V.Baby, an 84-years-old retired math professor assists his wife Vasanthi, 82 years at the Signature Aged Care. AFP
When 82-year-old Vasanthi Baby almost tripped while climbing down the stairs in her home in southern India’s Kerala state, she decided, along with her 84-year-old husband V. Baby, to move to an assisted living center.
The couple are two of a growing number of people in India’s only aging state that are moving into assisted living centers. They're happy with the care they receive: round-the-clock access to nurses, the reassuring company of their own generation and healthy, regular meals.
"There is a feeling of safety we can only get here," V. Baby said. "We cannot get this at home.”
Like millions of others in the region, Baby, a retired math professor, spent his life savings building a two-floor multi-bedroom home. It was meant to last generations:
their son Sony was supposed to have and grow his family here, but he emigrated to the United Arab Emirates for work and a better quality of life.
In the past 60 years, the percentage of people age 60 and over in Kerala has shot up from 5.1% to 16.5% - the highest proportion in any Indian state. This makes Kerala an outlier in a country with a rapidly growing population, soon to be the world's most populous at 1.4 billion. India has a booming workforce and young population, but language barriers, climate threats, minimal federal provisions and an increasing desire among younger people like Sony to live elsewhere put the state's older people in a precarious position.
This story is part of an ongoing series exploring what it means for the 1.4 billion inhabitants of India to live in what will soon be the world’s most populated country.
Just 20 kilometers away (12 miles) from the assisted living center, in the Mattancherry neighborhood of Kerala's financial capital Kochi, 65-year-old Zainaba Ali lives in a small room with an asbestos roof in a corner of her daughter’s house.
In India, people over 60 are entitled to a state pension of roughly 1,600 rupees ($20) a month, usually not enough for basic necessities. It means that many older people rely on their children if they are no longer able to work and don't have enough saved up. In Kerala, where there are over 4.2 million elderly people, it can be tough on families' finances.
Flooding and heat waves, both made worse by human-caused climate change, adds to the vulnerability of Kerala's older people, said Anjal Prakash, a research director at the Indian School of Business.
"During monsoons we need to hold open umbrellas inside the house,” Ali said, pointing to buckets kept in various corners of the house. "Summer has become absolutely unbearable. Because of the scorching sun, we often go to the seashore seeking a bit of shade. Inside here the fan does not even run properly.”
Prakash said specific measures to look after older people who have their own needs and vulnerabilities is a "dark spot” in climate policy.
"Understanding the specific needs of seniors is the first step in protecting them. … People are not trained to rescue older people and children," he said.
The movement of younger people away from the state also means fewer people to care for their older relatives.
Poonam Muttreja, the executive director of the New Delhi-based Population Foundation of India, pointed to a steady stream of outward migration from Kerala for at least 50 years. In the 1960s and 1970s, "there was a huge migration to the Middle East, eastern Africa.” Many went to other countries as school teachers or nurses, a trend that’s continued in more recent times, now also to Europe and north America, she said.
"Getting qualified employees is a big challenge today and bringing people from other states doesn’t always work because of language barriers,” said Alex Joseph, the managing trustee of Signature Homes, the assisted living center where the Babys reside. Joseph added that getting staff from within Kerala is also difficult since most of them aspire to migrate abroad for work.
"Kerala probably sends out more nurses to the rest of the world than any other single region in India or elsewhere. To get them to stay here and work here for long periods is extremely difficult,” he said.
It paid off: Kerala's literacy rate is 93% compared to India's 75%. It’s also the only state in India to have a maternal mortality rate that is less than one for every 100,000 live births.
In other parts of India, especially in poorer regions in the north, states have a larger population, higher levels of corruption and other factors that cause them to lag behind in health and education, Muttreja said.
But like Kerala, "southern Indian states have lower fertility rates because they invested in literacy, health infrastructure and family planning,” said Muttreja. She estimated that states like southern Tamil Nadu could also see Kerala-like trends in the long and medium term.
Although that's good news for younger working people, it can be tough on older generations.
Despite his cheerful demeanor, Baby admits he misses his son but agrees there is a better life to be had elsewhere.
"I cannot ask him to stay here,” he said.
The world's population, estimated to reach 8 billion by Nov.15 this year, could grow to 8.5b in 2030, and 10.4b in 2100, as the pace of mortality slows, said the report released on World Population Day.
Although both nations will account for more than a third of the estimated global population of 8.045 billion, population growth in both has been slowing, albeit much faster in China than India.
The union cabinet, headed by the Prime Minister Narendra Modi on Tuesday allocated Rs85 billion for updating the National Popular Register (NPR).
One way of achieving this is through our distinguished clinical centres of excellence. Clinical centres of excellence are dedicated units within our medical facility that focus on providing exceptional care for specific medical conditions or treatments.
Shifting to a healthier diet – and sticking to it – can add almost a decade to life for middle-aged people, a new study finds.
To make this dish vegan, replace honey with maple syrup and use a dairy-free alternative to butter.