PHOTO ESSAY: Uganda’s villages are filling with older people, bringing blessings and burdens

NABALANGA, Uganda (AP) — Look closely and you will see them.

Atop dirt floors in dim mud huts. At a stream on an arduous walk for water. Beneath church steeples and leaking roofs and a brilliant sun.

In a land known for its massive number of young, a population of the old is quietly ballooning.

It is easy to miss in a country like Uganda, home to one of the world’s youngest populations, where half of its people are under 18 years old. But beyond the frenetic streets of its cities, villages are beginning to swell with older people. It is a familiar story of a demographic shift that countries across the globe have written before, but one unfolding at warp speed here.

Many rich countries took a century to see their percentage of older residents double. Uganda is expecting to quadruple its share of older people over the course of just 40 years.

Similar projections repeat across sub-Saharan Africa.

Follow the web of dirt roads connecting this country’s thousands of villages and study the faces of the old and you will find it is a story of both success and failure.

Watch a wide smile spread across a withered face, or bare feet dance in the dirt, or lips part to burst into joyful song. You feel the pride decades of work to deliver an age of longevity can rouse and the respect with which families and their wider communities feel for those who have reached this chapter.

But see the teeth clenched in pain, the eyes welling with tears, the vacant gaze of a person choked by poverty, and it is clear there is more to the story, that longer lives are so often accompanied by more suffering. Pensions are scarce, training in geriatric care is nearly nonexistent and routine problems of age are unaddressed, left to balloon into catastrophes.

“Old age,” says one 75-year-old woman, “is not something to brag about here.”

___

This is a documentary photo story curated by AP photo editors.

Maria Kimono, 69, right, gestures at the swollen feet of her husband, Erisafan Khayiki, 80, as he sits in pain at the edge of his bed at their home in Nabalanga, Uganda, Saturday, Nov. 16, 2024. (AP Photo/David Goldman)
Residents return to their rooms at a home for seniors, disabled and abandoned people run by the Good Samaritan Sisters of Nalukolongo, one of the few care facilities for seniors in the country, in Kampala, Uganda, Saturday, Nov. 23, 2024. (AP Photo/David Goldman)
Fredianah Tibeijuka, a witch doctor in her 70s who says she was born with a gift to heal, sits in her home Thursday, Nov. 21, 2024, in Muhanga, Uganda. (AP Photo/David Goldman)
Alice Mary Nasanga, who is about 70 and was banished by members of her family after she was accused of witchery, holds her disabled son, Ibrahim Kamya, 30, as she feeds him on the floor of the home they share in Nabalanga, Uganda, Saturday, Nov. 16, 2024. “There is no one. Only God knows,” she says of what will happen to him when she’s physically no longer able to care for him. (AP Photo/David Goldman)
Saverina Tumukunde, 67, who struggles with mental illness, chases ants on the ground outside her home as her husband Daniel Nvunabandi, 75, right, looks on, Wednesday, Nov. 20, 2024, in Omukayaga, a rural village in western Uganda. Older people living in rural villages with dementia and mental illness, conditions so foreign to many here, have been accused of witchcraft and ostracized in their own communities. (AP Photo/David Goldman)
Deziranta Namisango, second from left, who has dementia, sits on a motorcycle taxi as Christine Nababi, 80, is helped onto the seat by NGO field officer, Elizabeth Nagawa, as they leave their biweekly fellowship gathering for seniors at a church in Mukono, Uganda, Thursday, Nov. 14, 2024. (AP Photo/David Goldman)
An older woman walks through her village in the middle of a downpour, Saturday, Nov. 16, 2024, in Mukono, Uganda. (AP Photo/David Goldman)
Joy Okwanjire, who is in her 70s, carries a 10-liter jug as part of her daily hike among steep hills to collect water from a valley stream nearly 500 feet below and over a kilometer away, Wednesday, Nov. 20, 2024, in Mubushuro, in western Uganda. (AP Photo/David Goldman)
Older residents gather outside a church for their biweekly fellowship which aims to bring seniors together for companionship while providing food and health education, in Rwamucucu, a rural area in western Uganda, Wednesday, Nov. 20, 2024. (AP Photo/David Goldman)
Gift Amumpeire, left, a field assistant with Reach One Touch One Ministries dances with members of the elderly community at their biweekly fellowship gathering at a church, Wednesday, Nov. 20, 2024, in Rwamucucu, Western Region of Uganda. (AP Photo/David Goldman)
Donanta Nanyanzi, who is in her 80s, left, and Veronica Nakattee, who’s unsure of her age, sit in the garden as the sole caretaker Emmanuel Bakaali, pets the resident dog at a small care home for seniors, Saturday, Nov. 16, 2024, in Mukono, Uganda. (AP Photo/David Goldman)
Field nurse Winnie Katwesigye, with Reach One Touch One Ministries rides on the back of a motorcycle taxi to check on older patients at their homes in rural areas where most live without running water and access to healthcare, in the Rukiga District, Uganda, Tuesday, Nov. 19, 2024. (AP Photo/David Goldman)
Field nurse Derrick Ssemanda washes out the ear of Tolofisa Nalugwa, who is about 90, as part of a visit by the NGO Reach One Touch One Ministries in Magogo, Uganda, Saturday, Nov. 16, 2024. (AP Photo/David Goldman)
Field nurse Winnie Katwesigye with Reach One Touch One Ministries checks the blood pressure of Ernest Rwarangire, 70, left, as his wife, Priscilla Tigeita, 68, waits her turn in their home in Omurutare, a rural village in western Uganda, Tuesday, Nov. 19, 2024. (AP Photo/David Goldman)
Field nurse Winnie Katwesigye, right, with Reach One Touch One Ministries, talks with Zaberia Kitwekyoma, who is about 90, after checking his blood pressure in Omunkore, a rural village in western Uganda, Tuesday, Nov. 19, 2024. For many older residents here, the only access to healthcare is the infrequent visits of the NGO’s field nurse. (AP Photo/David Goldman)
Joseph Malagho, who is about 70 and has survived living with HIV but now faces the complexities of old age, sits in his bed under a mosquito net at his home in Nkulagirire, Uganda, Friday, Nov. 15, 2024. (AP Photo/David Goldman)
Monday Jonah, left, wipes the face of her mother, Audrine Kasharu, who has dementia, as she sits in the courtyard of their home in Kandago, a rural village in western Uganda, Monday, Nov. 18, 2024. When Jonah must leave her mother alone, she locks her up inside the house so she won’t wander off and so thieves won’t steal from them. (AP Photo/David Goldman)
Field nurse Derrick Ssemanda, left, with Reach One Touch One Ministries, changes the catheter of Yafesi Nakyanga, 86, during a visit to his home, Saturday, Nov. 16, 2024, in Nabalanga, Uganda. (AP Photo/David Goldman)
Maria Kimono, 69, places the tarp over the fresh grave of her husband, Erisafan Khayiki, who died just days before as an ailment went untreated, outside their home in Nabalanga, Uganda, Friday, Nov. 22, 2024. (AP Photo/David Goldman)

News from © The Associated Press, . All rights reserved.
This material may not be published, broadcast, rewritten or redistributed.

Join the Conversation!

Want to share your thoughts, add context, or connect with others in your community?

The Associated Press

The Associated Press is an independent global news organization dedicated to factual reporting. Founded in 1846, AP today remains the most trusted source of fast, accurate, unbiased news in all formats and the essential provider of the technology and services vital to the news business. More than half the world’s population sees AP journalism every day.