海角大神

A World Living Longer: Global aging is one of the greatest challenges of the century. And this is not just a 鈥淲estern鈥� problem. Politicians and policy makers around the world are rethinking healthcare networks, urban design, nursing care, and pension systems to prepare for it. The elderly themselves are key players to help turn this from challenge to opportunity.

For more in the Monitor's look at global aging issues and solutions, please visit our series homepage.

In Novusumzi Masala鈥檚 life, there are 13 of everything 鈥� 13 pairs of battered shoes scattered around her tiny two-bedroom house, 13 bowls stacked high above her sink, 13 stacks of homework to puzzle over every night.

But the 13 small lives set into orbit around her own are not her children. Instead, at age 78, Ms. Masala is busy raising a baker鈥檚 dozen of her grandchildren, scrambling to keep pace with everything from the rap beats thumping from their tinny cell phone speakers to the schedule of their anti-retroviral medicines and doctors鈥� visits.

鈥淭his isn鈥檛 how I pictured my old age,鈥� she says, laughing, as a pair of toddlers scurries over her feet. 鈥淏ut I keep up. These are my family 鈥� I could never say no to them.鈥�

Sub-Saharan Africa is, by global standards, a dramatically young region: 60 percent of its population is under 25, and there are 12.9 people on the continent between the ages of 20 and 64 for every one person over 65. ( with Europe, where there are four young adults for every older adult, or Japan, where there are just two). Africa鈥檚 population, meanwhile, is on earth, and by 2100 the UN predicts that one in four people on the planet will live here.

Depending on whom you ask, the continent鈥檚 so-called 鈥測outh bulge鈥� is either a spectacular opportunity 鈥� with the potential to be an engine for massive economic growth 鈥� or a ticking time bomb. If the continent鈥檚 vast supply of youth grow up to become a vast supply of unemployed adults, after all, it could spell social and political disaster across the continent.

But one solution for how to create opportunity for the continent鈥檚 young people may be, ironically, to look in other direction, to its elderly 鈥� and particularly men and women like Masala.

鈥淭here鈥檚 often a perception that older people are vulnerable, frail, and irrelevant to what happens to young people, but we know that in reality the lives of older and younger people are closely linked 鈥� there is a skills and knowledge transfer there that needs to happen for society to function,鈥� says Isabella Aboderin, a senior research scientist at the African Population and Health Research Center in Nairobi.

Aiding youth by aiding the elderly

In South Africa, where nearly 1 in 5 people is HIV positive, the link between the old and the young is particularly intimate. The country has approximately 3.7 million orphans 鈥� half of whom lost their parents to AIDS 鈥� and 8 percent of all children here are being raised by their grandparents, according to . (Continent-wide, that half of Africa鈥檚 132 million orphans live with their grandparents.)

For Joey Manane, who runs a Soweto-based youth organization called Ikusasa Lethu (鈥淭omorrow is ours鈥�), that link is an essential one. He has come to consider providing support to elderly caregivers in his community an essential part of his work to support young people.

Three mornings a week, when the kids finish breakfast and filter out of his center to head to school, the local grannies begin trickling in, ready for a day of crafts, support groups, and sports.

鈥淲e have a very good granny soccer team,鈥� he says.

The logic behind having programs for the elderly at a youth center is simple, he says. 鈥淚t makes our work with the kids so much easier if their 'gogos' [grannies] feel supported.鈥� He estimates that about 60 percent of the youth he works with, who come from HIV-affected households in the surrounding community, are being raised by grandparents.

At the Masalas鈥� house, a vivacious young counselor from Ikusasa Lethu named Angelina Majoro also drops in once a week to check on Novusumzi and her grandchildren 鈥� who range in age from 2 to 17. Sometimes she assists with homework, meal prep, or family budgeting. Other times, she just sits and listens to the granny鈥檚 frustrations 鈥� raising 13 children when your only source of income is a small grant from the government is not easy, she vents, and she wishes they could move into a bigger place.

鈥淚t鈥檚 helpful to talk so I don鈥檛 bottle things up,鈥� Masala says.

The need to prepare

Although Africa鈥檚 population remains tilted toward the young, Masala鈥檚 demographic is also rising in size. Africans, like people everywhere in the world, are beginning to live longer, and over the next 35 years, the percentage of the population over 65 here is expected to triple to about 10 percent, according to the UN.

But the continent鈥檚 demographics also put it in a unique position globally. Unlike regions of the world where figuring out how to care for a rapidly aging population is already putting policy makers on the back foot, Africa has time. While there are halting signs that regional bodies like the African Union recognize the challenge ahead, on balance, however, the region remains unprepared, Ms. Aboderin says.

鈥淯nlike what鈥檚 been happening in other regions where there鈥檚 a very explicit recognition that an aging population is a very serious development issue that requires planning and actions, this hasn鈥檛 yet been the case in sub-Saharan Africa,鈥� she says. 鈥淥n the whole, I think, it鈥檚 fair to say that at the national level issues of aging remain marginal, if they feature at all.鈥�

For the Masalas, however, there is little question of the essential connection between its younger and older members. On a recent morning, some of the older children presented their grandmother with a song they had written about their lives. It was a haunting rap ballad, and unsurprisingly, she featured prominently.

鈥淚t鈥檚 a song about what we have been through and how, with the help of our grandmother, we have made something better from it,鈥� says Ongezwa Masala, 15. 鈥淲e鈥檙e singing about why we love her.鈥�

For more in A World Living Longer, the Monitor's look at global aging issues and solutions, please visit our series homepage.