Empowering People as They Age: The Crucial Role of Community Involvement and Community-Based Approaches

As more people around the world are living longer lives, community involvement and community-based approaches to support older people are vitally important.

Top-down solutions are rarely the answer to any public health challenge, let alone the unique challenge of providing care and support for older people. Community-driven strategies are pivotal to enhancing the quality of life for older adults, and helping them remain active, healthy and engaged members of society.

Picture this scenario: An elderly woman, living alone after her husband passes, faces increased isolation and health challenges in the bustling Cairo neighborhood where she lives. Her children, busy with their own families, find it difficult to provide the constant companionship and support she needs.

The solution to such challenges lies within the community, with local residents and organizations coming together to support their elderly neighbors. What happens, for example, when the mosque in this woman’s neighborhood initiates a program specifically for older people? Her life takes a positive turn, thanks to the benefits of regular social gatherings, health check-ups and exercise classes—all designed to foster a sense of belonging and improve well-being. Within months, she becomes more active, happier and healthier.

Community-based approaches such as these don’t need to be hypotheticals; they’re essential strategies to address the challenges older people face all over the world. They call for creating and implementing programs that cater to the unique needs of older people, with an emphasis on social engagement, physical activity and accessible health care services.

For example, the HelpAge International initiative works globally to support elderly people by connecting them with volunteers and resources within their communities. This model allows older people to age in place, maintaining their independence while receiving the support they need. And there are many other models:

·      In Japan, the Fureai Kippu system exemplifies another successful community-based approach. This time-banking system allows volunteers to earn credits by helping elderly neighbors with daily tasks. These credits can be saved for their own future use or transferred to family members in need. This system not only supports older people but also fosters a strong sense of community and mutual support.

·      In the United Kingdom, the Men’s Sheds Association offers a unique community-based approach to enhance the quality of life for older men. These "sheds" are communal spaces where men can gather to work on projects, share skills and socialize. This initiative has been instrumental in reducing loneliness and improving mental health among older men, who are often less likely to seek out social connections.

·      Community gardens and intergenerational programs have also proven effective in promoting the well-being of the elderly. The Green Thumb Program in New York City engages older people in gardening activities, which not only provide physical exercise but also create opportunities for social interaction and mental stimulation. Similarly, intergenerational programs, like those run by Generations United, bring together young and old, fostering mutual understanding and support across age groups.

·      In Colombia, the "Mis Mejores Años" initiative offers comprehensive support to older adults, including health services, recreational activities and social integration efforts. By engaging local communities and creating inclusive environments, this initiative has significantly improved the lives of many seniors.

The evidence is clear. Community involvement and community-based approaches are invaluable when it comes to supporting the elderly. By creating inclusive, supportive environments, we can help older people lead healthier, happier lives. It is incumbent upon public health professionals, policymakers and community leaders to prioritize these strategies, offering every older person the opportunity to thrive in their later years.