RESEARCH ARTICLE

 

Perceived basic needs and resources for the elderly in the peri-urban and rural communities in the Hhohho region in Swaziland

 

 

EM Mabuza^I; M Poggenpoel^II; C Myburgh^III

^IDCur. Department of Community Health, University of Swaziland
^IIPhD. Professsor, Department of Nursing Science, University of Johannesburg
^IIIDEd. Department of Educational Psychology, University of Johannesburg

Correspondence

 

 

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ABSTRACT

The purpose of the study was to explore and describe the basic needs and resources for meeting the needs of the elderly in the peri-urban and rural communities in the Hhohho region in Swaziland. A qualitative, exploratory, descriptive and contextual research design was used. The study population consisted of the male and female elderly aged from 60 years old and above, and key informants (health motivator, community leaders and members from welfare organizations that serve as advocates for the elderly in Swaziland). Purposive sampling was utilized to select participants who met the inclusion criteria. Data were collected using focus groups and individual in-depth face-to-face interviews till data saturation was achieved as evidenced by repeating information. Tesch's method of qualitative data analysis was utilised to identify themes. A total of 30 elderly persons and eight key informants participated in this research. From the study findings the researcher identified the following themes: need for resources because of poverty; need for support because of the burden of caring for others; need for health care because of health challenges; need for company because of loneliness, and need for protection because of abuse of elderly persons. Recommendations were made for community nursing practice, nursing education, nursing research and the Ministry of Health and Social Welfare.

Key words: Burnout, Home-based caregivers, Stigma, Stress

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References

BANGA, E H 1994: Social Changes in the Emerging Images of the Aged in Ghana: Social, Health and Nursing Implications in Nursing Education in Ghana for the 21^st Century. Accra: Woeli Publishing Services.         [ Links ]

BLOOM, G 2005: Health and Social Protection: Meeting the Needs of the Very Poor. Health Policy 57(3): 205-224.         [ Links ]

BRINK, PJ & WOOD, MJ 1994: Basic Steps in Planning Nursing Research. Boston: Jones & Bartlet.         [ Links ]

BULLETIN ON AGEING 2000: The loneliness of the Elderly Persons. United Nations Economic Commission for Europe, Institute for Older Persons and Social Services, Ministry of Labour and Social Affairs Spain; United Nations Population Fund.         [ Links ]

BURNS, N & GROVE, SK 1993: The Practice of Nursing Research. Philadelphia: Saunders.         [ Links ]

CENTRAL STATISTICS OFFICE 2001: Report on the Swaziland Population and Housing Census Vol 4 Analytic Report. Mbabane, Swaziland: Central Statistics.         [ Links ]

CHARLTON, KE 2000: Qualitative Indications from a Food Expenditure Survey can be Used to Target the Food Insecure in South Africa, Journal of Nutrition 132 (11): 3235-3242.         [ Links ]

CHARLTON, KE & ROSE, D 2000: Nutrition Among Older Adults in Africa: The Situation in the Beginning of the Millenium. Journal of Nutrition 13 (1):1.         [ Links ]

CHARLTON, KE 2001: Nutrition, Health and Old Age - The Case of South Africa Urban Elderly. Journal of Nutrition 13(1): 1.         [ Links ]

CRESWELL, JW 1994: Research Design Quantitative and Qualitative Approaches. California: Sage Publications.         [ Links ]

DE VOS, AS; STRYDOM, H; FOUCHE, CB; POGGENPOEL, M & SC; HURINK, EW 1998: Research at Grass Roots. A Primer for the Caring Professions. Pretoria: JL Van Schaik.         [ Links ]

DE VOS, AS; STRYDOM, H; FOUCHE, CB & DELPORT, CSL 2002: Research at Grass Roots. A Primer for the Caring Professions. Pretoria: JL Van Schaik.         [ Links ]

DEMOCRATIC NURSING ORGANISATION OF SOUTH AFRICA, 1998: Position Paper, Ethical Standards for Nurse Researcher. Pretoria: DENOSA.         [ Links ]

DLAMINI, N 2005: Bedridden grandmother deteriorate because haunted by criminal act of granddaughter. The Times of Swaziland: 1, 29 November.         [ Links ]

GILLESPIE, CWI 1994: Life Satisfaction and Activity in the Elderly. Cape Town, University of Cape Town: Department of Psychology.         [ Links ]

GRIFFITH, R 2004: Protecting vulnerable adults from abuse: A case study in the British Journal of Community Nursing; vol.9 (8), 342-345; 2004 in CANE annotated bibliography National Centre on Elderly Abuse (NCEA).         [ Links ]

GUBA, E & LINCOLN, Y 1985: Naturalistic Enquiry. Beverly Hills, California: Sage.         [ Links ]

HALL-LONG BL; PLOW FIELD, L& HAYES, E 2004: Episodic health Promotion: A Guide to Educating and Interviewing. The Gerontoloeist. Washington: 44(4): 535 .         [ Links ]

JOY, JP; CARTER DE & SMITH, LN 2000: The evolving educational needs of nurses caring for the older adult: a literature review. Journal of Advanced Nursing 2000 31 (5), 1039 - 1045.         [ Links ]

KASEKE, E 1998: A Situational Analysis of Social Welfare Services in Swaziland. Mbabane: Webster Print.         [ Links ]

KINGDOM OF SWAZILAND, 1998: (Draft A). 2022 National Development Strategy for Swaziland. Mbabane: Webster Print.         [ Links ]

KINSELLA, K 1997: Ageing Trends: South Africa. U.S. Department of Commerce Economics and Statistics Administration: BUREAU OF THE CENSUS.         [ Links ]

KNEISL, CR; WILSON, HS & TRIGOBOFF, E 2004: Contemporary Psychiatric-Mental Health Nursing. New Jersey: Pearson Education.         [ Links ]

KREFTING L 1991: Rigor in Qualitative Research: The Assessment of Trustworthiness, The American Journal of Occupational Therapy. 45(3): 214-222.         [ Links ]

KREUGER, RA 1994: Focus Groups: A Practical Guide for Applied Research. Thousand Oaks: Sage.         [ Links ]

LAURENT, C 1993: Time to Listen. Nursing Times 86(8): 20.         [ Links ]

LEETE, R 2002: Poverty Issues in Old Age: Operational Challenges in the Valencia Forum. UNFPA (United Nations Population Fund).         [ Links ]

LIPSCHITZ S 2004: The Silver Surfers. Keeping the Elderly Healthy. 22 (11):606-608.         [ Links ]

MABUZA, EM 2008: A Strategy for Facilitating the Mobilisation of Resources to Meet the Basic Needs of the Elderly in the Hhohho Region in Swaziland. Auckland Park: University of Johannesburg. (Thesis- DCur.         [ Links ])

MAGAGULA, M 2004: Lack of comprehensive security system for rural elderly. The Times of Swaziland: 1, 31 October.         [ Links ]

MAKHANYA, K 2005: Elderly widow in Engulweni stared death in the face. The Times of Swaziland: 5,3 February.         [ Links ]

MAKHUBU, B 2005: Elderly widow indecently assaulted by neighbour. The Times of Swaziland: 8,4 January.         [ Links ]

MARSHALL, VW & ALTPETER, M 2005: Cultivating Social Work Leadership in Health Promotion and Ageing: Strategies for Active Aging Interventions. Health and Social Work. 30(2): 135-145.         [ Links ]

MASANGO, GS 2004: Poor 70 year old man of Macambeni in Piggspeak lives with his nine year old daughter. The Times of Swaziland: 12, 7 September.         [ Links ]

MCSHERRY, W & ROSS, R 2002: Dilemmas of Spiritual Assessment: Considerations for Nursing Practice. Journal of Advanced Nursing. 38(5): 479-188.         [ Links ]

MILES, M & HUBERMAN, M 1984: Qualitative Data Analysis: A Sourcebook of New Methods. California: Sage.         [ Links ]

MINISTRY OF ECONOMIC PLANNING AND DEVELOPMENT, 2000: Swaziland National Population Policy Framework. Mbabane: Swaziland Government.         [ Links ]

MINISTRY OF HEALTH 1983: National Health Policy. Mbabane: Webster Print.         [ Links ]

MINISTRY OF HEALTH AND SOCIAL WELFARE 2003: The Health Sector Response to HIV/AIDS PLAN in Swaziland 2003-2005. Mbabane: Webster Print.         [ Links ]

MINISTRY OF HEALTH AND SOCIAL WELFARE 2006: National Health and Social Welfare Policy. Mbabane: Webster Print.         [ Links ]

MORSE, JM 1994: Qualitative Health Research. Newbury Park: Sage.         [ Links ]

MINISTRY OF HEALTH, UNICEF, UNFPA, & WHO FINAL REPORT 1995: Traditional Birth Attendants Survey, Swaziland. Mbabane: Webster Print.         [ Links ]

NARAYANASAMY, A CLISSET, P PARUMAL, SANNASAMY & EDGE R 2004: Responses to the Spiritual Needs of Older People. Journal of Advanced Nursing. 48(1) 6-16.         [ Links ]

NGIDI, P 2004: High unemployment pushed 69 percent of population into poverty. The Times of Swaziland: 1,19 October.         [ Links ]

NHONGO, P 2002: In Relief Web: IRIN Retrieved on 01/06/05 from, http://www.itds/?id=nairobi-case-studv (United Nations.) Accessed I June 2005).         [ Links ]

PICK'N PAY 2003: Talk About: The Elderly: Accent on the Youth, http://www.pick'npav.co.za/pnp/view/pnp/en/page9689. Accessed 1 February 2005        [ Links ]

NOUMBISSI,A 2004: Poverty among the elderly in South Africa. Eldis. The gateway to development information.http://www.eldis.org/static/DOC 17357.htm. Accessed 1 June 2005.         [ Links ]

PENDER, JN 2003: Most Frequently Asked Questions about the Health Promotion Model and my professional work and career. Page last modified: Tuesday, 17-May-2005 14:12:45 EDT University of Michigan School of Nursing.         [ Links ]

RUSSELL, C & BASSER, M 1998: Older People's Lives in the Inner City: Hazardous or Rewarding? Australian and New Zealand Journal of Public Health. 22 (1) 98-107.         [ Links ]

SERVICE, R 1989: Conducting Focus Group Research. The Journal of College Admissions. 1989 4-7.         [ Links ]

SPRADLEY, BW 1990: Community Health Nursing Concepts and Practice, Illinois, London: Scott, Foreman & Co.         [ Links ]

STAMBUK, A 2004: Palliative Care for the elderly, An Analysis of Needs and Resources in Croatia Part 1 : Draft Research Paper. International Policy Fellow, Public Health Society Institute / Center for Policy Studies.         [ Links ]

STANHOPE, M & LANCASTER, J 2004: Community and Public Health Nursing. St. Louis, USA: Mosby.         [ Links ]

STREUBERT, H J & CARPENTER D R 1999: Qualitative Research in Nursing: Advancing the Humanistic Imperative. Philadelphia: Lippincott.         [ Links ]

SWAZILAND ACTION GROUP AGAINST ABUSE (SWAGAA), 20042005: Annual Report. Manzini: Jubilee Printing & Publishing.         [ Links ]

SWAZILAND NATIONAL STATISTICS 1997: Census. Mbabane: Webster Print.         [ Links ]

SWENSON, MM 1992: Primary Health Care of Elderly Women. Journal of American Academic Nurse Practice. 4 (4): 143-147.         [ Links ]

TWIGG P (2004): Mental Health, Substance Abuse and Elder Abuse: Detecting Depression and Promoting Mental Health Among Isolated Elderly. The Gerontologist. 44(1): 1-4.         [ Links ]

VAN DOVER, L2002: Research in Spirituality and Spiritual Care in Nursing from a Christian Worldview (an NCF Collaborative Project) USA Intervarsity Christian Fellowship. http://www.intervarsitv.org/ncf/facgrad/scr.html. Accessed 25 Mav 2004.         [ Links ]

WIEK, KL 2000: Health Promotion for Inner-City Minority Elders. Journal of Community Health Nursing. 2000, 17 (3), 131-139.         [ Links ]

 

 

Correspondence:
Prof Marie Poggenpoel
Department of Nursing Science
University of Johannesburg
Box 524, Auckland Park, 2006
Tel: 011559 2860; Fax: 0115592257
E-mail: mariep@uj.ac.za