Institutional Traits in an African Residence for Older Adults: An Obstacle to Community Care?

Abstract

This ethnographic study explores an old age home in a former township in Walvis Bay, Namibia as an institution to investigate its potential to be interwoven in community care services for older adults. Interviews with older adults from the community revealed highly negative opinions about the residence that equated it to an institution. These opinions are compared with conditions in the OAH and the residents' views. The old age home was much more heterogenous as regards the composition of residents than what was perceived by older adults who lived in the community, who considered the home an option only for people who were childless or had been abandoned. Older adults who voluntarily lived alone in the home represented a new lifestyle that challenged the traditional family care practice that is the norm in later life. There was however some truth to the interviewees' perceptions of coercive elements, both in terms of practices and architectural design. The paper argues that it is necessary to reduce the stigma that prevents residential care from being an accepted part of community care and a housing option in the future. The study result shows a number of potentialities that can contribute to this.