This research, conducted by the Red Cross of Serbia in collaboration with the Austrian Red Cross and the SeConS Development Initiative Group, examines how the costs of long-term care contribute to the risk of poverty among citizens aged 65 and over. Funded by the Austrian Federal Ministry of Labour, Social Affairs, Health Care and Consumer Protection, the study combines a quantitative survey of 600 respondents with qualitative interviews to map the challenges older persons face in securing adequate care and support.

Key Findings

The study reveals a dual reality: while many older persons maintain a degree of autonomy, a significant proportion face severe economic vulnerability driven by care needs.

• Financial strain: Pensions are the main source of income for 74.8% of respondents, yet nearly half report that their income is insufficient to cover basic living costs.
• The cost of care: Economic vulnerability forces difficult trade-offs; 34% of respondents reported reducing or foregoing essentials such as food, utilities, or medication in order to afford necessary care.
• Reliance on informal support: Although 76.2% of older persons need assistance with daily activities, the vast majority (94.3%) rely on informal, unpaid care provided by family members, as formal services are often unaffordable.
• Unequal access: The risk of poverty and lack of care is highest among women, people living alone, and older persons in rural areas, where formal long-term care services are limited.

The report concludes with targeted recommendations aimed at strengthening legislative frameworks and improving the availability and affordability of long-term care services, in order to protect the dignity, autonomy, and well-being of older persons in Serbia.

Authors:

Tijana Veljković, Jovana Čvorić, Marija Babović, Milica Stević, Nataša Todorović, Milutin Vračević