Understanding older adults' functioning and health-seeking behaviour during the COVID-19 pandemic in Ghana: A descriptive qualitative study.

Little research has been conducted to explore the functional status of community-dwelling older adults in sub-Saharan Africa, including Ghana, especially during the COVID-19 pandemic. This study investigated the functional status and the health-seeking behaviour of older adults during the COVID-19 pandemic in Ghana. Utilising a descriptive qualitative approach, semi-structured interviews were used to collect data from 12 eligible older adults from southern Ghana. With the use of NVivo (v12), descriptive and focused coding techniques were employed to analyse the data. The following five themes were identified after the data analysis: (a) older adults' health status during COVID-19 pandemic, (b) feeling limited, (c) feeling of unhappiness for being inactive, (d) striving to be active and (e) seeking healthcare during COVID-19 pandemic. This study revealed the unique health and social-related needs of Ghanaian older adults during the COVID-19 pandemic. This study's findings draw attention to the urgent need for the state to devise practical health and social-related initiatives to support older adults during and after the COVID-19 pandemic.

"Who doesn't Have Challenges? I Have a Lot of Challenges": Exploring the Challenges and Coping Strategies of Neglected Older Adults in Ghana.

The purpose of this study was to explore the challenges neglected older adults experience and the strategies they employ to cope. A Phenomenological qualitative approach was adopted. Employing criterion purposive sampling, 12 older adults were recruited from a community in Winneba in Ghana. A semi-structured interview guide following focus group discussion was used to explore the challenges and the coping strategies of older adults. Thematic data analysis making use of descriptive coding was employed. The study revealed that neglected older adults experience financial challenges, health issues, and social isolations. They lacked decent accommodation, nutritional food and were prevented from determining the kind of food they want to eat. These neglected older adults survived by adopting internal and external coping strategies. This study offers a better understanding of the needs of neglected older adults and the nature of their coping strategies. It is recommended that financial and social care should be available for older adults.

Correlates of older adult inpatients' personal care provision to people with functional difficulties in Ghana.

INTRODUCTION: Most research depicts older adults as needing personal care, with limited research on older adults' contributions in the lives of others in developing countries like Ghana. The purpose of the study was to examine the personal care provision and socio-demographic correlates of personal care provision by older adult inpatients in Ghana. MATERIALS AND METHODS: A hospital-based survey was conducted among 400 consecutively surveyed older adult inpatients at Komfo Anokye Teaching Hospital in southern Ghana. Stata 15 was used to analyse the data. The relationship between personal care and older adult inpatients' socio-demographic characteristics were analysed using the chi-square test. Multivariate logistic regression analysis was employed. RESULTS: Overall, 28% of older adult inpatients provided personal care. Participants were mostly females, married or cohabiting, completed at most junior high school, Christians, urban residents, not working and living with their immediate family. Primarily, most participants provided personal care to one person, once a week, and one-hour duration. Nearly three-quarters of participants provided personal care to someone who lives with them. After adjustment, male older adults were 50% less likely to and urban residents were 83% more likely to provide personal care. Being single, separated or divorced was statistically significantly associated with personal care provision, however, were not statistically significant after adjusting for sex and residence. A post hoc analysis testing for interaction revealed no relationship existing between sex and marital status concerning personal care provision (p = 0.106). CONCLUSION: Female and urban resident older adult inpatients in Ghana are not just passive receivers of care but also provide personal care to others with functional difficulties, independent on age. It further draws attention to the need for policies and programs that can support older adults, particularly females and urban residents, to be productive in the later life.