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    Changes in Care
    Aging, Migration, and Social Class in West Africa

    Cati Coe (Author)

    9781978823259

    Hardback, published 15 October 2021

    248 pages, 15 b-w images
    23.5 x 15.6 x 1.7 cm, 0.463 kg

    "Cati Coe understands the language of change, care and aging in Africa as well as the diversity of change in the context of the broader globalized world. She critically but sensitively explores these complexities without falling into tired binaries. Change in Africa and its implications for care are approached as complex, quiet and sporadic processes and not simplistically linear as still often proposed by exponents of modernization theory."
    — Jaco Hoffman, co-editor of Intergenerational Contact Zones: Place-Based Strategies for Promoting Social Inclusion

    "Combining an innovative set of conceptual tools with meticulous presentation of ethnographic and historical research in both rural and urban contexts, this study makes a compelling contribution to understanding the dynamics of changing elder-care practices in Ghana. Topics covered include the intertwining of kin and non-kin roles in the work of care-giving and the uneasy relations between care-givers and domestic servants in households."
    — Andrew Strathern and Pamela J. Stewart, co-authors of Language and Culture in Dialogue

    Africa is known both for having a primarily youthful population and for its elders being held in high esteem. However, this situation is changing: people in Africa are living longer, some for many years with chronic, disabling illnesses. In Ghana, many older people, rather than experiencing a sense of security that they will be respected and cared for by the younger generations, feel anxious that they will be abandoned and neglected by their kin. In response to their concerns about care, they and their kin are exploring new kinds of support for aging adults, from paid caregivers to social groups and senior day centers. These innovations in care are happening in fits and starts, in episodic and scattered ways, visible in certain circles more than others. By examining emergent discourses and practices of aging in Ghana, Changes in Care makes an innovative argument about the uneven and fragile processes by which some social change occurs.

    There is a short film that accompanies the book, "Making Happiness: Older People Organize Themselves" (2020), an 11-minute film by Cati Coe. Available at: https://doi.org/doi:10.7282/t3-thke-hp15

    Introduction 

    1 The Orthodoxy of Family Care 

    Part I Changes in Aging in the Rural Towns of the Eastern Region
    2 Heterodox Ideas of Elder Care: From Nursing Homes to Savings 

    3 Alterodox Practices of Elder Care: Domestic Service and Neighborliness 

    4 "Loneliness Kills": Stimulating Sociality among Older Churchgoers 

    Part II Changes in Aging in Urban Ghana
    5 Market-Based Solutions for the Globally Connected Middle Class 

    6 Going to School to Be a Carer: A New Occupation and the Enchantment of Nursing Education 

    7 Carers as Househelp: Aging and Social Inequalities in Urban Households
    Conclusion 

    Acknowledgments
    Notes 

    References 

    Index
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