Dr. Nereide Curreri currently holds positions as extraordinary researcher at North-West University, South Africa; research assistant at University of Stirling; researcher at the International Foundation of Integrated Care. She is also Chair of the Emerging Researchers and Professionals in Integrated Care.
She worked 6+ years in direct care in Italy and the United States in residential care facilities and home care. Her experience is in strategic development, Geriatric Care Management, and the start-up and management of a dementia unit. She worked with older adults in all levels of care: independent living, assisted living, dementia units, skilled nursing, hospice care and home care.
Recently, Nereide completed a PhD in Dementia Studies from the University of Stirling, UK. Her research investigated the integration of older adult services for families with dementia in Central America through a social network approach. She lived one year in five Central American countries collecting data. She obtained a Master’s in Gerontology from Vrije University Amsterdam, NL in 2011 researching the stress factors affecting work engagement of nursing staff in residential care homes in Italy.
Rural Communities for supporting ageing-wellbeing in Latin America and sub-Saharan Africa: Understanding capacities and barriers; Considering strategies
Roseline Kihumba, Global Healthy Ageing Portfolio Development and Quality Manager, HelpAge International. She has over 15 years’ experience in international development and exposed to in-depth international development within interdisciplinary and multi-cultural contexts. Roseline has worked in a wide range of sectors including health, movement building, social protection, rights, emergencies, advocacy and policy influencing. She has worked with diverse groups of population and a wide range of stakeholders such as member states, Africa Union, international NGOs and national and local organizations. She has actively engaged the Sustainable Development Goals, data revolution and rights of older persons from local to international levels while providing technical advisory support to both State and non-state actors on inclusive sustainable development. She holds a Master of Science in Development Management, a MA in Communications studies, and a B. Sc. degree in Agriculture and Home Economics.
Twitter handle: @RoseKihumba
Marcella Bustamante is an experienced lawyer with a strong background in advocating at the highest governmental levels in the implementation of the Human Rights, Humanitarian Law and Humanitarian standards across Latin American Region. Works experience with GIZ, USAID and international organizations advising them in positioning their agendas and strategies. Strengthen advocacy, networking and resource mobilization capacities of civil society organizations and grassroots organizations. At HelpAge, she provides leadership and strategic direction to HelpAge in the LAC Region, encompassing humanitarian programming for Venezuelan Migrants, advocacy and policy influencing, communications and campaigning activities with network members.
Dr. José Francisco Parodi García is a geriatrician and professor of Geriatrics and Public Health at San Martín de Porres University. He is also Director of the Aging Research Center -CIEN. He has a Master’s in Public Health with a mention in Epidemiology, and a PhD in Medicine. He has been accredited as Master Trainer of Stanford University Self-Management Program For Chronic Disease “Taking Control of Your Health”. Dr. Parodi has advised Latin American ministries of health and social issues on issues of public health and aging. Likewise, he has been invited expert and temporary advisor to international institutions (ECLAC, PAHO / WHO) about aging and health, in academic events and health policies.
He is a member of the Executive Committee of ALMA and in addition. He is currently a member of the Center of Experts of the International Federation of Aging – IFA. He was a member of the Board of the Panamerican Health Organization Foundation (PAHO Foundation) from 2010 to 2015. He is the author and co-author of numerous articles in national and international clinical journals and books. He has participated as academic coordinator, moderator and speaker in various national and international courses. Orcid: 0000-0002-0336-0584
Professor Jaco Hoffman (DPhil, Oxon) is Professor of Socio-Gerontology in the Optentia Research Unit, North-West University (Vanderbijlpark Campus), South Africa where he leads the Ageing and Generational Dynamics in Africa (AGenDA) programme. He is also Professorial Fellow at the Institute of Population Ageing, University of Oxford, UK where he co-ordinates the UN endorsed African Research Network on Ageing (AFRAN). AFRAN brings together African and international institutions and individuals from academia, policy and practice to develop and expand African research and training capacity on ageing. He furthermore is an Honorary Professor in the Institute of Ageing in Africa, Department of Medicine, Faculty of Health Sciences, University of Cape Town, and was a past president of the South African Gerontological Association (SAGA) as well as a founding member of the South African Older Person’s Forum. Jaco co-directs, with Prof Sebastiana Kalula (UCT), the International Longevity Centre (ILC) – South Africa and is a Director of the International Federation of Ageing (IFA) Board. His research experience relates to the Social Sciences (Sociology, Anthropology) broadly with specialization in the multi-disciplinary field of Socio-gerontology (including topics like HIV/AIDS, poverty, [long-term] care, families, community development).
Norah Keating, Global Social Issues on Ageing
Nereide Curreri, International Foundation for Integrated Care, South Africa
Roseline Kihumba, HelpAge International Africa, Kenya
Marcella Bustamante, HelpAge International Latin America, Colombia
José Francisco Parodi, San Martín de Porres University, Peru
Jaco Hoffman, International Longevity Centre South Africa, South Africa
The social justice agenda of the UN Sustainable Development Goals and recently announced UN Decade of Healthy Ageing (2021 – 2030) are bold and inclusive. UN Member States have endorsed this vision, pledging to ensure “no one will be left behind” and to “endeavour to reach the furthest behind first” (UNDP 2018, p. 3); with the Decade of Healthy Ageing aiming to improve the lives of older people, their families, and the communities in which they live. Older persons and those living in rural and remote areas are among the groups at acute risk of being left behind. Rural and remote communities comprise vast geographical areas / expanses where a significant population of older people still lives. They are also home to some of the most disadvantaged and marginalized people. Communities themselves may be poorly resourced. Poverty, low education, gender discrimination and less access to services tend to coexist in these communities.
In this symposium we focus on the Global South (Latin America [LA] and sub-Saharan Africa [SSA]), broadly exploring elements and mechanisms of communities that are supportive to older persons and those that are not. The argument is that we expect communities to be ‘age-friendly’ but we need to know what elements within communities are most important to their ability to do so. We are also aware that there surely are interventions that are making a difference, often described in other terms (intergenerational, inclusion, equity, etc.).
Emphasis in the symposium is on the characteristics of rural communities and their ability to be supportive to older people. We explore effective elements and mechanisms in communities to support the well-being of older persons on the levels of the extant literature and accompanying concepts through a scoping review (Session 1) as well as the existing policies and practices in these regions (Sessions 2 and 3) that enhance or impede the well-being of older people in the communities in which they live. Together these sessions will provide a detailed understanding of strengths and limitations in communities’ ability to support older residents and their families. The session aims to inform the action items from The UN Decade of Healthy Ageing: to ensure that communities foster the abilities of older people (Session 4).
Presenter #1, Nereide Curreri
Wellbeing of rural communities
In the first session Dr Curreri presents a scoping review of features of rural communities that influence health and well-being of older people across Latin America and sub-Saharan Africa. The review included literature in English, French, Spanish and Portuguese, using common English language search engines and lesser known regional and language specific databases. The purpose of the review was to identify the enablers and/or barriers to older adults’ well-being in rural and/or remote communities and to outline similarities and differences across the two aforementioned regions. Findings illustrate diversity in how community features including remoteness, infrastructure and belonging influence material, physical, and social well-being of older residents. These findings inform global, national and local strategies in implementing evidenced based actions to maintain healthy ageing. They provide contextual data that enhances the ontology of ageing in rural communities. This is important as the majority of older adults are estimated to be located in LMICs around 2050.
Presenter #2, Roseline Kihumba
Strengths and challenges for rural communities in supporting older people in Sub-Saharan Africa
Lower population density and more geographically dispersed populations in rural and remote areas make it more difficult and expensive to create and maintain a comprehensive service infrastructure. Consequently, it is assumed that rural populations have less access to services and activities and their situation may aggravate further when combined with poorer socio-economic conditions. It is often further assumed that this puts rural populations at a disadvantage compared to urban ones and can be particularly problematic for older people who may face a greater risk of social isolation, reduced mobility, lack of support and health care deficits as a result of the place in which they live. Roseline Kihumba presents us with the SSA reality and shares with us experiences in rural communities: their community assets and challenges. She emphasizes the need for policies and programmes to be flexible and sensitive to local variations in cultural and physical realities and resources / capital and also positions as central the voice and participation of older persons in community social networks and decision-making processes to meet the needs of older persons in rural and remote areas.
Presenter #3, Marcela Bustamante
Strengths and challenges for rural communities in supporting older people in Latin America
Population ageing coupled with political, geographic and social diversities have increased risks of social exclusion of older adults in Latin America. Exclusions from social and community engagement are assumed to be exacerbated in rural communities. As in other world regions, many countries in Latin America have rural communities that are remote from population centers and may be poorly served with services and other infrastructure. Yet rural communities across the region are diverse in their physical settings such as the high Andes or Amazon tributaries, their political stability and their ethnic diversity. In this presentation, Marcela Bustamante speaks to these diversities and their human rights implications for both communities and older persons who are at highest risk of being left behind. She focuses on the ways in which civil society and community-based organizations can have a role in strengthening advocacy and resource mobilization capacities of rural and remote communities in cooperation with older residents and regional and national governments.
Presenter #4, José Francisco Parodi
Rural communities and ageing-wellbeing: Capacities and strategies
In a concluding session all the panelists focus on what we mean by community well-being for older members and the barriers to achieving it across the two regions – Latin America and sub-Saharan Africa. They broadly propose a strength-based approach for a way forward in that we set aside notions of rural communities as necessarily incapable of supporting older community members; that we should identify the unique elements of rurality that empower or exclude older people and examine how these differ across cultures and settings. It is suggested that such can best be designed and implemented at a local or regional level, and supported by higher levels of government with the participation of older community members themselves. Strategies should be collaborative and joined up to reflect the interlinked nature of the many challenges facing older people in rural areas.