Public and health policy for the aged in Africa to the South of Saara

ABSTRACT Objective: to know the social and health responses for the elderly in sub-Saharan Africa. Methods: An integrative literature review. Results: There is a lack of specialized health care to meet the real needs of the elderly, and the shortage of health professionals does not contribute favorably to this situation. There is a small number of facilities for the elderly and most of them are inadequate. Although there are models of care as well as social and health support policies for the elderly, there are still inequities/inequalities in access to these policies, especially for the most disadvantaged populations. Conclusion: Social and health policies for the elderly in Sub-Saharan Africa are below standard and appropriate economic, political and social intervention is required.

摘要 研究目的：了解撒哈拉以南非洲老年群体的社会与健康应对现状。方法：本研究采用整合性文献综述法。结果：当前缺乏能够满足老年群体真实需求的专科医疗服务，卫生专业人员短缺的现状不利于该困境的改善；老年服务设施数量稀少，且多数设施配置不完善。尽管已存在老年照护模式以及社会与健康支持政策，但在获取这些政策方面仍存在公平性缺失与不平等问题，尤其对弱势人群而言更为突出。结论：撒哈拉以南非洲的老年社会与健康政策未达标准，亟需开展适配的经济、政治与社会层面的干预措施。