Challenges and coping strategies of family caregivers of older adults with dementia in Africa: a systematic review and meta-synthesis

Two overarching themes with several sub-themes emerged. 1.Challenges of Family Caregiving (emotional and psychological strain, physical demands and lifestyle disruptions, financial and economic burden, limited access to resources and services, and stigma and misconception. 2. Coping Strategies of Caregivers (emotion-focused coping, problem-focused coping, social coping, and resilience and adaptation.) CONCLUSION: Family caregivers of older adults with dementia in Africa face significant emotional, social, and economic challenges, often experiencing anxiety, exhaustion, and social isolation. Despite these burdens, caregivers demonstrate resilience through cultural values, family support, and adaptive coping strategies. However, the lack of formal support systems exacerbates their vulnerability, highlighting the urgent need for caregiver education, psychosocial interventions, and financial protection mechanisms.