We need to protect the elderly in South Africa from COVID-19

07 May 2020 | Story Gabrielle Kelly. Photo Wikimedia Commons. Read time 6 min.
About 70% of older people in South Africa receive old age grants, and research shows older women use this income to support unemployed and underemployed relatives.
About 70% of older people in South Africa receive old age grants, and research shows older women use this income to support unemployed and underemployed relatives.

University of Cape Town (UCT) post-doctoral research fellow Gabrielle Kelly comments on the challenges facing older people in the wake of the COVID-19 pandemic.

The South African Older Persons Act promises to protect and empower the elderly, but in reality, the contribution of older people to society is often overlooked and their needs neglected. This is particularly notable in our overburdened health system where younger populations are prioritised in terms of budget allocation, service provision is poorly suited to older people’s complex health needs, and there is a severe lack of geriatric expertise among health professionals.

Given the Covid-19 pandemic, we can no longer sideline or ignore older people. Older adults are at significantly greater risk of complications from the virus and case fatality rates increase significantly with age due to reduced immunity and the increased likelihood of existing chronic disease. This has been demonstrated in the Chinese data and, most recently, in Italy where 82% of the 827 deaths that had occurred by 11 March 2020 fell into the 60-plus age category.

The experiences of countries with more advanced spread of the disease show how quickly the virus can spread and how much pressure it can place on health systems. These countries do not face the additional burdens of high rates of TB and HIV, which are expected to add significant complexity to managing the disease in the South African context. Everywhere, but particularly in a country as unequal and burdened by disease as South Africa, there is a critical need to examine how the structure of our society and economy will shape this crisis and impact on vulnerable groups such as the elderly.

South Africa has the largest population of older people in Africa (9% according to Stats SA’s 2019 mid-year population report) and about 40% of the older population in South Africa is poor. Medical aid coverage rates are low, with about 80% dependent on the public health system.

While nursing homes can (and hopefully will) restrict access to the public to protect residents and caregivers vulnerable to the virus, the limited availability of long-term care facilities for the poor means that many older people in community settings with already significant unmet care needs are likely to be exposed to the virus via other household members who struggle to heed calls to self-isolate. While wealthier South Africans can afford to manage their contact with others, reliance on public services, crowded living conditions, use of public transport and inflexible work arrangements will make it difficult to manage the spread of the disease in poorer communities. This puts a large number of older people at significant risk.

At the beginning of April, more than 18 million people will gather in large numbers at South African Post Office and Sassa pay points, as well as merchant retailers, to receive their social grants. About 3.6 million of these beneficiaries are Old Age Grant recipients who will put themselves at significant risk of infection by collecting the monthly income on which they depend. Sassa needs to make provision for social grant payments to be staggered or for bank fees to be waived to encourage the use of ATMs as a means of accessing money and for strict hygiene protocol to be in place to manage the potential spread of the disease.

Older people, who need to regularly frequent public health facilities to receive chronic medication or receive care, are also at risk of exposure in these settings. Provision needs to be made for all older people to have their medication delivered to their homes and for wellness check-ups to be carried out by community health workers.

Older people play a critical role in our society. Most older people live in community settings, very often with younger kin. These intergenerational or skip-generational households rely heavily on grandparents to care for children or the sick and contribute significantly to household income through their pensions.

About 70% of older people in South Africa receive old age grants and there is a substantial body of research that shows how older women use this income to support unemployed and underemployed relatives. By doing so they significantly reduce levels of household poverty. Given high rates of unemployment, the illness or death of an older person in a household will have a significant impact on the financial status of coronavirus-affected households. The ability of parents of young children to work or seek employment will also be reduced if grandmothers are no longer able to care for their grandchildren.

To protect vulnerable groups such as the elderly, we not only need to think about how health and clinical responses are developed, but how all health and public services are delivered to ensure that measures are in place to limit older people’s and immune-compromised people’s exposure to the virus. All South Africans that are able to should self-isolate to protect those who are not able to and allow older people to continue to play their vital role in their families and communities. 

Dr Gabrielle Kelly is a health and social policy researcher. She has a PhD in Sociology from UCT and is the Senior Researcher at the Samson Institute for Ageing Research.

This article was originally published by Daily Maverick.

For licensing information please visit the source website.

UCT’s response to COVID-19

COVID-19 is a global pandemic that caused President Cyril Ramaphosa to declare a national disaster in South Africa on 15 March 2020 and to implement a national lockdown from 26 March 2020. UCT is taking the threat of infection in our university community extremely seriously, and this page will be updated with the latest COVID-19 information. Please note that the information on this page is subject to change depending on current lockdown regulations.

Minister of Health, Dr Joe Phaahla, has in June 2022 repealed some of South Africa’s remaining COVID-19 regulations: namely, sections 16A, 16B and 16C of the Regulations Relating to the Surveillance and the Control of Notifiable Medical Conditions under the National Health Act. We are now no longer required to wear masks or limit gatherings. Venue restrictions and checks for travellers coming into South Africa have now also been removed.

In July 2022, the University of Cape Town (UCT) revised its approach to managing the COVID-19 pandemic on UCT campuses in 2022.
Read the latest document available on the UCT policies web page.

 

Campus communications

 
2022

Adjusting to our new environment 16:50, 23 June 2022
VC Open Lecture and other updates 17:04, 13 April 2022
Feedback from UCT Council meeting of 12 March 2022 09:45, 18 March 2022
UCT Council
March 2022 graduation celebration 16:45, 8 March 2022
Report on the meeting of UCT Council of 21 February 2022 19:30, 21 February 2022
UCT Council
COVID-19 management 2022 11:55, 14 February 2022
Return to campus arrangements 2022 11:15, 4 February 2022

UCT Community of Hope Vaccination Centre

On Wednesday, 20 July, staff from the University of Cape Town’s (UCT) Faculty of Health Sciences came together with representatives from the Western Cape Government at the UCT Community of Hope Vaccination Centre at Forest Hill Residence to acknowledge the centre’s significance in the fight against COVID-19 and to thank its staff for their contributions. The centre opened on 1 September 2021 with the aim of providing quality vaccination services to UCT staff, students and the nearby communities, as well as to create an opportunity for medical students from the Faculty of Health Sciences to gain practical public health skills. The vaccination centre ceased operations on Friday, 29 July 2022.

With the closure of the UCT Community of Hope Vaccination Centre, if you still require access to a COVID-19 vaccination site please visit the CovidComms SA website to find an alternative.

 

“After almost a year of operation, the University of Cape Town’s (UCT) Community of Hope Vaccination Centre, located at the Forest Hill residence complex in Mowbray, will close on Friday, 29 July 2022. I am extremely grateful and proud of all staff, students and everyone involved in this important project.”
– Vice-Chancellor Prof Mamokgethi Phakeng

With the closure of the UCT Community of Hope Vaccination Centre, if you still require access to a COVID-19 vaccination site please visit the CovidComms SA website to find an alternative.


Thank You UCT Community

Frequently asked questions

 

Global Citizen Asks: Are COVID-19 Vaccines Safe & Effective?

UCT’s Institute of Infectious Disease and Molecular Medicine (IDM) collaborated with Global Citizen, speaking to trusted experts to dispel vaccine misinformation.



If you have further questions about the COVID-19 vaccine check out the FAQ produced by the Desmond Tutu Health Foundation (DTHF). The DTHF has developed a dedicated chat function where you can ask your vaccine-related questions on the bottom right hand corner of the website.

IDM YouTube channel | IDM website
 

 

“As a contact university, we look forward to readjusting our undergraduate and postgraduate programmes in 2023 as the COVID-19 regulations have been repealed.”
– Prof Harsha Kathard, Acting Deputy Vice-Chancellor: Teaching and Learning

We are continuing to monitor the situation and we will be updating the UCT community regularly – as and when there are further updates. If you are concerned or need more information, students can contact the Student Wellness Service on 021 650 5620 or 021 650 1271 (after hours), while staff can contact 021 650 5685.

 

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