Informal and Formal Long-term Care for Frail Older Adults in Cairo, Egypt: Family Caregiving Decisions in a Context of Social Change

Sinunu, Michele; Yount, Kathryn M.; Afify, Nadia Abdel Whab El

doi:10.1007/s10823-008-9074-6

Cited by 47 publications

(57 citation statements)

References 16 publications

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“…Some of these institutions continue to treat communicable diseases such as leprosy. The long-term institutions in the region are usually operated by voluntary, not-for-profit, charitable religious associations with financial support from the ministry of health as well as donations from the community [19]. The government support is based on a flat daily rate per patient.…”

Section: Long-term Care and Palliative Carementioning

confidence: 99%

Delivery of health services in Arab countries: a review

Nm¹

2012

Easter Mediterr Health J

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This paper reviews the essential components of health care delivery systems in Arab countries and their development over the past 3 decades. The changes and challenges which evolved during the last half of the 20th century have had a significant impact on health systems and on health outcomes. An adequate network of hospitals and primary health care facilities has been established in most Arab countries of the Region. The increased participation of civil society has impacted positively on health systems. However, the main challenge is represented by the move towards market economies. In many developing economies, macroeconomic reforms have often necessitated cuts in public spending on social sectors. Cost-sharing policies have been implemented in order to compensate for diminishing government budgets allocated to health. However, this is not to minimize the enormous strides that have been made in all countries nor the important challenges that need to be addressed. RÉSUMÉ Le présent article examine les composantes essentielles des systèmes de prestation de soins de santé dans les pays arabes et leur évolution au cours des trente dernières années. Les changements et les difficultés qui ont été observés pendant la dernière moitié du XX e siècle ont eu un impact important sur les systèmes de santé et les résultats sanitaires. Un réseau adéquat d'hôpitaux et d'établissements de soins de santé primaires a été mis en place dans la plupart des pays de la région. La participation accrue de la société civile a en une influence positive sur les systèmes de santé. Toutefois, l'évolution vers des économies de marché représente la principale difficulté. Dans de nombreuses économies en développement, les réformes macroéconomiques ont souvent nécessité des coupes dans les dépenses publiques pour les secteurs sociaux. Des politiques de partage des coûts ont été mises en place afin de compenser la baisse des budgets publics attribués à la santé. Toutefois, il ne s'agit pas de minimiser les très grandes avancées qui ont été réalisées dans tous les pays, ni les difficultés importantes qui doivent être surmontées.

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Section: Long-term Care and Palliative Carementioning

confidence: 99%

Delivery of health services in Arab countries: a review

Nm¹

2012

Easter Mediterr Health J

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“…Also, eliciting reliable information about family care-giving practices is highly problematic, since responses (especially to quantitative surveys) are strongly influenced by cultural norms of acceptable behaviour (Yanxia Zhang and Yeung, 2012;Sinunu et al, 2009). Put simply, household members will not necessarily admit to themselves, let alone to an outsider, that the care they provide is inadequate.…”

Section: The Role Of Academic Research In Problem Definitionmentioning

confidence: 99%

Barriers to linking research and policy: the case of long-term care in low and middle income countries

Lloyd‐Sherlock¹

2015

Population Horizons

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This paper sets out a number of issues related to the translation of research into evidence and policy for long-term care (LTC) in low and middle income countries (LMICs). First, it assesses the role research can play in problem definition, including establishing the scale of long-term care demand in LMICs and identifying potential negative consequences of policy inaction. Second, it assesses the role that research can play in identifying and evaluating solutions to the problem, in the form of suitable policies and interventions. Lastly, it assesses mutual accessibility between researchers and policy-makers, paying particular attention to institutional and organisational structures. Applying this framework, the paper demonstrates that the capacity for research to influence long-term care policy is very limited. The paper calls for the establishment of an adequately resourced global institutional hub to support research in this area and to promote knowledge-sharing between academics and policy-makers.

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“…There is an extensive and mixed literature on tradeoffs between caring for seniors and female labor force participation, some finding evidence of a tradeoff, and others finding that caring for an aging parent does not reduce the amount of time women spend in the labor force, since co-residing parents can provide care for young children, freeing up time for formal work (Johnson and Lo Sasso 2006;Latif 2006;Maurer-Fazio et al 2011;Sasaki 2002;Wakabayashi and Donato 2005;Wolf and Soldo 1994). Qualitative research in Egypt has suggested that with rising levels of female employment, there is increasing tension between women's labor force participation and their ability to care for aging in-laws (Sinunu, Yount, and El Afify 2008). Especially among wealthier, urban, and more-educated households, there is evidence that families are beginning to seek formal care or non-family member care options for aging parents (removing the burden from daughters-in-law).…”

Section: Women's Labor and Leisurementioning

confidence: 99%