In Ethiopia, the elderly get new help from an old tool –

by Selam

A World Living Longer: Global aging is one of the greatest challenges of the century. And this is not just a “Western” problem. Politicians and policy makers around the world are rethinking healthcare networks, urban design, nursing care, and pension systems to prepare for it. The elderly themselves are key players to help turn this from challenge to opportunity.

For more in the Monitor’s look at global aging issues and solutions, please visit our series homepage.

December 29, 2016
Established around 100 years ago, the Ethiopian idir is a kind of grassroots life insurance. Idir collectives help Ethiopian neighbors organize funerals for their closest relatives and provide solace in grieving.

But as Ethiopia has begun to age, the idir has started to serve a new purpose beyond end-of-life services: helping elderly residents live their daily lives when they no longer have family members nearby.

“The number of older people left alone has increased, because their children have left for other cities or countries and don’t visit or support them anymore,” says Etalemaha Mekbib, the treasurer of a 700-member idir on the outskirts of the capital Addis Ababa. Her association, whose main purpose was once to fund all the arrangements of the funeral, now also pays calls to the elderly in their homes, accompanies them to hospitals, and helps them pay their monthly idir fees or buy basics such as soap or coffee.

Although Africa is the world’s youngest continent, people here are living longer too. And by most accounts Africa is not doing enough to prepare for it. Although in African culture the elderly enjoy a vaulted social status, with extended families taking care of them without question, traditional support systems have become strained. Rapid urbanization, modernization, and the AIDS epidemic have devastated family structures, leaving elderly with little support. Some are even on the streets.

For the vast majority of elderly in Ethiopia, says Gebre Yntiso Deko, an anthropologist from Addis Ababa University, “their pension systems are their children.” He says governments should act now to prepare, by funding adequate nursing care and creating pension schemes.

In the absence of that, the idir is serving as a vital social network since they are present even in the smallest villages. “We have to come up with new ways to help elderly people,” he says.

“People in an idir are like a family,” says Ms. Mekbib, dressed in a traditional white Ethiopian scarf in her living room on a recent day. “They are neighbors, they know each other well, so they know when someone needs help.”

Elderly, alone

Just outside Ethiopia’s sprawling capital, extended families have long lived in round, thatched-roof huts with mud-plastered walls, and the elderly are cared for by their children and grandchildren. Among some ethnic groups the elderly are given special status, feted regularly for their knowledge in farming, animals, and weather. In others, they are viewed as having mystical powers.

But rural-urban migration, and modernity generally, has meant that many older people find themselves

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