020. This is according to Stats SA who say that the white population have the highest percentage of elderly citizens, followed by Indian/Asian communities, while black Africans have the lowest.
In 2030, South Africa’s elderly population is projected to reach approximately 6,6 million, representing 10.2% of the total population. By 2050, the elderly population is expected to grow further to 12 million, according to IOL, making up 16% of the projected population.
Sheilagh Cheketri of The Elderly, a Johannesburg-based association that helps carers find jobs and families find suitable carers for their parents, concurs.
“Looking after parents changes the dynamics of the relationship between parent and child. These trying times affect family members because they don’t know their parents to be the way they have become. The parent now becomes the child, and the child becomes the parent. ”
Femada Shamam, CEO of The Association for the Aged (TAFTA), points out that longer lifespans are a blessing.
“We have over 8 400 people over the age of 100 in this country.
“But they often come with chronic conditions like diabetes and hypertension, requiring extended care. Loneliness and social isolation are significant public health concerns among older adults, increasing the risk of various health problems. These issues can impact physical and mental health, reduce quality of life, and even shorten lifespan.
A significant link exists between depression and loss of independence, particularly in older adults. Loss of independence, whether through physical limitations or cognitive decline, can trigger or exacerbate depression and vice versa.
” How can we navigate this? Start early – talk openly with your ageing parents about their needs and wishes. Plan for medical, financial and emotional support, and lean on family, friends, or community groups to share the load. Educate yourself about their medical conditions and local resources, like support groups or clinics. Caregiving is tough but can strengthen family bonds with patience and love.
“In addition to the emotional rollercoaster that caregiving for the elderly can involve, there is the practical side of the equation; ensuring their safety, promoting their well being, and respecting their autonomy.”
Cheketri advises that there are practical actions that can be taken to assist in this transition.
“Revamping the home environment is essential to meet their physical needs. When it comes to home-based care giving, the most practical things to do include installing grab bars in the bathroom, non-slip mats, solid seats in showers (as the elderly struggle to get in and out of baths), install seat raisers and utilise hospital beds or bed rails. Catering for the physical requirements of a wheelchair should also be taken into account providing easy access to the home as well as navigating the interior of the home.”
Shamam agrees that simple home upgrades are essential. “Think gates, alarms and early warning systems for emergencies are a must. But safety isn’t all about gadgets; it’s about community. Older people should help shape safety programs, ensuring their voices are heard. Let’s build strong local networks with neighbours, clinics, and organisations to help them stay independent for longer.”
As well as focusing on physical health, elderly people’s mental health should also be taken into consideration.
“With advanced age increasing the likelihood of living with dementia, communities must be educated on the reality that more than 40% of incidents of dementia can be prevented through lifestyle changes including exercise, proper diet, quitting smoking, proper brain health.”
Understandably, not everyone can dedicate all their time to caring for elderly loved ones. Cheketri explains that hiring-in help should be a top priority.
“For parents who can no longer look after themselves, hiring help that has the proper training and qualifications is vital. Going through an agency is advised where candidates have been thoroughly screened. From an agency point of view, patients thrive better when they have trusted, qualified and compassionate care.”
Shamam says that older South Africans are the heart of our communities.
“They hold our history, share wisdom, and often care for spouses, children and grandchildren. Many households rely on their old age grants. We should encourage them to stay involved – whether through volunteering, mentoring, or sharing skills. Their stories and experience guide us through today’s challenges, making them invaluable to society.”
Strong social connections are as vital as financial savings. As a society, we must see and value our elders, not let them feel invisible. Support groups or counselling can help them cope, while families should offer love and respect to affirm their dignity. Initiatives such as the “Go Turquoise For The Elderly”, a month-long campaign to create awareness around elders in communities are vital, bringing an increased awareness about the elderly to our communities.
“Together, we can ensure our aging population thrives – safe, valued, and connected,” says Shamam. “Check in with your elderly neighbours. Support elder care initiatives and speak to your parents early about their future needs”.