Reviews
Vol. 4 (2026)
A scoping review of public health challenges and systemic barriers facing unmet health and social care needs of older populations in Nigeria
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Published: 31 July 2026
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Nigeria’s aging population is increasing steadily, yet health and social care systems remain in-adequately prepared to address the complex needs of older adults. Unmet health and social care needs contribute to poor health outcomes, functional decline, reduced quality of life, and grow-ing inequities among older populations. This scoping review mapped and synthesized existing evidence on unmet health and social care needs among older adults in Nigeria, with particular attention to public health challenges and systemic barriers affecting access to care. A scoping review was conducted following the PRISMA-ScR framework. Electronic searches were performed across PubMed, Scopus, ScienceDirect, SpringerLink, Wiley Online Library, Frontiers, and Discovery databases for studies published between 2010 and 2025. Data were extracted and synthesized using thematic analysis. A total of 43 studies met the inclusion criteria. Overall, 4 major themes emerged: demographic and epidemiological transitions, unmet health needs, unmet social care needs, and system-ic/public health barriers. Older adults experienced substantial unmet needs related to chronic disease management, mental health services, oral healthcare, preventive care, and assistance with activities of daily living. Key barriers included poverty, high out-of-pocket healthcare costs, inadequate geriatric services, workforce shortages, weak social protection systems, geo-graphical inequities, and policy gaps. Social isolation, caregiving burdens, and limited commu-nity-based support further compounded vulnerabilities. Older adults in Nigeria face significant unmet health and social care needs driven by intersect-ing socioeconomic, health system, and policy challenges. Strengthening geriatric care, expand-ing social protection, integrating health and social services, and improving evidence-based poli-cy development are essential to promote healthy and dignified aging in Nigeria.
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Folorunsho S. Aging, poverty, and healthcare access and affordability in Nigeria: implications for policy. Public Health Chall 2025;4:e70125.
Oyinlola O. Addressing the challenges of dementia care in Nigeria: a call for a comprehensive national strategy. Public Health Chall 2024;3:e186.
Mobolaji JW. Unmet needs for support in activities of daily living among older persons: the effects of family and household structures in a low-and middle-income context. Geriatrics 2024;9:5.
Folorunsho S, Suleman B. Aging with HIV in Nigeria: a narrative review of multimorbidity and healthcare access challenges. Health Sci Rep 2025;8:e71184.
Kelechi Wisdom E, Soyemi T, Mayowa S, et al. Building healthcare capacity for neurodegenerative disease management in Nigeria: challenges and opportunities. J Public Health Res 2025;14:22799036251350957.
Spearman CW, Afihene M, Betiku O, et al. Epidemiology, risk factors, social determinants of health, and current management for non-alcoholic fatty liver disease in sub-Saharan Africa. Lancet Gastroenterol Hepatol 2021;6:1036-46.
Diaz T, Strong KL, Cao B, et al. A call for standardised age-disaggregated health data. Lancet Healthy Longev 2021;2:e436-43. Erratum in: Lancet Healthy Longev 2021;2:e458.
Nnadi HC, Ezeh PJ. Psycho-Social Experiences and Healthcare Delivery for Older Adults in Nigeria. Sage Open 2023;13:215824402311666.
Animasahun VJ, Chapman HJ. Psychosocial health challenges of the elderly in Nigeria: a narrative review. Afr Health Sci 2017;17:575-83.
Arize I, Ogbuabor D, Mbachu C, et al. Stakeholders’ Perspectives on the unmet needs and health priorities of the urban poor in South-East Nigeria. Community Health Equity Res Policy 2023;43:389-98.
Osuh ME, Oke GA, Lilford RJ, et al. Oral health in an urban slum, Nigeria: residents’ perceptions, practices and care-seeking experiences. BMC Oral Health 2023;23:657.
Eze P, Aniebo CL, Ilechukwu S, Lawani LO. Understanding unmet healthcare needs in Nigeria: implications for universal health coverage. Health Services Insights 2025;18:11786329251330032.
Ogunyemi AO, Balogun MR, Ojo AE, et al. Provider and facility readiness for age-friendly health services for older adults in primary health care centres in southwest, Nigeria. PLOS Glob Public Health 2023;3:e0001411.
Ogunyemi AO, Balogun MR, Ojo AE, et al. Barriers and facilitators to the delivery of age-friendly health services in Primary Health Care centres in southwest, Nigeria: a qualitative study. PLoS One 2024;19:e0288574.
Atchessi N, Ridde V, Abimbola S, Zunzunegui MV. Factors associated with the healthcare-seeking behaviour of older people in Nigeria. Arch Gerontol Geriatr 2018;79:1-7.
Ibiyemi O, Ibiyemi ST. The need for geriatric dental education in Nigeria. Niger Dent J 2020;24:256-62.
Okoh AC, Onyeso OK, Ekemezie W, et al. Building consensus on priority areas for Sub-Saharan Africa’s ageing population research: an e-Delphi study protocol. PLoS One 2024;19:e0298541.
Ramke J, Evans JR, Habtamu E, et al. Grand challenges in global eye health: a global prioritisation process using Delphi method. Lancet Healthy Longev 2022;3:e31-41.
Patel J, Wallace J, Doshi M, et al. Oral health for healthy ageing. Lancet Healthy Longev 2021;2:e521-7.
Chukwuorji JC, Thuku P, Cassimjee N, et al. Is geropsychology “forever young” on the mother continent? Addressing the limited research on psychology of aging in Africa. J Gerontol B Psychol Sci Soc Sci 2023;78:1967-82.
Fasiku M, Durowade K, Bojuwoye M, et al. Unmet needs for assistance with activities of daily living among elderly in rural and urban areas in Kwara State Central Senatorial District, Nigeria. Babcock Univ Med J 2022;4:78-85.
Olawole MO. Unmet travel needs and quality of life of rural elderly in Osun state, Nigeria. Afr Popul Stud 2017;31:992-1002.
Ojagbemi A, Daley S, Feeney Y, Gureje O. The care of older people with depression in Nigeria: qualitative exploration of the experience of lay providers in primary care settings. Int J Geriatr Psychiatry 2024;39:e6147.
Kerwin D, Abdelnour C, Caramelli P, et al. Alzheimer’s disease diagnosis and management: Perspectives from around the world. Alzheimers Dement 2022;14:e12334. Erratum in: Alzheimers Dement 2023;15:e12397.
Birbeck GL, Meyer AC, Ogunniyi A. Nervous system disorders across the life course in resource-limited settings. Nature 2015;527:S167-71.
Igwe MC, Alum EU, Ogbuabor AO. Medical gases and long-term oxygen therapy: reducing the chronic obstructive pulmonary disease burden in aging populations in Sub-Saharan Africa. Med Gas Res 2026;16:46-52.
Santini ZI, Koyanagi A, Tyrovolas S, et al. Social network typologies and mortality risk among older people in China, India, and Latin America: a 10/66 Dementia Research Group population-based cohort study. Soc Sci Med 2015;147:134-43.
Ayub AO, Iliya RS, Ayo OM. Determinants of health challenges and healthcare services among older people. Lead City J Social Sci 2022;7:43-52.
Oyebamiji HI, Ani NC, Dahunsi AN, et al. Unseen struggles: social determinants and structural inequalities shaping elderly mental health in Nigeria. J Dis Global Health 2025;18:78-87.
Erhabor GE, Olowookere OO, Adebusoye LA, Arawomo AO. Adult pneumococcal vaccination: a review of current status and challenges in Nigeria. West Afr J Med 2021;38:583-95.
Folorunsho S, Ajayi V, Sanmori M, et al. Access to and utilization of dental care services by older adults in Nigeria: barriers and facilitators. Spec Care Dentist 2025;45:e70040.
Oyinlola, O. Social media usage among older adults: insights from Nigeria. Act Adapt Aging 2022;46:343-73.
Adedeji IA, Ayegboyin M, Azeez A, et al. Unmet health information needs of the elderly in IDP camps. 2017. Available from: https://www.researchgate.net/profile/Abolaji-Azeez/publication/316658029_Unmet_Health_Information_Needs_of_the_Elderly_in_IDP_Camps/links/590a163faca272f6580b5306/Unmet-Health-Information-Needs-of-the-Elderly-in-IDP-Camps.pdf
Diameta E, Adandom I, Jumbo SU, et al. The burden experience of formal and informal caregivers of older adults with hip fracture in Nigeria. SAGE Open Nurs 2018;4:2377960818785155.
Oyebade OE, Oyinlola O, Palma CA. Difficult but achievable: medical social workers’ experiences transiting older adults from hospital care to nursing home in Nigeria. Soc Work Health Care 2024;63:370-84.
Odusola AO, Stronks K, Hendriks ME, et al. Enablers and barriers for implementing high-quality hypertension care in a rural primary care setting in Nigeria: perspectives of primary care staff and health insurance managers. Glob Health Action 2016;9:29041.
Saka SA, Osineye TR. Considerations, barriers and enablers of deprescribing among healthcare professionals in Ogun State, Southwest, Nigeria: a cross-sectional survey. BMC Health Serv Res 2024;24:661.
Akande-Sholabi W, Fafemi A. Potentially inappropriate medication use in the elderly: physicians’ and hospital pharmacists knowledge, practice, confidence, and barriers. J Pharm Health Care Sci 2022;8:36.
Akande-Sholabi W, Ajilore CO, Ilori T. Evaluation of physicians’ knowledge of deprescribing, deprescribing tools and assessment of factors affecting deprescribing process. BMC Prim Care 2023;24:31.
Volpe U, Amin H, Ayinde OO, et al. Pathways to care for people with dementia: An international multicentre study. Int J Geriatr Psychiatry 2020;35:163-73.
Ogunyemi A, Balogun M, Ojo A, et al. Factors influencing primary health care service provision to older adults in Lagos, Nigeria: understanding the experiences of the demand population. BMC Public Health 2025;25:3016.
Adeniyi A, Idowu O, Ogwumike O, Adeniyi C. Comparative influence of self-efficacy, social support and perceived barriers on low physical activity development in patients with type 2 diabetes, hypertension or stroke. Ethiop J Health Sci 2012;22:113-9.
Adedini SA, Odimegwu C, Bamiwuye O, Fadeyibi O, De Wet N. Barriers to accessing health care in Nigeria: implications for child survival. Glob Health Action 2014;7:23499.
Uzor-Isiugo C. Geriatric healthcare in Nigeria: availability, accessibility, and gaps in Port Harcourt Local Government Area, River State. Adult Educ J Educ Thought 2025;1:2806.
Egbumike CJ, Ojembe B, Ezulike CJ, et al. Unmet social needs of older adults with mobility limitations following inpatient rehabilitation discharge in Nigeria: a qualitative narrative inquiry study. J Geriatr Phys Ther 2025;48:E147-55.
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A scoping review of public health challenges and systemic barriers facing unmet health and social care needs of older populations in Nigeria. Mental Wellness [Internet]. 2026 Jul. 31 [cited 2026 Jul. 31];4. Available from: https://www.mental-wellness-journal.net/mw/article/view/62
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