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Healthcare needs of older people in humanitarian settings | Collections | MSF Science Portal
Healthcare needs of older people in humanitarian settings

Healthcare needs of older people in humanitarian settings

Globally, the number of older people is rapidly increasing, with those aged 60+ expected to more than double by 2050—yet in humanitarian crises, they remain one of the most neglected groups. Older adults often face higher risks due to chronic illnesses, mobility issues, and limited access to appropriate care, especially in low-resource or emergency settings. Despite these needs, humanitarian responses rarely prioritize them, and data on their health and mortality are often lacking.


This collection reflects MSF’s ongoing examination of its own data and practices to identify pathways toward more age-inclusive services in humanitarian crises. It includes analysis of data from MSF-supported mental health services, inpatient departments, and sexual violence services, and further offers several calls to action and reflections on why older people remain overlooked in humanitarian crises. However, MSF also acknowledges major challenges remain, including inadequate age-inclusive services, data gaps, and the need for more geriatric expertise.


Watch this space for more publications from a Lancet Healthy Longevity series on healthcare rights and needs of older people.


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Neglected tropical diseases

Neglected tropical diseases

Each year hundreds of thousands of people die from a neglected tropical disease, while many more suffer serious illness or lifelong disability. Yet as we mark World Neglected Tropical Diseases (NTD) Day on 30th January, global progress towards eliminating these diseases is threatened by shifting global health priorities and declining investment in the wake of the Covid-19 pandemic.


The content collection linked below offers a snapshot of MSF’s work on managing some of the most deadly NTDs, finding better tools and models of care for highly affected populations, and advocating for greater access to care and increased global funding. Several authors describe our programs and lessons learned from a decade of treating snakebite victims in sub-Saharan Africa. Two studies evaluate shorter, less toxic treatment for visceral leischmaniasis, while a policy analysis proposes critical steps towards eliminating this horrific disease in East Africa. Last, reports from Sokoto, Nigeria describe the collaborative development of a comprehensive model of care for noma.

World NTD Day

World NTD Day
Medical and humanitarian harms of restrictive European migration policies

Medical and humanitarian harms of restrictive European migrat...
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Neglected tropical diseases (NTDs) impact nearly 1.7 billion people each year, causing serious illness or lifelong disability among many—often leading to stigma and exclusion—and killing an estimated 200,000. The vast majority of sufferers live in the world’s poorest countries.


The World Health Organization’s NTD roadmap 2021-2030 aims to address 20 tropical diseases through prevention, control, elimination, and/or eradication. But despite some progress, reaching all its targets will take better, far more accessible diagnostics and treatments along with more robust strategies, political commitment and resources.


To mark World NTD Day, this collection spotlights work by MSF and collaborators on improving approaches to snakebite envenoming, kala azar and noma. One study presents an innovative artificial intelligence-based snakebite diagnostic tool, while others evaluate shorter, less toxic drug regimens or different models of care. Several commentaries advocate for national/regional strategies adapted to contexts ranging from remote villages to active conflict zones. Another crucial factor is the climate crisis, which is intensifying the transmission and geographic spread of many NTDs.

Conflict, persecution, poverty, food insecurity and natural disasters—increasingly fueled by climate change—continue to drive migration globally. Yet many wealthy countries are doubling down on hostile policies to prevent people from seeking safety within their borders, thereby subjecting them to a wide range of harms. In a newly-published report MSF focuses on European Union and member state policies that intensify exposure to violence, exploitation, risk of drowning at sea, disease, and lack of access to basic health care and shelter, both within European Union borders and beyond. The Collection linked below presents this report alongside selected publications illustrating the broader context, based on quantitative studies and accounts from MSF patients and medical teams over nearly a decade of operational experience along the European migration route. From violent, squalid detention centers in Libya— where people intercepted by the EU-supported Libyan coast guard are forcibly returned —to perilous Mediterranean crossings in flimsy rubber boats and often abysmal reception centers and camps within the EU, it documents how these policies and practices further harm highly vulnerable people seeking safety and protection.
Journal Article
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Research

Health conditions of older adults in complex humanitarian settings in low- and middle-income countries: a retrospective analysis of 2019–2025 data from Médecins Sans Frontières-supported inpatient departments

van Boetzelaer E, Keating P, Caleo G, Oluyide B, Masum RR,  et al.
2025-11-01 • BMJ Global Health
2025-11-01 • BMJ Global Health

BACKGROUND

Inpatient admissions of older adults in humanitarian settings in low-income and middle-income countries remain poorly documented, likely leading to g...

Journal Blog
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Perspective

Symposium on ageing in crisis: Advancing the overlooked healthcare rights and needs of older people in humanitarian crises

van Boetzelaer E
2025-10-29
2025-10-29
Journal Article
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Research

Differences in sexual violence against younger and older adults in complex humanitarian settings: a retrospective analysis from Médecins Sans Frontières in 2019–24

Van Boetzelaer E, Biru T, Idris A, Keating P, Staunton M,  et al.
2025-10-16 • Lancet Global Health
2025-10-16 • Lancet Global Health

BACKGROUND

Sexual violence against older adults in humanitarian settings is poorly documented, leading to gaps in prevention and delivery of support services. T...

Journal Article
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Research

Differences in mental health between younger and older adults in complex humanitarian settings in low-income and middle-income countries: retrospective analysis from Médecins Sans Frontières-supported mental health services, 2019–2024

van Boetzelaer E, Sleit R, Rodriguez E, Kagomba Barathi G, Escobio F,  et al.
2025-09-26 • BMJ Global Health
2025-09-26 • BMJ Global Health

BACKGROUND

Humanitarian emergencies increase the risk of development or exacerbation of mental health conditions. This study documents how mental health differs...

Journal Article
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Research

Mental health of older adults in humanitarian settings in low- and middle-income countries: a retrospective analysis from Médecins sans Frontières-supported mental health services, 2019–2024

van Boetzelaer E, Keating P, Wasara N, Rodriguez E, Escobio F,  et al.
2025-07-05 • BMJ Global Health
2025-07-05 • BMJ Global Health

BACKGROUND

More complex humanitarian emergencies have a profound impact on a rapidly growing ageing population. There are few data available on the mental healt...

Journal Article
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Review

Health needs of older people and age-inclusive health care in humanitarian emergencies in low-income and middle-income countries: a systematic review

van Boetzelaer E, Rathod L, Keating P, Pellecchia U, Sharma S,  et al.
2024-12-30 • The Lancet Healthy Longevity
2024-12-30 • The Lancet Healthy Longevity
Journal Article
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Commentary

Involving older people in the preparedness, response, and recovery phases in humanitarian emergencies: a theoretical framework on ageism, epistemic injustice, and participation

van Boetzelaer E, van de Kamp J, Keating P, Sharma SK, Pellecchia U,  et al.
2024-01-01 • The Lancet Healthy Longevity
2024-01-01 • The Lancet Healthy Longevity
Journal Article
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Letter

The disproportionate vulnerability of older people in humanitarian emergencies

van Boetzelaer E, Franco OH, Moussally K, Khammash U, Escobio F
2023-10-20 • Lancet
2023-10-20 • Lancet
Journal Article
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Commentary

Elderly people in humanitarian crises, a forgotten population: A call for action

van Boetzelaer E, Browne JL, Vaid S, Pellecchia U, van de Kamp J,  et al.
2023-07-17 • PLOS Global Public Health
2023-07-17 • PLOS Global Public Health
Journal Blog
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Perspective

Conflict in eastern Ukraine is a reminder that older people are especially vulnerable in emergencies

Simonyan G
2019-06-04 • BMJ Opinion (blog)
2019-06-04 • BMJ Opinion (blog)
Journal Article
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Commentary

Ending neglect of older people in the response to humanitarian emergencies

Karunakara U, Stevenson F
2012-12-18 • PLOS Medicine
2012-12-18 • PLOS Medicine