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A critical review of intervention and policy effects on the health of older people in sub-Saharan Africa

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  • Lloyd-Sherlock, Peter
  • Amoakoh-Coleman, Mary

Abstract

This paper provides a critical review of publications containing information about specific health effects on older adults of interventions and policies in sub-Saharan Africa. Interventions and policies fell into the following categories: testing or treating HIV, the provision of pensions, screening for non-communicable diseases (NCDs), health service financing and interventions related to visual conditions. The review finds that the relevant literature is very limited relative to the size of older populations in the region. Conditions of particular relevance to older adults, such as NCDs, are under-represented and most studies treat older people as a single category, typically including all adults aged 50 and over. The paper concludes that evidence about the health effects of interventions and policies on the region's rapidly growing older populations remains minimal, and that this both reflects and reinforces a bias against older people in health policy.

Suggested Citation

  • Lloyd-Sherlock, Peter & Amoakoh-Coleman, Mary, 2020. "A critical review of intervention and policy effects on the health of older people in sub-Saharan Africa," Social Science & Medicine, Elsevier, vol. 250(C).
    • Handle: RePEc:eee:socmed:v:250:y:2020:i:c:s0277953620301064
    DOI: 10.1016/j.socscimed.2020.112887
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    References listed on IDEAS

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    1. Schatz, Enid & Gómez-Olivé, Xavier & Ralston, Margaret & Menken, Jane & Tollman, Stephen, 2012. "The impact of pensions on health and wellbeing in rural South Africa: Does gender matter?," Social Science & Medicine, Elsevier, vol. 75(10), pages 1864-1873.
    2. World Health Organisation (WHO), 2015. "World Report on Ageing and Health," Working Papers id:7816, eSocialSciences.
    3. Mladovsky, Philipa & Ba, Maymouna, 2017. "Removing user fees for health services: A multi-epistemological perspective on access inequities in Senegal," Social Science & Medicine, Elsevier, vol. 188(C), pages 91-99.
    4. Peter Lloyd-Sherlock & Sutapa Agrawal, 2014. "Pensions and the Health of Older People in South Africa: Is there an Effect?," Journal of Development Studies, Taylor & Francis Journals, vol. 50(11), pages 1570-1586, November.
    5. Parmar, Divya & Williams, Gemma & Dkhimi, Fahdi & Ndiaye, Alfred & Asante, Felix Ankomah & Arhinful, Daniel Kojo & Mladovsky, Philipa, 2014. "Enrolment of older people in social health protection programs in West Africa – Does social exclusion play a part?," Social Science & Medicine, Elsevier, vol. 119(C), pages 36-44.
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