Population ageing and family change: older people’s perceptions of current changes in family composition in rural Nepal

Abstract

Rapid population ageing and massive outmigration have affected the traditional family composition. In villages of the middle hills of western Nepal in particular, outmigration of younger generations has profoundly complicated older people's living conditions. This article sheds light on how the family as a social institution has been influenced by current socio-economic changes linked mainly to ageing and outmigration. Based on in-depth qualitative interviews with older people and on group discussions in five different rural villages, the study explores changes and transformations within the family from an emic perspective of older villagers. Changes in the family include modified living arrangements, a redefinition of roles and status, a redistribution of work among family and household members, changes in the attitude of younger people towards older people and a decline in intergenerational care and support. These changes are perceived by the majority of older people as unjust and of no benefit to themselves. Older people find themselves undergoing a transition phase where state provisions remain largely limited and family support is on the decline and no longer guaranteed. Founded on a tacit intergenerational agreement, the family as the major provider of support in old age is falling apart.

Facilitators and barriers to hypertension management in urban Nepal: findings from a qualitative study

“…For example, family reminding patients to take medicine is known to improve adherence in South Asian countries. 34 However, the changing attitudes towards elderly and declining intergenerational support in Nepal 50 highlight further research on family’s role in providing hypertension care. Also, families may be forced to prioritise the needs of breadwinners as opposed to elderly.…”