Hierarchies of care work in South Africa: Nurses, social workers and home‐based care workers

Lund, Francie

doi:10.1111/j.1564-913x.2010.00100.x

Cited by 40 publications

(43 citation statements)

References 10 publications

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“…South Africa has strong traditions of paid domestic service, especially by Africans for whites (Fish, 2006). It is estimated that there are nearly three million paid carers and that domestic staff previously engaged in duties such as childcare and housework are being required to take on elder care duties (Lund and Budlender, 2009). There is a considerable presence of private elder care agencies advertising on the internet, but there is no systematic data about the scale of this sector or the quality of care it provides.…”

Section: Table 5 About Herementioning

confidence: 99%

Long-term Care for Older People in South Africa: The Enduring Legacies of Apartheid and HIV/AIDS

Lloyd‐Sherlock

2018

J. Soc. Pol.

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This paper sets out a general framework for analysing long-term care (LTC) systems for older people in different countries and then applies this framework to a specific national setting. The paper considers the extent to which South Africa's emerging LTC system conforms to broader patterns observed across low- and middle-income countries and how far it has been shaped by more local effects. It finds that patterns of demand for LTC vary across different racial categories. Despite having lower rates of ageing that the white population, Africans account for the majority of LTC demand. Residential services cater primarily for older whites and there is a widespread perception that LTC for Africans should be a family responsibility. Across the sector there is evidence of gaps in service availability, limited state oversight and uneven service quality. In 2016 this led to a high-profile political scandal which may prompt more effective state responses to this growing societal challenge.

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Section: Table 5 About Herementioning

confidence: 99%

Long-term Care for Older People in South Africa: The Enduring Legacies of Apartheid and HIV/AIDS

Lloyd‐Sherlock

2018

J. Soc. Pol.

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“…For example, in Malaysia, there is no publicly available national household survey or census containing data on the number of MDWs. Lund and Budlender () mentioned that many MDWs are often undeclared workers, while others, particularly younger workers, are relatives or kin who do domestic work in exchange for “board and lodgings” and may not be captured in labour force surveys (WIEGO, ). In many cases, data on age, food intake, recreation, minimum wages, working conditions, working hours, poverty, socio‐cultural barriers, sex and gender‐based discrimination, and emotional and physical abuse are not available.…”

Section: Review Resultsmentioning

confidence: 99%

Migrant Domestic Workers in Asia: Transnational Variations and Policy Concerns

Islam

Cojocaru

2015

International Migration

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The labour force of the migrant domestic workers (MDWs) has become one of the significant policy concerns in Asia. Most of the Asian countries are not following (or not to an equal extent) the Domestic Workers Convention 2011 (No. 189) which has been adopted by the International Labour Organization (ILO). The objective of this article is to show the transnational variations and policy concerns of the MDWs in Asia. Based on content analysis, the authors found that there are considerable transnational variations of the MDWs in terms of their age and nature of work, legal identity, working hours, and remuneration across Asian countries. These variations have serious policy concerns in a number of areas such as lack of available data of the MDWs, working conditions, exploitations, and gender issues. The findings of the article would be an important guideline for adopting new legislation and labour policy for the MDWs in Asia.

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“…We will also purposively select some households for detailed case study that have employed a paid non-family carer, probably from Lima and Beijing where this practice is common. Drawing on the literature concerned with domestic service more generally (Parrenas 2001; Lund and Budlender 2009; YANG 2009), the interviews will assess whether elder care can be considered as an extension of paid domestic tasks such as cleaning and childcare or is qualitatively different. For example, whether paid carers have formal qualifications, whether they recruited in similar ways to other domestic workers, and the potential for exploitation of carers.…”

Section: Discussionmentioning

confidence: 99%

Exploring the economic and social effects of care dependence in later life: protocol for the 10/66 research group INDEP study

et al. 2014

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BackgroundIn low or middle income countries chronic diseases are rapidly becoming the main cause of disease burden. However, the main focus of health policymakers has been on preventing death from cancer and heart disease, with very little attention to the growing problem of long-term needs for care (dependence). Numbers of dependent older people are set to quadruple by 2050. The economic impact of providing long-term care is likely to be substantial.Methods/designThe study uses mixed methods and draws on and extends the population-based surveys conducted by the 10/66 Dementia Research Group. We focus on two countries in Latin America (Peru and Mexico), China and Nigeria. The surveys comprised baseline surveys of health, socioeconomic circumstances and care arrangements, repeated three to four years later. We are going back to these households to make a detailed assessment of the overall economic status and the use of health services by all family members. We will compare households where: a) an older resident became dependent between baseline and follow-up (incident care), b) one or more older people were dependent at both time points (chronic care), b) c) no older residents had needs for care (control households) for household income, consumption, healthcare expenditure and economic strain. In each of the four countries we are carrying out six detailed household ‘case studies’ to explore in more depth the economic impacts of dependence, and the social relations between household members and others in their network.DiscussionThe INDEP study will provide a detailed examination of the economic and social effects of care dependence in low and middle income settings. As the proportion of older people with needs for care rises rapidly in these countries, this neglected policy area is likely to become increasingly salient for families, communities and policymakers alike. Our detailed multilevel plans for dissemination will ensure that the study helps to put this important issue on the agenda for the international and national media, the public and researchers.Electronic supplementary materialThe online version of this article (doi:10.1186/2193-1801-3-379) contains supplementary material, which is available to authorized users.

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Hierarchies of care work in South Africa: Nurses, social workers and home‐based care workers

Cited by 40 publications

References 10 publications

Long-term Care for Older People in South Africa: The Enduring Legacies of Apartheid and HIV/AIDS

Long-term Care for Older People in South Africa: The Enduring Legacies of Apartheid and HIV/AIDS

Migrant Domestic Workers in Asia: Transnational Variations and Policy Concerns

Exploring the economic and social effects of care dependence in later life: protocol for the 10/66 research group INDEP study

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