Audit of Residential Facilities, Final report - Division for Social Policy ...

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under normal circumstances would be very unlikely that everyone would say the samething.CHAPTER 2OVERALL CONTEXT OF OLDER PERSONS2.1 IntroductionThis chapter outlines the overall context of older persons highlighting some international trendswith regard to ageing. It also provides a brief overview of ageing in South Africa addressingmainly the demographic trends as well as the legislative context that should provide the enablingenvironment for older persons.2.2 Defining AgedAt the moment, there is no United Nations standard numerical criterion, but the UN agreed cut offis 60+ years to refer to the older population. Realistically, if a definition in Africa is to bedeveloped, it should be either 50 or 55 years of age, but even this is somewhat arbitrary andintroduces additional problems of data comparability across nations. The more traditional Africandefinitions of an elder or 'elderly' person correlate with the chronological ages of 50 to 65 years,depending on the setting, the region and the country. Lacking an accepted and acceptabledefinition, in many instances the age at which a person became eligible for statutory andoccupational retirement pensions has become the default definition. The ages of 60 and 65 yearsare often used, despite its arbitrary nature, for which the origins and surrounding debates can befollowed from the end of the 1800's through the mid 1900's. (Thane, 1978 & 1989; Roebuck1979)2.3 The World’s ageing PopulationPopulation ageing refers to a rising share of older people living in our societies and this will beaccompanied by a shrinking population overall. This phenomenon is mostly prevalent in Europe.A European comparative analysis shows that the challenge and extent of the population ageingis different for each country even within the European region. Spain, for example is absorbing amuch quicker rise in the share of older people than most of the other European countries such asGreat Britain. Table 1 shows figures on ageing in the world‟s regions and in a few specificcountries.20 | D S D A u d i t o f R e s i d e n t i a l F a c i l i t i e s
The Population Reference Bureau estimates that in 2008 older persons comprise seven percentof the world‟s population. In Europe, the regional average proportion of older persons is 16percent and is highest in Monaco at 22% (6600 older persons). In Asia, Japan is estimated tohave 28 million older persons comprising 22 percent of the country‟s population. South Africa isestimated to have 1.9 million older persons. In other words, 86 percent of all older persons inSouthern African reside in South Africa.2.4 Ageing in South Africa2.4.1 Demographic TrendsSandra Marais and Ilse Eigelaar-Meets (2007) make reference to numerous studies conductedby Joubert and Bradshaw which provide a useful overview of the situation of older persons inSouth Africa. The authors indicate that South Africa has one of the most rapidly ageingpopulations in Africa, with a particular increase in the 64-70 year age category (May, 2003). Inthe year 2000 South Africa had the second highest number of older persons on the Africancontinent, being only surpassed by the older population of Nigeria (5.24 million). The 2001Census found that 7.3% of the total population in South Africa were 60 years or older which ishigher than the proportions of almost all other African nations in 2000 and noticeably higher thanCountryMid -Year PopulationEstimate Mid 2008 inMillionsProportion ofPopulation aged65+EstimatedPopulation 65+in MillionsWorld 6705 7 469.4More Developed Countries 1227 16 196.3Less Developed Countries 5479 6 328.7Sub-Saharan Africa 809 3 24.3Southern Africa 55 4 2.2Africa 967 3 29.0Lesotho 1.8 5 0.1Reunion 1.3 7 0.1Mauritius 0.8 7 0.1South Africa 48.3 4 1.9Americas 915 9 82.4Canada 33.3 14 4.7Asia 4052 7 283.6Japan 127.7 22 28.1Europe 736 16 117.8Monaco 0.03 22 0.007Italy 59.9 20 12.021 | D S D A u d i t o f R e s i d e n t i a l F a c i l i t i e s
Page 1 and 2: Final ReportAudit of Residential Fa
Page 3 and 4: 4.5 Sustainability / Funding ......
Page 5 and 6: towards their conditions of employm
Page 7 and 8: The M&E role of the Department (whe
Page 9 and 10: 6. With regard to management capaci
Page 11 and 12: 14. Sharing, Learning and Networkin
Page 13 and 14: Director-General means the Director
Page 15 and 16: office-bearers except as reasonable
Page 17 and 18: 1.3 Process FollowedA number of oth
Page 19: This was recorded and submitted to
Page 23 and 24: 2.4.2 Proportion of women versus me
Page 25 and 26: Africans comprise 67, 7% of the pop
Page 27 and 28: Where homes are situatedFormer Whit
Page 29 and 30: While the guideline for frail care
Page 31 and 32: The breakdown of these homes is as
Page 33 and 34: Just over a half (51%) of homes off
Page 35 and 36: that “…The Department of Health
Page 37 and 38: Cultural and recreational activitie
Page 39 and 40: one bed should be set aside for sho
Page 41 and 42: a. Although there were a few homes
Page 43 and 44: 100%90%80%70%60%50%40%30%20%10%0%81
Page 45 and 46: While in the majority of homes (62%
Page 47 and 48: The graph indicates that staff for
Page 49 and 50: The norms and standards indicate th
Page 51 and 52: Are there staff records and Perform
Page 53 and 54: In 92% of the homes the residents d
Page 55 and 56: ooIn addition, emergency exits were
Page 57: v. In some provinces, the coordinat
Page 60 and 61: egards to the Mangers carrying out
Page 62 and 63: some senior staff that were black.
Page 64 and 65: 4.6 Intersectoral CollaborationThe
Page 66 and 67: In terms of the Transformation Char
Page 68 and 69: from Alzheimer‟s disease, dementi
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the home as very poor, Umhlaba sugg
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Home Requiring InterventionHome Con
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Free StateFree State ResultsPoor /
Page 76 and 77:
Vosloorus Society Care of the AgedL
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Beaconvale Poor YesFairHome for the
Page 80 and 81:
Where a more positive relationship
Page 82 and 83:
The shortage of nursing staff could
Page 84 and 85:
major breakages and faulty equipmen
Page 86 and 87:
. Meetings / Interviews with:1. Dor
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