A Struggle for Survival: Meaning of Late Life in a Rural District in Uganda: A Qualitative Study

Background: Between 2015 and 2050, the aging population of Uganda (aged 50 years and older) will be nearly doubled. Therefore, later-life problems have become an area of increasing research and policy interest. This study aimed at exploring how aging people living in extreme poverty in a low-income...

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Main Authors: Birthe Loa Knizek, Davy Vancampfort, Japheth Kwiringira, Elizabeth Kyazike, James Mugisha
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-08-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2021.699485/full
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author Birthe Loa Knizek
Davy Vancampfort
Japheth Kwiringira
Elizabeth Kyazike
James Mugisha
author_facet Birthe Loa Knizek
Davy Vancampfort
Japheth Kwiringira
Elizabeth Kyazike
James Mugisha
author_sort Birthe Loa Knizek
collection DOAJ
description Background: Between 2015 and 2050, the aging population of Uganda (aged 50 years and older) will be nearly doubled. Therefore, later-life problems have become an area of increasing research and policy interest. This study aimed at exploring how aging people living in extreme poverty in a low-income country experience their everyday life and what kind of meaning systems employed by them to understand and cope with their living conditions.Methods: We conducted a qualitative interview with 14 participants in the Buikwe district. In this interview, 11 women and 3 men were included, and a thematic analysis was employed for data processing and analysis.Results: Unanimously, all participants reported their condition as extreme poverty. The key informants (KIs) emphasized respect from descendants and the community as a foundation for a meaningful later life. In contrast, this aspect has been ever mentioned by no caregivers but by only one care-receiver. The willingness/ability of children to support the elderly who are in need of support formed a major part of the reflections of care-receivers, which would be decisive for their position in the society and the respect they would receive. In addition, both Christianity and traditional beliefs as well as beliefs in witchcraft and ancestral spirits were employed as a basis for actions and reflections.Discussion: The question arises whether life in extreme poverty conditions can be perceived as meaningful. Respect was mentioned as fundamental by the KIs, thereby giving priority to social relations as the most meaningful factor for living a meaningful life. The ability and willingness of the possible descendants for support as the focus of care-receivers might be a more down-to-earth description of this aspect but without using the same level of abstraction. For the majority, due to their belief system did not serve as a source of consolation their main focus was on social relationships for support. To improve the wellbeing of the old people, their sense of meaning must be restored through a system, guaranteeing the coverage of basic needs and measures to restore dignity through a reintegration in both community and congregations. Social service agencies who are targeting the elderly people need to work toward this objective.
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spelling doaj.art-04d1671cfd91493d83085b4a09985b372022-12-21T21:31:55ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-08-011210.3389/fpsyg.2021.699485699485A Struggle for Survival: Meaning of Late Life in a Rural District in Uganda: A Qualitative StudyBirthe Loa Knizek0Davy Vancampfort1Japheth Kwiringira2Elizabeth Kyazike3James Mugisha4Department of Mental Health, Norwegian University of Science and Technology, Trondheim, NorwayKU Leuven Department of Rehabilitation Sciences, Research Group for Adapted Physical Activity and Psychomotor Rehabilitation, Leuven, BelgiumDepartment of Sociology and Social Administration, Kyambogo University, Kampala, UgandaDepartment of History and Political Science, Kyambogo University, Kampala, UgandaDepartment of Sociology and Social Administration, Kyambogo University, Kampala, UgandaBackground: Between 2015 and 2050, the aging population of Uganda (aged 50 years and older) will be nearly doubled. Therefore, later-life problems have become an area of increasing research and policy interest. This study aimed at exploring how aging people living in extreme poverty in a low-income country experience their everyday life and what kind of meaning systems employed by them to understand and cope with their living conditions.Methods: We conducted a qualitative interview with 14 participants in the Buikwe district. In this interview, 11 women and 3 men were included, and a thematic analysis was employed for data processing and analysis.Results: Unanimously, all participants reported their condition as extreme poverty. The key informants (KIs) emphasized respect from descendants and the community as a foundation for a meaningful later life. In contrast, this aspect has been ever mentioned by no caregivers but by only one care-receiver. The willingness/ability of children to support the elderly who are in need of support formed a major part of the reflections of care-receivers, which would be decisive for their position in the society and the respect they would receive. In addition, both Christianity and traditional beliefs as well as beliefs in witchcraft and ancestral spirits were employed as a basis for actions and reflections.Discussion: The question arises whether life in extreme poverty conditions can be perceived as meaningful. Respect was mentioned as fundamental by the KIs, thereby giving priority to social relations as the most meaningful factor for living a meaningful life. The ability and willingness of the possible descendants for support as the focus of care-receivers might be a more down-to-earth description of this aspect but without using the same level of abstraction. For the majority, due to their belief system did not serve as a source of consolation their main focus was on social relationships for support. To improve the wellbeing of the old people, their sense of meaning must be restored through a system, guaranteeing the coverage of basic needs and measures to restore dignity through a reintegration in both community and congregations. Social service agencies who are targeting the elderly people need to work toward this objective.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.699485/fullmeaningAfricaold peopleelderlypoverty
spellingShingle Birthe Loa Knizek
Davy Vancampfort
Japheth Kwiringira
Elizabeth Kyazike
James Mugisha
A Struggle for Survival: Meaning of Late Life in a Rural District in Uganda: A Qualitative Study
Frontiers in Psychology
meaning
Africa
old people
elderly
poverty
title A Struggle for Survival: Meaning of Late Life in a Rural District in Uganda: A Qualitative Study
title_full A Struggle for Survival: Meaning of Late Life in a Rural District in Uganda: A Qualitative Study
title_fullStr A Struggle for Survival: Meaning of Late Life in a Rural District in Uganda: A Qualitative Study
title_full_unstemmed A Struggle for Survival: Meaning of Late Life in a Rural District in Uganda: A Qualitative Study
title_short A Struggle for Survival: Meaning of Late Life in a Rural District in Uganda: A Qualitative Study
title_sort struggle for survival meaning of late life in a rural district in uganda a qualitative study
topic meaning
Africa
old people
elderly
poverty
url https://www.frontiersin.org/articles/10.3389/fpsyg.2021.699485/full
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