Aging in Sub-Saharan Africa: A qualitative synthesis of older people’s perceptions and experiences using the ecological systems theory

Objective To synthesize the best available evidence on the perceptions and experiences of aging among older people in Sub-Saharan Africa using the Ecological Systems Theory as a framework. Methods The study was conducted according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) framework. A systematic search was performed across six databases (PubMed, CINAHL, Africa Journal Online, Google Scholar, Scopus, and Web of Science). Primary studies were analysed using a hybrid thematic analysis approach. Results Overall, 30 studies conducted in nine countries met the inclusion criteria. The perceptions and experiences of aging were influenced by familial bonds and intergenerational tensions, healthcare and community interactions, economic conditions and national policies, gender dynamics, and historical and socio-cultural shifts. Conclusion The interventions for older people in Sub-Saharan Africa require approaches that are both culturally and contextually sensitive to their needs at both micro and macro levels of policy and care.