Awareness and Attitude Toward Old-Age Homes among Older Persons in Namibia

Background: The burgeoning population of older persons is widely acknowledged as a pertinent societal concern. Understanding the attitude and awareness of older persons towards old-age homes is crucial, as these homes are a viable option when family support falls short. Objectives: This study assessed older persons' awareness and attitude toward old-age homes in three selected regions of Namibia. Methods: A mixed-methods, cross-sectional survey design was employed to study individuals aged 60 years and above. Quantitative data were analysed using Statistical Package for Social Sciences version 30 at significance (P < 0.05). Thematic analysis was utilised to interpret qualitative data. Results: The outcomes revealed a marginal disparity in preference for remaining in the community vs relocating to old-age homes, with a statistically significant association among living arrangements, educational attainment, and number of dependents (P<0.001). Interviews with key informants and caregivers revealed pension misuse, transport-related barriers to healthcare, and caregiver challenges, including mood fluctuations, forgetfulness, and inadequate mobility aids to assist older persons. Conclusion: The preferences of older persons in their living places are influenced by significant factors such as education level and familial obligations. Unique Contribution: This study is among the first in Namibia to integrate quantitative and qualitative data on older persons’ awareness and attitude toward old-age homes. It contributes to the limited research on this population and identifies that education, number of dependents, and family obligations influence their living preferences. Moreover, it brings forward the voices of caregivers and community leaders, revealing systemic gaps in training, resources, and awareness. Key Recommendation: The findings underscore the potential value of implementing targeted community awareness campaigns, training caregivers, and expanding affordable, well-equipped old-age homes. Furthermore, policies should strengthen caregiver support and ensure pensions are effectively utilised to enhance the welfare of older persons.