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When growing old means growing invisible

Bangladesh is ageing and the question is whether growing old in this country will ever mean care, dignity, and being seen

Update : 22 Jul 2026, 09:55 AM

While everyone was caught up in the World Cup, this particular story quickly faded from the headlines: The elderly woman found dead in her Mirpur apartment, weeks after she had passed away alone. The real tragedy was not just in her death, but in how she went unnoticed for so long.

Family ties used to be the main source of support in our society, so this kind of invisibility once felt rare. Now, it is happening more often. 

A country ageing faster than it admits

Bangladesh often thinks of itself as a young country, but the numbers tell a different story.

Government estimates say about 13 million people, or around 8% of the population, are already over 60. This number is expected to rise above 20 million soon, which will change the country’s health and social care needs in ways that are not yet fully recognized.

At the same time, growing older is now more often linked to long-term illness and dependency, rather than rest and family support. Studies in Bangladesh show that more than half of older adults have several chronic conditions, such as hypertension, diabetes, heart disease, and respiratory problems.

It is a good thing that people are living longer, but without enough support, this becomes a silent crisis.

When the family-based care model starts to weaken

For many years, families in Bangladesh cared for their elderly members. This worked because families were bigger, migration was limited, and everyone lived close enough to help each other every day.

That reality is changing.

Urban growth, migration, and nuclear families are making it harder to care for elders in traditional ways. Adult children often leave for work in other cities or countries, leaving elderly parents behind. Even when families are in the same city, time pressure and economic demands make it difficult to give regular care.

This does not mean families are abandoning their elders on purpose. Instead, there is more distance now -- physically, emotionally, and in daily life.

The tragedy in Mirpur is a clear example of this change, but it is not a rare case.

Bangladesh’s healthcare system is still largely set up for short-term problems, such as treating sudden illnesses or hospital visits. It is not as prepared to handle the long-term needs of ageing, such as ongoing diseases, gradual decline, disability, and end-of-life support.

There is little organized monitoring for elderly people who live alone. Community support is scattered, and families often have to deal with illness without much help or advice from medical professionals.

Research shows that over 90% of older adults in Bangladesh have health problems that need medical care. This often means they go to the hospital many times, which increases costs for their families.

This is why palliative care becomes central.

Many people think palliative care is only for the end of life, but it is more than that. It aims to improve the lives of people with serious or long-term illnesses by managing pain, providing emotional support, and coordinating care.

The World Health Organisation estimates that tens of millions of people worldwide require palliative care each year, yet most in low- and middle-income countries do not receive it.

Bangladesh is part of this gap.

With chronic diseases rising fast and hospitals already full, palliative care is not a luxury in Bangladesh. It is a vital part of the health system that is still missing.

The hidden cost of neglect

When adequate care systems are absent, the burden does not disappear but shifts.

Families are the first to feel the cost. In many homes, women take on most of the caregiving, often cutting back on work or leaving their jobs to care for older relatives.

The healthcare system also feels the strain. Many older patients go to the hospital for problems that could be managed at home or in the community, which contributes to overcrowding and makes already-busy hospitals less efficient.

There is also a human cost that is harder to see. Loneliness in older adults is more often linked to depression, memory problems, and worse physical health. In busy cities, people often notice this isolation only when a crisis happens.

Why invisibility is the real problem

The Mirpur case makes us think about something uncomfortable. It is not just about one person not being found in time. It shows how easily older people can become invisible in today’s cities.

Cities like Dhaka are crowded, but being close to others does not mean older people are seen. Elderly people living alone can go unnoticed for days. In rural areas, migration has created another kind of distance, in which care is expected but not always provided.

Growing old in Bangladesh now often means being physically close to others but receiving insufficient social attention.

What needs to change

The solutions are not new or complicated. What we need is to bring them together, not invent something entirely different.

Palliative care can be added to basic healthcare services. Community health workers can learn the basics of caring for older people. Local groups can find elderly people living alone and check on them regularly. Home-based care, run by public, private, and NGO partners, can offer ongoing support when hospitals cannot.

Just as important, caregiving should be seen as a responsibility for everyone, not just something families handle quietly on their own.

Other countries that have adopted these systems have seen improved quality of life, fewer hospital visits, and greater dignity at the end of life.

The woman who died alone in Mirpur should not be just another sad news story. Her experience shows a bigger change that is already happening.

Bangladesh is ageing and the question is whether growing old in this country will ever mean care, dignity, and being seen, or quietly fading away.

Shafiq R Bhuiyan writes on how communication, culture and corporate social responsibility (CSR) converge to shape a more conscious and compassionate society.

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