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A Study on Socio-Economic Conditions and Existing Caregiver
Support System of Elderly in Migrated Families at Pallathur Village,
Sivagangai District, Tamil Nadu
1Dr. M A. VELUSAMY, 2K. Gunavathi
1Professor and Head i/c, Department of Social Work, Alagappa University, Karaikudi -630003
2PhD - Research Scholar (Full Time), Department of Social, Work, Alagappa University, Karaikudi -
630003
DOI: https://dx.doi.org/10.51244/IJRSI.2025.1210000163
Received: 22 October 2025; Accepted: 29 October 2025; Published: 11 November 2025
ABSTRACT
India is experiencing a rapid demographic transition characterized by a growing ageing population. The rising
number of elderly persons, especially in rural regions, presents complex socio-economic and caregiving
challenges. This paper explores the socio-economic conditions and the existing caregiver support systems of
elderly individuals residing in Pallathur Panchayat, Sivagangai District, Tamil Nadu. Using a Rapid Need
Assessment design, the study collected data from 200 elderly respondents through structured interviews. The
findings reveal that 81% of the respondents live below the poverty line, and 70% require support for daily living.
A significant 40% depend financially on their children, while only 18% receive any form of government benefit.
Digital literacy and awareness of insurance policies remain critically low. The study highlights the urgent need
for community-based elder care systems, family support, and sustainable welfare interventions tailored to the
unique socio-cultural setting of rural Tamil Nadu.
Keywords: Elderly, Socio-economic conditions, Caregiver support, Migration, Rural Tamil Nadu, Ageing
INTRODUCTION
The phenomenon of population ageing is one of the most significant social transformations of the twenty-first
century. According to the United Nations (2020), the global population aged 60 years and above is projected to
reach 2.1 billion by 2050. India, with its growing life expectancy and improved healthcare, is witnessing an
unprecedented rise in its elderly population, expected to reach 347 million by 2050, representing nearly 20% of
the total population (UNFPA & IIPS, 2023). While the demographic shift brings opportunities for active
ageing,” it also poses challenges concerning income security, health care, and caregiving. The migration of
younger generations to urban areas or abroad has resulted in the increasing isolation of older adults, particularly
in rural communities. Pallathur, a village in Sivagangai District, Tamil Nadu, serves as a microcosm of this issue,
reflecting both the resilience and vulnerabilities of rural elderly populations.
REVIEW OF LITERATURE
Several studies and reports highlight the socio-economic and health challenges faced by older adults in
developing nations. The World Economic and Social Survey (2007) emphasized that ageing will alter health
care systems, necessitating reforms in chronic illness and long-term care management. The World Report on
Ageing and Health (WHO, 2015) identified gaps in public health systems and the need for integrated,
community-based approaches. In India, the India Ageing Report (UNFPA & IIPS, 2023) outlines that 10.5% of
India’s population are aged 60 and above, expected to double by 2050. Rural ageing is marked by financial
insecurity, dependency, and limited awareness of welfare schemes. Dominelli (2012) and Pease (2020) have
stressed the importance of eco-social and rights-based frameworks in addressing the needs of elderly
populations. HelpAge India (2023) further noted that 40% of India’s elderly belong to the poorest wealth quintile,
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and one-fifth have no income at all. In Tamil Nadu, demographic data show that elderly persons constitute
around 13% of the total population, with higher concentrations in urbanized districts such as Chennai and
Coimbatore.
METHODOLOGY
The study adopted a Rapid Need Assessment approach to identify socio-economic conditions and caregiving
needs of elderly individuals. This design facilitated quick yet reliable data collection at the community level.
The study was conducted in Pallathur Panchayat, Sivagangai District, Tamil Nadu. The village is known for its
Chettinad architecture and mid-sized population. As per census projections, elderly persons constitute around
1,3001,500 individuals in Pallathur. A convenience sampling method was used, selecting 200 respondents aged
60 and above. The tool for data collection was a structured interview schedule, covering demographic details,
health, family structure, income, and caregiver support. Data were collected through face-to-face interviews by
field investigators and analyzed using descriptive statistics and percentage analysis.
RESULTS AND DISCUSSION
The Demographic Profile
The study revealed that 42% of the respondents were between 5060 years, and 35% were between 6170
years. The sex ratio showed a near balance, with 51% male and 49% female respondents.
Table 1: Demographic Profile
Variable
Percentage
Age 5060
42
Age 6170
35
Age 7180
20
Above 80
3
Male
51
Female
49
Economic Status
Majority of the elderly population, nearly 81% of them fall below poverty line. This population is employed
through daily wage work and jobs like painting and repairing works in and around the region of Pallathur and in
the nearby towns of Karaikudi and Sivagangai. A meagre 19% of them fall above poverty line, but are still not
independent financially to satisfy their day-to-day needs.
Fig 1: Economic status
19%
81%
Economic status
APL
BPL
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Financial Dependency
40% of respondents are fully dependent on their children, 39% are self-reliant, and 21% are partially
dependent. Most elderly rely on remittances from migrated family members, indicating strong but limited
transnational ties.
Fig 2: Financial Dependency
Health and Medical Support
71.75% of respondents reported being active, 9.5% partially assisted, and 2.5% bedridden. Half of the
respondents take regular medication for chronic diseases such as hypertension and diabetes. However, lack of
transport and healthcare access restrict routine medical visits.
Table 2: Health and Medical support
Indicator
Percentage
Active Elderly
71.75
Partially Assisted
9.5
Bedridden
2.5
Need Support
70.0
Have Insurance
13.0
Receive Govt Benefits
18.0
Living Arrangements and Caregiving
55% of them are living with spouse and 23.50% of them are living alone. 10.50% percent of them are being
taken care of part time paid caregiver. A meagre percent of 4% and 7% are living with full time paid caregiver
and also living with the families of their sons and daughters. Most of the houses are occupied by elderly male or
female or as couples.
39%
21%
40%
Level of financial dependency
Not at all dependent
partially dependent
completely dependent
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Digital Literacy and Scheme Awareness
Only 16% of respondents know how to use smartphones, primarily for WhatsApp calls to their children.
Awareness about insurance and pension schemes is extremely low 87% had no insurance coverage, and only
18% received benefits such as ration subsidies or cash assistance.
DISCUSSION
The data underline the precarious socio-economic position of rural elderly populations in Tamil Nadu. The
absence of sustained income, insufficient state support, and limited health awareness increase dependency levels.
Migration of younger family members exacerbates loneliness and neglect. The findings align with national
patterns of “care crisis” in ageing societies (UN, 2020). There is a pressing need to strengthen community-based
geriatric programs and integrate local governance mechanisms to reach the most vulnerable.
RECOMMENDATIONS
Establish community-based elder care centers through Panchayats and NGOs.
Conduct awareness campaigns about pensions, insurance, and health programs.
Train social workers and volunteers in geriatric care and counseling.
Promote digital literacy among elderly persons to enhance connectivity.
Encourage family-based and intergenerational support programs.
Integrate home-based healthcare and nutritional programs into PHC services.
Incorporate elderly welfare initiatives in CSR and local governance schemes.
CONCLUSION
The study concludes that elderly persons in Pallathur Panchayat face multiple vulnerabilitieseconomic
insecurity, social isolation, and poor health access. With the migration of children and the erosion of traditional
caregiving systems, elders increasingly rely on irregular financial help and limited government schemes. The
research calls for the integration of community-based care systems and sustainable policies for ageing with
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dignity. Promoting local participation and ecosocial approaches to welfare can strengthen the bridge between
family, society, and the state.
REFERENCES
1. Dominelli, L. (2012). Green Social Work: From Environmental Crises to Environmental Justice. Polity
Press.
2. HelpAge India. (2023). State of Elderly in India Report 2023. New Delhi.
3. Pease, B. (2020). Eco-Social Work and Sustainable Development. Routledge.
4. United Nations. (2020). World Population Ageing 2020 Highlights. UN Department of Economic and
Social Affairs.
5. UNFPA & IIPS. (2023). India Ageing Report 2023. New Delhi.
6. World Health Organization. (2015). World Report on Ageing and Health. Geneva: WHO Press.
7. MA.Velusamy and K.Gunavathi (2024), Rapid Need Assessment Report on Active & Healthy Ageing in
and around Pallathur, Sakkottai Block of Sivagngai District. (Unpublished Paper)
8. MA.Velusamy and K.Gunavathi (2024), Socio Economic and Health Care Needs of the Elderly: Special
Reference to the Elderly Living in Pallathur Town Panchayat, Sakkottai Block of Sivagangai District,
Tamil Nadu. (Paper Presented at 8th World Congress on Gerontology & Geriatrics International
Conference. Held on 12th October 2025, J.N.Tata Auditorium, Indian Institute of Science, Bangalore)
9. Government of India. (2007). Maintenance and Welfare of Parents and Senior Citizens Act, 2007. Ministry
of Social Justice and Empowerment.