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Jotham Dhemba
Senior Lecturer and Head of Department,
University of Eswatini, The Kingdom of Eswatini

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Tatenda Nhapi
Research Associate, University of Johannesburg, South Africa

SDGs mainstreaming for enhanced older persons' welfare -Insights from Eswatini and Zimbabwe

Although the entire world is facing a demographic revolution of population ageing, this is occurring at a very fast pace in the Southern Africa region (Patel, 2015) where Eswatini and Zimbabwe are located. The population of older people (age 60+) in Southern African countries is projected to almost triple from around 11 million in 2023 to over 29 million people by 2050. As such, these countries are experiencing and will continue to witness an irreversible increase in the population of older persons. This makes the role of social work methods of interventions critical. The shift in the age distribution makes issues to do with the care and support of older persons increasingly important. Of grave concern, in the case of Eswatini and Zimbabwe, is that this demographic shift is yet to be matched with the resources, skills and government commitment to address its implications for older persons' health and wellbeing.

Ageism, limited healthcare and social services access, depleted assets, abuse and neglect (Zelalem & Kotecho, 2020), food insecurity (Kasiram & Holscher, 2015) and lack of, [or] poor housing (Dhemba, 2022) as well as environmental impacts are amongst the key drivers of older persons poverty. Therefore, increased representation of older persons in the population is a demographic imperative demanding Sustainable Development Goals (SDGs) targets mainstreaming for the optimising older persons quality of life and wellbeing

Given their ethical responsibility to intervene in the lives of vulnerable people and belief in human rights and social justice (Wamara & Carvalho, 2022) practice with older persons is one of the important areas of social work practice and intervention in many countries including Eswatini and Zimbabwe. This is corroborated by Lombard & Viviers (2022) who contend that the fundamentals of social work lie in humanity's social and evolutionary instinct to protect the most vulnerable, inclusive of older persons. In fact, this also resonates with the principles of social justice, human rights and respect for diversity, which underpin the social work profession (International Federation of Social Workers- IFSW, 2022). Accordingly, the upsurge in the population of people 60 years and older implies social workers should be robustly and innovatively engaging in methods of interventions to address the factors that exacerbate with older persons' vulnerability.

Replacing the year 2015 targeted Millennium Development Goals (MDGs), the internationally agreed SDGs the United Nations (UN) General Assembly adopted on 25 September 2015 is an action plan for the achievement of targets by 2030. The SDGs constitute of a set of quantified and time-bound development goals and targets for transforming the human condition by 2030. They comprise of 17 goals and 169 associated targets premised robust economic development, natural resources management and protection, social equity and inclusion.

The section below focuses on the progress and challenges thereof, in the pursuit of some of the aforementioned SDGs and targets, in the context of Eswatini and Zimbabwe, starting with the former. Pertinently older persons' welfare in both Eswatini (Department of Social Welfare) and Zimbabwe (Department of Social Development) falls primarily within the remit of social workers, complemented by NGOs. Significantly, as elsewhere in most African countries the family, is still viewed in both countries as a key social group in which older people are embedded and supported.

SDGs and older Eswatini persons

Eswatini, formerly Swaziland, is a landlocked Southern African country. It is bordered by South Africa on one side and Mozambique on another. The country has a population of about 1.2 million and 5% of them comprise of older persons. It is a lower middle-income country and is ranked number 138 of 189 countries in the 2019 Human Development Index (World Bank, 2020). Its GNP per capita in 2018 was US$9.439 (Government of Eswatini (GoE), 2021). On the same note, the proportion of people living in poverty remains very high, as 58.9% of its rural population live below the national poverty line of less than US$1.9 a day (in 2016 and 2017). Its Gini-coefficient stood at 49.3% in 2017 (GoE, 2021) which makes Eswatini one of the most unequal countries in the world.

Based on the Swaziland Household Income and Expenditure Survey quantitative assessment of poverty and vulnerability in Eswatini in 2016/2017 data revealed that 35,000 households with a population of 230,000 persons, suffer from extreme poverty and destitution. They live in a situation of chronic hunger and are unable to meet any of their basic needs (Schubert, 2020). Statistics on poverty in Eswatini reflect an overrepresentation of older persons, which indicates their vulnerability and inability to support themselves (Khumalo, Musingafi & Mafumbate, 2019). Furthermore, the aforementioned authors posit that older persons in Eswatini are living in harsh conditions of poverty, destitution, neglect and abandonment, poor housing, isolation, as well as exclusion from participation in mainstream societal activities. In addition, the HIV and AIDS scourge has imposed a double-burden on older persons in Eswatini, as they have to care for orphaned grandchildren, and yet they also need care themselves.

Goal number 1 of the SDGs is about reducing poverty. Although there are many ways to view poverty, there is broad consensus that it refers to lack, deficiency or want (Schenck & Louw, 2010). As such, poverty lies at the core of all the SDGs and therefore its eradication is likely to lead to the achievement of these Goals. An effective assault on poverty is likely to lead to the achievement of Goals 2 to 7 and 10 stated above, among others.

In response to the syndrome of poverty in old age and to mitigate the impacts of HIV/AIDS on older persons, the Government of Eswatini provides for a universal social pension commonly referred to as the old age grant (OAG). It is a categorical grant administered by the Department of Social Welfare, under the Deputy Prime Minister's Office through its social workers. The old age pension is SZL500 (about US$27.89) monthly, but is paid quarterly.

Although older persons concerns in Eswatini have been somewhat mitigated by OAG provision, its inadequacy inhibits its effective addressing of poverty challenges. This is because it is not enough to meet even the most basic of their needs. The fact that the majority of older persons in Eswatini are caring for orphans makes their situation dire (Makadzange & Dolamo, 2014). Likelihood of older persons being household heads would be because of high unemployment levels in the country thus OAG becomes the only income source for households with an older person. Furthermore, in terms of Section 27.6 of the Constitution of Swaziland 2005, the OAG provision is subject to the availability of resources. This renders the OAG as unreliable and ineffective instrument for poverty reduction among older persons.

Moreover, the OAG only targets household poverty and not independent living. Thus, the current OAG form does not stimulate older persons' self-reliance, let alone meet their needs for food, shelter and health, among others. As such, it cannot be expected to enable older persons to rise above poverty and vulnerability. Consequently, barriers are created towards SDG 2 outcomes of ending hunger, food security achievement and improved nutrition and promoting sustainable agriculture, and SDG 3 of ensuring healthy lives and promoting wellbeing for all, among other Goals.

Nonetheless, being public revenue funded the OAG is therefore to some is extent redistributive and addresses SDG 10 on reducing inequality. However, its redistributive effect is compromised by the fact that resources availability determines OAG provision complicated by OAG's inability to holistically meet all beneficiaries' requirements.

Thus, upward review of monthly OAG amount of SZL500 enable recipients to better meet their needs. Furthermore, it is necessary to mainstream the conceptual underpinnings of the developmental social work approach to empower older persons to become independent. OAG recipients can be motivated to be creative and innovative in coming up with income generating projects using proceeds from their pension allowances. Moreover, older persons in Eswatini reside in rural areas, with access to arable land for agricultural production. Sustained assistance with farming implements and inputs such as maize seed enriches achieving SDG 1 on poverty and SDG 2 on ending hunger and food security and improved nutrition.

It should also be noted that voluntary organisations such as Philani Maswati are instrumental in promoting older persons' wellbeing in Eswatini. They provide relief assistance to destitute older persons. A Matsapa based NGO, Swaziland Hospice at Home (SHAH) provides home-based care to terminally-ill patients, older persons included. Their services include medical treatment, consultation and counselling and home-based care supplies of disposable napkins, gloves, toiletries and bereavement counselling, among others (SHAH, n/d). Furthermore, rationale for Eswatini's Plan of Action (2013-2018) was for care and ensuring food security of vulnerable people particularly older people within communities through resuscitating traditional methods of extending help to the needy such the forgotten practice of the Chiefs Granary (GoS, 2013).

SDGs and older persons in Zimbabwe

Climate stressors affect agriculture and food and nutrition security, disproportionately affecting older people, women and girls. Zimbabwe's predominantly semi-arid and extremely variable climate with shifting rainfall patterns, droughts and floods is exacerbated by substantial environmental challenges including land degradation, deforestation and inadequate water quantity and quality. The National Development Strategy 1: 2021-2025 (NDS1), is the Government of Zimbabwe (GOZ)'s five-year plan for realising the country's Vision 2030, while simultaneously addressing the global aspirations of the SDGs and Africa Agenda 2063.

Ending hunger

Availability of and access to adequate food to realise SDG 1 have been impeded by poverty, disease, economic hardship and low agricultural productivity. Households headed by women, older people or children are among the most vulnerable and diminished food and livelihoods access among urban and rural households has led to an estimated 4.1 million people facing food insecurity October 2023 to January 2024 across much of Manicaland, Masvingo, and Matabeleland North and Midlands Province United States of America International Development(USAID 2023).

Ending poverty

In line with SDG 1 inclusion and poverty mitigation for the vulnerable including older persons is guided by the spirit of leaving no one behind where various plans and programs in the remit of National Social Protection Policy Framework (NSPPF) inform the GoZ's social protection provision targeting.

In June 2020 the GoZ name change from Department of Social Welfare to the Department of Social Development, reflected transformation towards embracing a developmental social welfare approach. This was under the year 2016 initiated NSPPF. National Social Security Authority (NSSA) manages Zimbabwe's private and public sector pension schemes social insurance schemes. Additionally, NSSA offers Accident Prevention and Worker Compensation and Rehabilitation scheme. In 2019, 3.2 million pensioners who form some of the older persons in the country were registered under an NSSA pension scheme and accessed USD 10.6 million in short-term benefits and USD 222.5 million in long-term benefits (World Bank Group 2022). To buffer Zimbabwean pensions from inflationary pressures as of June 2023, NSSA introduced partial pay-outs in US dollars (Ruzvidzo 2023). This would be in keeping up with SDG 3 of Ensuring healthy lives and promoting wellbeing for all.

Conclusion

Embracing the developmental approach in older persons services provision is critical for SDGs relating to older persons realisation beyond year 2030, especially SDG 1 on poverty. This is particularly important as it focuses on the empowerment and wellbeing of older people through creative and imaginative social services provision especially focused on shock responsive social protection. This resonates with Lombard's (2022, 47) stance that sustainable social work practices embrace the "… interconnectedness between people, the planet, prosperity, peace and partnerships as a foundational approach for social work...'. On the same note, the enduring extended family social support system is vital in promoting the wellbeing of members, therefore social workers' interventions must contribute towards desired outcomes of robust intergenerational support. Additionally, heterogeneity of needs makes their support interventions a multidisciplinary service hence social workers and allied professionals' inter-disciplinary and inter-agency collaboration guarantees realisation of SDG targets. Social workers need to be imaginative in embedding sustained lobbying and advocacy efforts to ensure duty bearers who oversee SDGs targets implementation remain insightful of upholding rights of older persons guaranteeing their enhanced social functioning by 2030 and beyond.

References

Dhemba, J. (2022). Social work services for older persons in Lesotho: Guidelines for practice. Pretoria: University of South Africa. International Federation of Social Workers- IFSW (2022). Global definition of the social work profession. Retrieved 25 August 2022, from www.ifs.org Government of Swaziland (2013). Plan of action 2013- 2018. Retrieved 9 May 2018, from www.gov.sz Government of Eswatini (GoE) (2021). National social assistance policy. Mbabane: Deputy Prime Minister's Office. Kasiram, M. & Holscher, D. (2015). Understanding the challenges and opportunities encountered by the elderly in urban KwaZulu-Natal, South Africa. South African Family Practice, 57(6):381-386. Khumalo, T., Musingafi, M. & Mafumbate, R. (2019). A socio-cultural narrative of homes for older people in Eswatini: A wellness perspective. Journal of Culture, Society and Development, 51. Lombard, A. & Viviers, A. (2022). Rethinking social work's role in a rapidly changing world. Retrieved 15 April 2023 from researchfeatures.com. Patel, L. (2015). Social development and social welfare in South Africa. Cape Town: Oxford University Press-Southern Africa. Ruzvidzo C(2023). NSSA introduces US dollar partial pension pay-outs Retrieved 12 July 2023 from zimlive.com Schenck, R. & Louw, H. (2010). Poverty. In: Nicholas, L., Rautenbach, J. & Maistry, M. (Eds). Introduction to Social Work. Cape Town: Juta and Company Ltd. 353-374. Schubert, B. (2019). Qualitative assessment of the social assistance system in the Kingdom of Eswatini. Mbabane: Unicef Eswatini. United States of America International Development(USAID) (2023) Bureau For Humanitarian Assistance Zimbabwe Assistance Overview Wamara, C. K. & Carvalho, M. I. (2022). Discrimination and injustice against older people in Uganda: Implications for social work practice. International Social Work, 64(6), 1022-1034. World Bank (2020). The World Bank Eswatini COVID-19 emergency response project (P173883). Washington DC: World Bank. World Bank (2022) Reversing the Tide Zimbabwe Poverty Assessment. Washington DC: World Bank. Zelalem, A. & Kotecho, M. G. (2020). Challenges of aging in rural Ethiopia: "Old age is like the sunset: It brings disrespect and challenges". Journal of Gerontological Social Work, 63(8):893-916.