The Indian state of Kerala is on the cusp of a profound demographic shift, with nearly 23% of its population projected to be over 60 by 2036 – a trend mirrored in many ageing societies around the world. As younger generations increasingly migrate abroad for work, leaving behind their elderly parents, the need for innovative elder care solutions has become imperative.
For decades, it was customary for older Indians to live with and be cared for by their children. However, this tradition is being disrupted in Kerala, where a significant outward migration – particularly to regions like the Middle East and Europe – has created a generation of seniors reliant on neighbours for support as their sons and daughters build lives elsewhere.
The state government's response to this challenge is a pioneering initiative: the establishment of a dedicated department for elderly welfare. This move not only marks a significant shift in India's approach to ageing but also offers valuable lessons for other countries grappling with similar demographic pressures.
At the heart of Kerala's strategy lies the concept of 'ageing in place', which seeks to enable older people to remain in their homes and communities rather than moving into institutional care. Plans include expanding community and home-based care services, introducing 'social prescribing' initiatives to connect older individuals with meaningful social activities, launching a certified caregiver training programme, and establishing facilities such as elderly parks, day-care centres, and fitness centres.
As the state navigates this complex demographic shift, its experience serves as a timely reminder of the need for comprehensive elder care solutions that address not only practical but also emotional needs. The Kerala government's initiative aims to integrate existing welfare schemes into a unified system, acknowledging that support for older residents must extend beyond financial assistance to include physical and emotional presence during critical moments.
Source: BBC