Abstract
Abstract Introduction: Kerala has a high percentage of people aged. Urbanization has changed the family value system and contributed to an increasing need for an alternate arrangement to stay outside their homes in their later years. This study analyzes the dynamics of elder care institutions during the last decade from the perspective of the government-driven decentralization process in Kerala, India. Methods: This study utilized analytical (document review and secondary data) and empirical (key informant interviews) methods. Purposive sampling was used to select the key informants. Data were collected through the Google Meet platform through face-to-face interviews using open-ended questions. The interviews were audio-recorded, transcribed, and coded. Then, the similar codes were grouped into categories. Results: The four themes that emerged from the study were Kerala government initiatives following decentralization toward elder care institutions, increased demand for old age homes (OAHs) following decentralization, changes in dynamics in the quality of services after decentralization, and changes in thinking after decentralization among the stakeholders but yet to be implemented. Conclusions: Decentralization caused the transfer of OAHs from the social justice department to the local government, which enhanced transparency, participation, and accountability. Elders started getting involved in decision-making matters focused on rights rather than welfare-oriented approaches. However, there is a need for more coordinated activities by multiple governmental agencies for the well-being of OAH residents.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call