The chapter examines the impact of caregiving and family function on the health care and social well-being of ageing return migrants in Chivi South District, Zimbabwe. The chapter argues that caregiving and family function influence the health-seeking behaviour of the ageing Zimbabwean return migrants in the Chivi South District. The study is set against the background of the political predicament and economic quagmire in Zimbabwe, which have ripple effects on the access, availability, and affordability of healthcare services for the ageing population in rural areas, and the senior citizens facing multifaceted vulnerability. In explicating the phenomenon, the chapter foregrounds the contribution of a family as caregivers, family relations, and culture in determining access to healthcare services among ageing return migrants in Chivi South District. The study draws from the more extensive ethnographic study of older return migrants in the Chivi South District. Grounded in an interpretive research paradigm, the qualitative study utilized 20 in-depth interviews with older persons in Chivi District, 10 stakeholders, including 1 district medical director, 5 nurses, and 4 caregivers. The study is anchored on Putnam’s social capital theory, particularly the efficacy of bonding social capital in accessing health care services for older persons. The key findings illustrate specific challenges faced by ageing return migrants in accessing healthcare services in Chivi South District, Zimbabwe, considering infrastructural limitations, socioeconomic constraints, and administrative barriers that may impede their full integration into local healthcare systems. To this effect, four important themes, namely access to health care services, social support networks, cultural factors, and financial constraints, are discussed in the penultimate part of this chapter.

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The Impact of Caregiving and Family Function on the Health Care and Social Well-Being of Return Older Migrants in Chivi South District, Zimbabwe

  • John Mhandu,
  • Evelyne Muzvidziwa

摘要

The chapter examines the impact of caregiving and family function on the health care and social well-being of ageing return migrants in Chivi South District, Zimbabwe. The chapter argues that caregiving and family function influence the health-seeking behaviour of the ageing Zimbabwean return migrants in the Chivi South District. The study is set against the background of the political predicament and economic quagmire in Zimbabwe, which have ripple effects on the access, availability, and affordability of healthcare services for the ageing population in rural areas, and the senior citizens facing multifaceted vulnerability. In explicating the phenomenon, the chapter foregrounds the contribution of a family as caregivers, family relations, and culture in determining access to healthcare services among ageing return migrants in Chivi South District. The study draws from the more extensive ethnographic study of older return migrants in the Chivi South District. Grounded in an interpretive research paradigm, the qualitative study utilized 20 in-depth interviews with older persons in Chivi District, 10 stakeholders, including 1 district medical director, 5 nurses, and 4 caregivers. The study is anchored on Putnam’s social capital theory, particularly the efficacy of bonding social capital in accessing health care services for older persons. The key findings illustrate specific challenges faced by ageing return migrants in accessing healthcare services in Chivi South District, Zimbabwe, considering infrastructural limitations, socioeconomic constraints, and administrative barriers that may impede their full integration into local healthcare systems. To this effect, four important themes, namely access to health care services, social support networks, cultural factors, and financial constraints, are discussed in the penultimate part of this chapter.