Older persons, defined as those aged 60 and above, face declining health and complex medical needs, particularly in Malawi where poverty and poor nutrition are common. To address these challenges, the government has introduced community-based care, yet equitable access remains limited as programs often prioritize children and pregnant women. This study used a qualitative exploratory design, interviewing five medical practitioners and elderly individuals near five health centers, to examine perceptions of health services. Findings show that while centers provide general care, nutritional counseling, and outreach, barriers such as distance, transport, drug shortages, waiting times, and cultural beliefs hinder effective access. The study concludes that although primary health centers make commendable efforts, policies addressing logistical gaps, training geriatric specialists, and culturally sensitive community-based approaches are essential to improve elderly care.
Catherine et al. (Wed,) studied this question.