India: In Kerala, an ageing trend bucks India’s booming population

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 centre.

The couple are two of a growing number of people in India’s only ageing state that are moving into specialized facilities. 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 a Gulf country 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 per cent to 16.5 per cent — 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.

The country’s population has more than quadrupled since its independence from colonial rule 75 years ago. But the world’s largest democracy remains, in many ways, two countries: a place that is both urban and rural, modern and pre-industrial, opulent and impoverished. For older people, where they fall on the divide determines how they’ll live out their autumn years.

Just 20 kilometres away from the assisted living centre, in the Mattancherry neighbourhood 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.

Ali spent most of her youth working in the countries around the Middle East as a cleaner but has little savings to show for it. After developing arthritis and a slew of other health conditions making her unable to work, she returned to India.

“I receive a small pension from the government but that hasn’t come through in months. I survive on the goodwill of my children,” Ali said. Her daughter doesn’t work and her son is a daily wage labourer. “Even buying medicines has become difficult now.”

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.

Kochi in particular has been bearing the brunt of the damages. A disastrous flood in 2018 sunk large parts of the city. The summer months are getting hotter and longer and rains are becoming more erratic and concentrated.

“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.

“I cannot ask him to stay here,” he said.