Older black South African women’s perceptions and attitudes of long-term care: An Ubuntu-centric cultural perspective

Abstract

Older black people in South Africa stay a part of an extended family structure well into old age, irrespective of the family’s ability to provide the necessary care. South Africa’s (SA) underdeveloped infrastructure creates an increasing cause for concern as the size of the country’s older population is growing. The result is a persistent and wide-reaching disparity in access to sufficient geriatric care for older people, especially across racial lines, due to the former Apartheid regime and change in traditional African family contexts. The affiliated study formed part of a larger research project. A qualitative descriptive design was employed to describe the experiences, perceptions and attitudes of older black women regarding long-term care (LTC). Data were collected through two focus-group discussions and analysed thematically. Against the historical background of South Africa, an Ubuntu worldview, and a shift to a more modern African society, it became evident that formal LTC is inaccessible, and that informal LTC can no longer be provided by the younger generation and other extended family members. Among the participants, these two factors create significant ambivalence in having their future needs met