[The unmet needs of the elderly living with functional disabilities in Bobo-Dioulasso (Burkina Faso)]

Rev Epidemiol Sante Publique. 2013 Dec;61(6):531-7. doi: 10.1016/j.respe.2013.07.682. Epub 2013 Oct 25.
[Article in French]

Abstract

Background: In sub-Sahara Africa, the strong involvement of the family in multidimensional cares/supports of elderly is often presented like the family ensures almost everything to these people. Thus, few studies have focused on unmet needs of the elderly in their family or above. This study was conducted in Bobo-Dioulasso to identify those needs.

Methods: This is a longitudinal study including 58 people or 15 elderly and 43 caregivers from 15 families in Bobo-Dioulasso. In addition to regular observations of these families during 1 year, we conducted in-depth individual interview with each participant at the beginning and at the end of the study. The data were analyzed using QSR NVivo 8 software.

Results: A priori, respondents let believe that there is no unmet functional needs of the elderly in their family. However, the food, the first and main functional need of the elderly is not qualitatively satisfied by their family as well as other equipments or health needs. The quality of social cares/supports, biomedical cares and community supports are insufficient when these cares/supports are provided. The family demands many free or subsidized services to public or community structures then they are not currently available.

Discussion: In a context of widespread poverty, it is difficult for each actor of the social system of maintaining elderly in functional autonomy to provide services/supports of optimal quality. A synergy of action will reduce the unmet needs of the elderly in Bobo-Dioulasso.

Keywords: Afrique subsaharienne; Aides aux aidants; Analyse des besoins; Caregivers; Couverture sociale; Food assistance; Frail elderly; Health services needs and demand; Personal satisfaction; Personnes âgées; Satiation; Satisfaction du malade.

Publication types

  • English Abstract

MeSH terms

  • Aged*
  • Aged, 80 and over
  • Burkina Faso / epidemiology
  • Caregivers / statistics & numerical data
  • Caregivers / supply & distribution
  • Disabled Persons / statistics & numerical data*
  • Female
  • Health Services Accessibility / statistics & numerical data*
  • Health Services Needs and Demand / statistics & numerical data*
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Social Conditions / statistics & numerical data
  • Surveys and Questionnaires