To Örebro University

Abuse of older people is a major challenge for people who are aging. Studies into older people's perspectives on abuse focus mainly on developed countries, while the views of those in sub-Saharan Africa remain largely unheard in social research. To address this imbalance, we report a qualitative study using in-depth semi-structured interviews and focus group discussions to examine older people's perceptions of abuse in Uganda. Thirty-three participants were selected from four districts of Uganda to reflect different locations, levels of development, cultures, and contexts. Behaviors considered abusive were categorized into five themes: economic abuse, harassment and violence, disrespect, neglect and abandonment, and discrimination. Results showed that participants largely viewed their abuse from a cultural perspective, contrary to the West's perception based on a discourse of human rights. The findings show the need for a broader definition that includes the cultural dimensions of the abuse of older people in developing societies.

Social workers across the globe are at the forefront of tackling elder abuse, as they are committed to social justice, human rights, and respect for human diversity. However, research on social workers' response to elder abuse in Sub-Saharan Africa remains scarce. This qualitative study assessed how social workers in Uganda have responded to elder abuse. In-depth semi-structured interviews were used to collect data from 21 social workers. The findings suggest that social work in Uganda has not asserted itself in the fight against elder abuse. The few social work interventions aimed at reducing the risk of elder abuse are mostly anti-poverty undertakings. Social workers mainly discussed the drivers of elder abuse, correlating them with their interventions, and challenges such as the absence of a specific law for older people, ignorance of older people's rights, and the underreporting of elder abuse. This study found that advocacy is needed for specific laws that protect the rights of older people, along with public awareness campaigns and the establishment of a research center for aging and later life.

Using thematic analysis, this study examined social workers’ (n = 21) descriptions of whatIndigenised social work practice in Uganda entails. Responses from semi-structured interviewsrevealed the following three themes that inform social workers’ understanding of Indigenisedsocial work practice: (1) collective action and mutuality, (2) communal welfare and respect forlife and (3) liberation and restoration. The discussion aims at understanding the hallmarks ofeach description in relation to the notions of Indigenised social work as culturally inclusive andresponsive practice, developmental social work and political action.

Summary: The social gerontological field has long called for a culturally appropriate framework to understand, prevent, and respond to elder abuse in the Global South. This emphasis is, in part, based on the notion that elder abuse is a cultural and structural concern that cannot be effectively addressed using mainstream social work approaches. Therefore, indigenised approaches are preferred while tackling cultural and structural forms of elder abuse. However, despite several attempts, there is limited research on indigenised approaches and practices within the gerontological social work field. Therefore, we investigated how social work could promote indigenised approaches to better address elder abuse. We explored this through in-depth semi-structured interviews with a purposive sample of 21 social workers.

Findings: Elder abuse is a cultural and structural social problem that requires family- and community-centred approaches premised on the Indigenous values of togetherness, reciprocity, solidarity, responsibility and love for humanity. These approaches must be embedded in people’s cultures and knowledge to address the social structural changes that have contributed to elder abuse in the Global South.

Applications: Social workers should strengthen family and community support to achieve social capital and inclusion for older people. This will not only enable families and communities to safeguard their older members, but also enhance community-based solutions to address elder abuse. Social work educators should engage in robust and rigorous research and curriculum change for social work education to enable the integration of post-colonial theories and approaches into social work training.