Training Unemployed Women for Adult Day Care in İzmir, Turkey: A Program Evaluation


The proportion of older people in Turkey is increasing steadily with the subsequent growth of long-term care (LTC) needs. There is a scarcity of formal care provisions for residential and particularly nonresidential settings. Thus, formal caregiving is not meeting LTC needs nor attracting workers as a labour option.

The authors examine the hypothesis that LTC may offer work opportunities for women unfamiliar with caregiving as an occupation and also examine the need and acceptance of different types of LTC beyond residential care. The authors evaluate an innovative project introducing these two elements to 76 women in İzmir, Turkey, using an analysis framework that incorporates factors related to applications and progression; management assessment; trainees’ self-assessment reflecting on their views on ageing; and older people’s perception of the experience and its impact on their well-being.

Trainees reported a major positive shift in their attitudes toward working in LTC and toward the ageing process. Users reported discovering a new dimension to care, which directly affected their quality of life. Overall, this community-based initiative appeared effective in enhancing the awareness of the concept of adult day centres providing a social model of care and appears promising in addressing the growing need for formal LTC in Turkey.

Hussein, S. & Öglak, S. (2013) Training unemployed women for adult day care in Izmir, Turkey: A Program Evaluation, Gerontology & Geriatrics Education, 35(2): 152-170.

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Professor of Health and Social Care Policy, the London School of Hygiene and Tropical Medicine, UK

Professor Shereen Hussein is a Professor of Health and Social Care Policy at the Department of Health Services Research and Policy (HSRP) at the LSHTM. She is a Co-Director of the PRUComm policy research unit. She is also an Honorary Professor at the University of Kent and King’s College London in the UK and the University of Southern Queensland in Australia.

Shereen is a demographer with expertise in labour-migration, sociology and economics. Her primary research revolves around ageing, family dynamics, migration and long-term care. Shereen has previously worked with the United Nations, the Population Council, the World Bank, and the League of Arab States. Her current research focuses on ageing demographics, long term care demand and migration within the UK and Europe and the implications on policy and practice.

Shereen has conducted extensive research on population ageing and impact on long term care and health policy and practices in the UK, internationally and in the Middle East and North Africa (MENA) region. She has contributed to recent United Nations’ policy response to ageing in the region through collaboration with UN-ESCWA and directly providing expert consultations to several countries in the region including Turkey, Oman and Egypt. Shereen leads many large research projects on ageing and long-term care in the UK and contributes to a large project addressing responses to dementia in developing countries STRiDE. Shereen is the founder and lead of the MENARAH network.