ELDER ABUSE IN THE HEALTH CARE SERVICES IN KENYA
A study carried out by HelpAge International – Africa Regional Development Centre and HelpAge Kenya with Support from: The World Health Organization (WHO) and the International Network for the Prevention of Elder Abuse (INPEA)
TABLE OF CONTENTS 1. INTRODUCTION 1.1 The Challenge Of Elder Abuse In The Health Sector 1.2 Research Purpose 1.3 Research Methodology 1.3.1 1.3.2 1.3.3 Preparatory Work Data Collection Data Processing And Analysis 1 2 2 2 2 4 4
2. FINDINGS AND DISCUSSIONS 2.1 Objective 2.2 Findings 2.2.1 2.2.2 Role And Importance Of The Elderly In The Community Issues Of Elder Abuse Identified In The Research
5 5 5 5 8 16
2.3 Consequences Of Elder Abuse
3. INTERVENTIONS 3.1 Interventions Available 3.1.1 3.1.2 Interventions Within The Community Interventions Within Health Institutions
17 17 17 18 18 20
3.2 Interventions Recommended By Discussants 3.3 Recommended Interventions
ACKNOWLEDGEMENT HelpAge International – Africa Regional Development Centre is immensely grateful to The World Health Organisation (WHO) and International Partnership Against Elder Abuse (INPEA) for the support that enabled the successful undertaking of the study. Special thanks go to the researchers and staff from HelpAge International – Africa Regional Development Centre and HelpAge Kenya for their sterling efforts in making the study a success. Last but in no way the least, HelpAge International is greatly indebted to the older persons who participated in the study and the staff of the health institutions that took part in the survey.
Tavengwa Nhongo Regional Representative - HelpAge International–Africa Regional Development Centre
LIST OF TABLES Table 1: Categories of Elder Abuse --------------------------------------------------------------- 1 Table 2: Characteristics of Focus Group Discussions ------------------------------------------ 3 Table 3: Consequences of Elder Abuse on ------------------------------------------------------ 16
LIST OF ABBREVIATIONS
FGDs HAI-ARDC HAK HIV/AIDS INPEA NGO STIs WHO Focus Group Discussions HelpAge International - Africa Regional Development Centre HelpAge Kenya Human Immuno-Deficiency Virus/Acquired Immunity Deficiency Syndrome International Network for the Prevention of Elder Abuse Non-governmental Organisation Sexually Transmitted Infections World Health Organization
ABSTRACT This study has analysed views on elder abuse in the health sector in Kenya. Data has been collected using focus group discussions and some in-depth interviews. Information gathered from focus group discussions reveal that elder abuse does exist not only in the health sector but also in the wider community in Kenya. Type, causes and consequences of elder abuse that were vividly described in focus group discussions clearly reveal that older persons are denied a range of rights. The abuse is therefore the antithesis of the spirit of the United Nations Principles for Older Persons: independence, participation, care, self-fulfillment and dignity. There are a number of interventions in society but overall, they were deemed inadequate (by discussants) given the magnitude of the problem. It is strongly recommended that further research be undertaken so as to enable better understanding of the problem and planning for its intervention. The survey would include an analysis of the magnitude and various dimensions of elder abuse, an assessment of the effectiveness of existing interventions and the status of implementation of global and national policy/action instruments in Kenya. Recommendations on intervention include: a. Establishment of specialist facilities for the elderly (geriatric units/institutions) and other patients. b. Special and/or additional training for health workers in the area of geriatrics. c. Possibility of the government of Kenya providing free or highly...
References: Bennet, G. 2001. World Health Organization: Elder Abuse Study. Working Paper Draft. Ref.: Prof./GB/SC/0565. Daichman et al. Health Professionals Perception of and Responses to Elder Abuse. Latin American Committee for Prevention of Elder Abuse: Buenos Aires, Argentina. Frazier, B. H. and Hayes, K. C. 1991. Selected Resources on Elder Abuse: An Annotated Bibliography for Researchers and Educators. University of Maryland: USA Department of Agriculture. Hancock, G. 1995. Lords of Poverty. Reading: Cox and Wayman Ltd. HelpAge International n.d. United Nations Principles for Older Persons. HelpAge International. 2001. Addressing Violations of the Rights of Older Men and Women. Project Document. Levin, S. P. n.d. Focus Groups as a Tool for Assessing Perceptions on Elder Abuse among Older People and Primary Health Care workers. WHO. Ngugi, R. 1999. Health-Seeking Behaviour in the Reform Process for Rural Households: The Case of Mwea Division, Kirinyaga District, Kenya. Nairobi: African Economic Research Consortium. Ochola, S, Wagah, M. and Omalla, J. N. K. 2000. An Assessment of the Nutritional Status and Socio-Economic Contributions of the Elderly in Nairobi and Machakos Districts. Nairobi: HelpAge International – Africa Regional Development Centre. Randel, J., German, T. and Ewing, D. (Eds.). 1999. The Ageing and Development Report: Poverty, Independence and the World’s Older People. London: Earthscan Publications Ltd. Swanson, S. M. 1999. The National Clearinghouse on Family Violence. Ottawa: Health Canada, Ontario. White, L. 1990. The Comforts of Home: Prostitution in Colonial Nairobi. Chicago: The University of Chicago Press.
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