Key Informant Perspectives on Healthy Ageing Interventions in Urban and Rural Communities of Bayelsa State: Implications for Policy Development

This study investigated key informant perspectives on healthy ageing interventions in urban and rural communities of Bayelsa State, Nigeria, to identify gaps, successes, and implications for sustainable policy development. Guided by the objectives of assessing elderly knowledge, perceptions, attitudes, practices, and the effects of healthy ageing interventions, a qualitative descriptive design was employed. Data were collected through semi-structured interviews with five categories of purposively selected key informants, including community leaders, senior health officials, and elderly care providers, from both urban (Yenagoa metropolis) and rural (Sampou and environs) settings in Bayelsa State, Nigeria. Data were thematically analysed and findings organized into five thematic tables. Results revealed that while elderly individuals in both settings recognize the benefits of regular exercise, healthy diets, and routine medical check-ups, significant urban–rural disparities persist in knowledge, attitudes, and practice. Urban areas benefit from better healthcare infrastructure, structured wellness programs, and regular outreach, whereas rural communities often lack active elderly-focused programs, relying on occasional health talks or treatment during illness. Across all settings, positive impacts were observed when interventions included consistent counselling, follow-up care, and community-based engagement. However, challenges such as inactive elderly care units, limited rural healthcare access, poverty, safety concerns, and insufficient program implementation constrain effectiveness. The study concludes that sustainable healthy ageing in Bayelsa State requires operationalizing existing elderly care units, expanding rural health infrastructure, integrating agricultural and nutritional support, and decentralizing services. Strengthening multi-sectoral collaboration and leveraging community-based initiatives are essential for bridging urban–rural gaps and fostering inclusive, culturally relevant healthy ageing policies.