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Invisible Yet Resilient: Understanding the Vulnerability and Integration Pathways of South Sudanese Older Refugees in Uganda

Authors

DOI:

https://doi.org/10.12700/jceeas.2026.6.1.450

Keywords:

Vulnerability, Older Refugees, Integration, South Sudan, Uganda

Abstract

Forcibly displaced older persons in Africa have not largely been the object of academic research. Recent scholars conducted a scoping review about the situations of displaced older persons in Africa and identified several gaps in the literature, including paying attention to the displaced older persons’ integration in the host societies. Our current study contributes to filling this gap by examining the vulnerability of older refugees and identifying hidden opportunities for resilience and integration in the host communities. The study is based on the primary data collected from South Sudanese refugees in Pagirinya Settlement in Uganda, analyzed in conjunction with the available literature. The study finds that despite the vulnerability of older refugees, windows of opportunities exist to develop their resilience and integrate them in the host communities. It concludes that leveraging skills of older refugees and social gatherings in the settlements helps them to curtail vulnerabilities, develop resilience and integrate in the host communities. The article suggests that further interventions should aim at instituting and financially supporting monitoring teams from within the refugees to monitor and report on the situations of older refugees to the relevant authorities for necessary actions; considering older refugees in special diet programs; and improving information flow so that older refugees can access information and services that could help them improve their lives in the settlement and integrate more easily and faster.

Author Biographies

Frank Ahimbisibwe, Mbarara University of Science and Technology, Uganda/ University of Antwerp, Belgium.

Frank Ahimbisibwe is a senior lecturer at the Faculty of Interdisciplinary Studies, Mbarara University of Science and Technology, Uganda. He is also a visiting associate professor at the Institute of Development Policy (IOB), University of Antwerp, Belgium; and a visiting associate professor at the African Studies Centre, Tokyo University of Foreign Studies, Japan. His research focuses on refugees, forced migration, human security and international relations in the Great Lakes region and Horn of Africa.

Specioza Twinamasiko, Mbarara University of Science and Technology

Specioza Twinamasiko is a Lecturer in the Faculty of Interdisciplinary Studies, Mbarara University of Science and Technology (MUST), Uganda. She is a coordinator of Service Course in the department of Community Engagement and Service Learning in the Faculty of Interdisciplinary Studies, MUST. ST has expertise in peace, conflict Studies and Development Work, and her research focuses on development induced displacement, forced migration, and gender relations in extractives.

Kabasiita Goretti, University of Saint Joseph Mbarara, Uganda.

Kabasiita Maria Goretti is an assistant lecturer, Faculty of Business and Social Sciences, University of Saint Joseph Mbarara, Uganda. She teaches sustainable development, political science and public administration related courses. Her research focuses on politics, democracy and governance in Uganda.

References

References

Abi Chahine, M., & Kienzler, H. (2022). Ageism, an invisible social determinant of health for older Syrian refugees in Lebanon: a service providers’ perspective. Conflict and Health, 16(1), 62. https://doi.org/10.1186/s13031-022-00491-9

Adger, W. N. (2006). Vulnerability. Global Environmental Change, 16(3), 268-281. https://doi.org/https://doi.org/10.1016/j.gloenvcha.2006.02.006

Ager, A., & Strang, A. (2008). Understanding Integration: A Conceptual Framework. Journal of Refugee Studies, 21(2), 166-191. https://doi.org/10.1093/jrs/fen016

Ahimbisibwe, F. (2018). Uganda and the Refugee Problem: Challenges and Opportunities. African Journal of Political Science and International Relations, 13(5), 62-72. https://doi.org/10.5897/AJPSIR2018.1101

Akar, S., & Erdoğdu, M. M. (2019). Syrian Refugees in Turkey and Integration Problem Ahead. Journal of International Migration and Integration, 20(3), 925-940. https://doi.org/10.1007/s12134-018-0639-0

Alvesson, M., & Skolberg, K. (2007). Reflexive methodology: New vista for qualitative research. Sage Publications.

Andrew, M. K. (2010). Social vulnerability in old age. In H. M. H.M. Fillit, K. Rockwood, & K. Woodhouse (Eds.), Brocklehurst's textbook of geriatric medicine and gerontology (7th ed.) (pp. 198-208). Saunders Elsevier.

Andrew, M. K., & Keefe, J. M. (2014). Social vulnerability from a social ecology perspective: a cohort study of older adults from the National Population Health Survey of Canada. BMC Geriatrics, 14(1), 90. https://doi.org/10.1186/1471-2318-14-90

Betancourt, T. S., Abdi, S., Ito, B. S., Lilienthal, G. M., Agalab, N., & Ellis, H. (2015). We left one war and came to another: Resource loss, acculturative stress, and caregiver-child relationships in Somali refugee families. Cultural Diversity and Ethnic Minority Psychology, 21(1), 114-125. https://doi.org/10.1037/a0037538

Böcker, A., & Hunter, A. (2025). Older refugees and internally displaced people in African countries: findings from a scoping review of literature. Journal of Refugee Studies, 38(1), 16-30. https://doi.org/10.1093/jrs/feac023

Bolzman, C. (2014). Exil et errance. Pensée plurielle, 35(1), 43-52. https://doi.org/10.3917/pp.035.0043

Bolzman, C. A. (2014). Older refugees. In E. Fiddian-Qasmiyeh, G. Loescher, K. Long, & N. Sigona (Eds.), The Oxford handbook of refugee and forced migration studies (pp. 409-420). Oxford University Press.

Burton, A., & Breen, C. (2002). Older refugees in humanitarian emergencies. The Lancet, 360, s47-s48. https://doi.org/https://doi.org/10.1016/S0140-6736(02)11819-8

Carlson, B. E., Cacciatore, J., & Klimek, B. (2012). A Risk and Resilience Perspective on Unaccompanied Refugee Minors. Social Work, 57(3), 259-269. https://doi.org/10.1093/sw/sws003

Ciaramella, M., Monacelli, N., & Cocimano, L. C. E. (2022). Promotion of Resilience in Migrants: A Systematic Review of Study and Psychosocial Intervention. Journal of Immigrant and Minority Health, 24(5), 1328-1344. https://doi.org/10.1007/s10903-021-01247-y

Costa, A. L., Coimbra, S., Pinto, M., Teixeira, E. G., & Caramelo, J. (2021). Professionals’ key knowledge, competences and practices to promote social inclusion of refugees. International Journal of Inclusive Education, 25(1), 81-93. https://doi.org/10.1080/13603116.2019.1678777

Crips, J., & Mayne, A. (1998). United Nations High Commissioner for Refugees (UNHCR) assistance to older refugees. EVAL/01/98 REV.1. Retrieved March 10, 2026 from https://www.unhcr.org/publications/unhcr-assistance-older-refugees

De Simone, S. (2020). Individual and collective agency and identity construction among South Sudanese Refugees in Adjumani District, Uganda. Afriche e Orienti, 22(1), 85-101. https://doi.org/10.23810/1345.RIFUGIATIUGANDADESIMONE

Delor, F., & Hubert, M. (2000). Revisiting the concept of ‘vulnerability’. Social Science & Medicine, 50(11), 1557-1570. https://doi.org/https://doi.org/10.1016/S0277-9536(99)00465-7

Ebere, R. N., & Mwesigwa, D. (2021). The effectiveness of social inclusion of refugees in Kiryandongo refugee settlement community of mid-western Uganda. Asian Journal of Sustainable Business Research, 2(2), 76-94. http://aiipub.com/journals/ajsbr-200916-031130/

Enago Academy. (2024). Choosing the right analytical approach: Thematic analysis vs. content analysis for data interpretation. Retrieved February 17, 2024 from https://www.enago.com/academy/content-analysis-vs-thematic-analysis/

Getanda, E. M., Papadopoulos, C., & Evans, H. (2015). The mental health, quality of life and life satisfaction of internally displaced persons living in Nakuru County, Kenya. BMC Public Health, 15(1), 755. https://doi.org/10.1186/s12889-015-2085-7

Gichunge, C., Mutiso, D., & Brynjarsdottir, J. (2020). Predictors of social support, physical health and mental health among food insecure internally displaced persons in Turkana, Kenya. Conflict and Health, 14(1), 58. https://doi.org/10.1186/s13031-020-00303-y

Glaser, B., & Strauss, L. A. (1967). The discovery of grounded theory: Strategies for qualitative research. Aldine de Gruyter.

Goodman, J. H. (2004). Coping With Trauma and Hardship Among Unaccompanied Refugee Youths From Sudan. Qualitative Health Research, 14(9), 1177-1196. https://doi.org/10.1177/1049732304265923

Goverment of Uganda. (2010). Uganda: The Refugees Regulations, 2010. Refworld. Global Law & Policy Database. Retrieved March 10, 2026 from https://www.refworld.org/legal/decreees/natlegbod/2010/102127

Government of Uganda. (2006). Uganda: The Refugee Act 2006. Refworld. Global Law & Policy Database. Retrieved March 10, 2026 from https://www.refworld.org/legal/legislation/natlegbod/2006/en/102125

Hamid, A. A. R. M., & Musa, S. A. (2010). Mental health problems among internally displaced persons in Darfur. International Journal of Psychology, 45(4), 278-285. https://doi.org/https://doi.org/10.1080/00207591003692620

Hammersley, M., & Atkinson, P. (2007). Ethnography: Principles in practice (3rd ed). Routledge.

Hampshire, K., Porter, G., Kilpatrick, K., Peter, K., Michael, A., & Oppong, G. (2008). Liminal spaces: Changing inter-generational relations among long-term Liberian refugees in Ghana. Human Organization, 67(1), 25-36. https://doi.org/10.17730/humo.67.1.447531p7r4647n62

HelpAge International. (2016a). Older people in situations of migration in Africa: The untold migration story. HelpAge International.

HelpAge International. (2016b). Older voices in humanitarian crisis: Calling for change. Retrieved April 18, 2024 from https://reliefweb.int/sites/reliefweb.int/files/resources/Older%20voices%20in%20humanitarian%20crises%20-%20HelpAge.pdf

HelpAge International. (2018). Older people in displacement: Falling through the cracks of emergency responses. HPG Commissioned Report.

HelpAge International. (n.d.). Crisis-affected older people in Kenya and Somalia. HelpAge briefing.

HelpAge International & The Internal Displacement Monitoring Center. (2012). The neglected generation, the impact of displacement in older people.

Hennink, M., Hutter, I., & Bailey, A. (2011). Qualitative research methods. Sage Publications.

Horn, V., & Fokkema, T. (2025). Editors’ introduction—older refugees: Who are they and how are they faring? Journal of Refugee Studies, 38(1), 1-15. https://doi.org/10.1093/jrs/feaf017

Humble, D., Tukundane, C., Paparu, C., & Clarke, R. (2020). Visualising Youth Futures: Refugee Youth and Mobile Technology Use in Uganda: A Review of Literature https://doi.org/10.57711/jf6w-rk56

Hunter, A., & Böcker, A. (2023). Older refugees and internally displaced people. In S. Torres & A. Hunter (Eds.), Handbook on Migration and Ageing (pp. 151-161). Edward Elgar Publishing.

Hutton, D. (2008). Older people in emergencies: Considerations for action and policy development. World Health Organization.

Kalipeni, E. (2000). Health and disease in southern Africa: a comparative and vulnerability perspective. Social Science & Medicine, 50(7), 965-983. https://doi.org/https://doi.org/10.1016/S0277-9536(99)00348-2

Khawaja, N. G., White, K. M., Schweitzer, R., & Greenslade, J. (2008). Difficulties and Coping Strategies of Sudanese Refugees: A Qualitative Approach. Transcultural Psychiatry, 45(3), 489-512. https://doi.org/10.1177/1363461508094678

Kiteki, B. N. (2016). The case for resilience in African refugees: A literature review and suggestions for future research. VISTAS.

Kohn, N. A. (n.d.). Vulnerability theory and the role of government. Retrieved August 1, 2025 from https://openyls.law.yale.edu/entities/publication/0db87198-c5fb-43b4-9cd7-e6fe8ca6bc6f

Lupieri, S. (2022). ‘Vulnerable’ but not ‘Valuable’: Older refugees and perceptions of deservingness in medical humanitarianism. Social Science & Medicine, 301, 114903. https://doi.org/https://doi.org/10.1016/j.socscimed.2022.114903

Mason, M. (2010). Sample size and saturation in PhD studies using qualitative interviews. Forum Qualitative Social Research, 11(3), 1-19. https://doi.org/10.17169/fqs-11.3.1428

McGadney-Douglass, B. F., & Douglass, R. L. (2008). Collective Familial Decision-Making In Times Of Trouble: Intergenerational Solidarity in Ghana. Journal of Cross-Cultural Gerontology, 23(2), 147-160. https://doi.org/10.1007/s10823-008-9064-8

McKeown, A., Hai Bui, D., & Glenn, J. (2022). A social theory of resilience: The governance of vulnerability in crisis-era neoliberalism. European Journal of Cultural and Political Sociology, 9(1), 112-132. https://doi.org/10.1080/23254823.2021.1997616

Mclntyre, A. (2008). Participatory action research. Qualitative research methods series (Vol. 52). Sage Publications.

Mestheneos, E., & Ioannidi, E. (2002). Obstacles to Refugee Integration in the European Union Member States. Journal of Refugee Studies, 15(3), 304-320. https://doi.org/10.1093/jrs/15.3.304

Migration Data Portal. (September 29, 2020). Older persons and migration. Retrieved November 7, 2020 from https://migrationdataportal.org/themes/older-persons-and-migration

Missing millions. How older people with disabilities are excluded from humanitarian response. (2018). International Centre for Evidence in Disability at London School of Hygiene and Tropical Medicine., & HelpAge International. Retrieved April 18, 2023 from BPRMReport-LowRes.pdf

Momodu, S. (2019). Uganda stands out in refugees hospitality: The country hosts the largest number of refugees in Africa — more than a million. Africa Renewal, 32(3), 18-19. https://doi.org/https://doi.org/10.18356/38215ab0-en

NSW Refugee Health Service & NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (STARTTS). (2003). Working with refugees, a guide for social workers.

Office of the Prime Minister (OPM) & United Nations High Commissioner for Refugees (UNHCR). (2018). Adjumani_Pagirinya-Settlement_March-2018. Retrieved February 20, 2026 from https://data.unhcr.org/en/documents/details/64485

Office of the Prime Minister (OPM) & United Nations High Commissioner for Refugees (UNHCR). (2020). Uganda- Refugee Statistics March 2020.

Office of the Prime Minister (OPM) & United Nations High Commissioner for Refugees (UNHCR). (2022). Uganda-refugee statistics, February,. Retrieved June 30, 2022 from file:///C:/Users/FRANK/Downloads/Uganda%20Dashboard%20Statistics_Feb2022%20(2).pdf

Okot, F. (2016). No pride in ageing: The plight of elderly refugees in Uganda. Retrieved November 21, 2020 from https://www.refugeelawproject.org/index.php/blog-menu/mhpwb-blog/no-pride-in-ageing-the-plight-of-elderly-refugees-in-uganda

Pace, M., & Simsek, D. (2019). The politics of integration: Adjusting to new lives in host societies. (pp. 1-14). SIRIUS. https://scispace.com/pdf/the-politics-of-integration-adjusting-to-new-lives-in-host-2uegmqgd47.pdf

Pieterse, S., & Ismail, S. (2003). Nutritional risk factors for older refugees. Disasters, 27(1), 16-36. https://doi.org/10.1111/1467-7717.00217

Pieterse, S., Manandhar, M., & Ismail, S. (2002). The association between nutritional status and handgrip strength in older Rwandan refugees. European Journal of Clinical Nutrition, 56(10), 933-939. https://doi.org/10.1038/sj.ejcn.1601443

Richardson, G. E. (2002). The metatheory of resilience and resiliency. Journal of Clinical Psychology, 58(3), 307-321. https://doi.org/https://doi.org/10.1002/jclp.10020

Savic, M., Chur-Hansen, A., Mahmood, M. A., & Moore, V. M. (2016). ‘We don’t have to go and see a special person to solve this problem’: Trauma, mental health beliefs and processes for addressing ‘mental health issues’ among Sudanese refugees in Australia. International Journal of Social Psychiatry, 62(1), 76-83. https://doi.org/10.1177/0020764015595664

Schatz, E. J. (2009). Reframing Vulnerability: Mozambican Refugees’ Access to State-Funded Pensions in Rural South Africa. Journal of Cross-Cultural Gerontology, 24(3), 241-258. https://doi.org/10.1007/s10823-008-9089-z

Schröder-Butterfill, E., & Marianti, R. (2006). A framework for understanding old-age vulnerabilities. Ageing Soc, 26(1), 9-35. https://doi.org/10.1017/s0144686x05004423

Seyidov, I. (2021). On social integration process with refugees in Turkey: how can NGOs be more effective? International Journal of Inclusive Education, 25(1), 7-21. https://doi.org/10.1080/13603116.2019.1673955

Sherwood, K., & Liebling-Kalifani, H. (2012). A grounded theory investigation into the experiences of African women refugees: Effects on resilience and identity and implications for service provision. Journal of International Women’s Studies, 13(1), 86-108. https://vc.bridgew.edu/cgi/viewcontent.cgi?httpsredir=1&article=1058&context=jiws

Shishehgar, S., Gholizadeh, L., DiGiacomo, M., Green, A., & Davidson, P. M. (2017). Health and Socio-Cultural Experiences of Refugee Women: An Integrative Review. Journal of Immigrant and Minority Health, 19(4), 959-973. https://doi.org/10.1007/s10903-016-0379-1

SOPAC. (2023). Reducing vulnerability and increasing resilience in SIDS. SOPAC Environmental Vulnerability Project. Retrieved March 10, 2026 from https://www.un.org/esa/sustdev/natlinfo/indicators/idsd/pdf/reducing_Vuln_increasing_resiliency.pdf

Stevan Merrill, W., Norma, W., Leonce, H., Toni, T., Madeleine, C., Gonwo, D., Maureen, W., Chloe, P., & Jacqueline, W. (2014). Fostering Resilience: Protective Agents, Resources, and Mechanisms for Adolescent Refugees' Psychosocial Well-Being. Adolescent Psychiatry, 4(3), 164-176. https://doi.org/http://dx.doi.org/10.2174/221067660403140912162410

Strong, J., Varady, C., Chahda, N., Doocy, S., & Burnham, G. (2015). Health status and health needs of older refugees from Syria in Lebanon. Conflict and Health, 9(1), 12. https://doi.org/10.1186/s13031-014-0029-y

Tippens, J. A. (2020). Generational perceptions of support among Congolese refugees in urban Tanzania. Global Social Welfare, 7(1), 69-80.

Tulibaleka, P. O., Tumwesigye, K., & Nakalema, K. (2022). Protracted refugees: Understanding the challenges of refugees in protracted refugee situations in Uganda. Journal of African Studies and Development, 14, 1-11. https://doi.org/10.5897/JASD2021.0647

United Nations Development Programme (UNDP). (2017). Uganda’s contribution to refugee protection and management. Retrieved March 10, 2026 from https://www.undp.org/uganda/publications/ugandas-contribution-refugee-protection-and-management

United Nations Development Programme (UNDP). (n.d.). Sustainable development goals. What are the Sustainable Development Goals? . Retrieved March 10, 2026 from https://www.undp.org/sustainable-development-goals

United Nations High Commissioner for Refugees (UNHCR). (2000). UNHCR's policy on older refugees. Retrieved March 10, 2026 from https://emergency.unhcr.org/sites/default/files/UNHCR%2C%20Policy%20on%20Older%20Refugees%2C%202000.pdf

United Nations High Commissioner for Refugees (UNHCR). (2013). Working with older persons in forced displacement - Need to know guidance. UNHCR. https://www.onlinelibrary.iihl.org/wp-content/uploads/2020/05/2013-UNHCR-Working-with-Older-Persons.pdf

United Nations High Commissioner for Refugees (UNHCR). (2016). UNHCR working with Government of Uganda and emergency response partners to contain cholera outbreak amongst the newly arrived South Sudanese refugees in Adjumani district, Uganda. Retrieved January 06, 2019 from http://www.unhcr.org/57b5a3544.html

United Nations High Commissioner for Refugees (UNHCR). (2020). Global Trends in Forced Displacement – 2020. Retrieved March 10, 2026 from https://www.unhcr.org/media/global-trends-forced-displacement-2020

United Nations High Commissioner for Refugees (UNHCR). (2022). Global Trends Report, 2022. Retrieved March 10, 2026 from https://www.unhcr.org/global-trends-report-2022

United Nations High Commissioner for Refugees (UNHCR). (2023). Global Trends report 2023. Retrieved March 10, 2026 from https://www.unhcr.org/media/global-trends-report-2023

United Nations High Commissioner for Refugees (UNHCR). (2024a). Global Trends report 2024. Retrieved March 10, 2026 from https://www.unhcr.org/global-trends-report-2024

United Nations High Commissioner for Refugees (UNHCR). (2024b). Integration Handbook. Older Refugees https://www.unhcr.org/handbooks/ih/age-gender-diversity/older-refugees

Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15(3), 398-405. https://doi.org/https://doi.org/10.1111/nhs.12048

Volpato, G., Kourková, P., & Zelený, V. (2012). Healing war wounds and perfuming exile: the use of vegetal, animal, and mineral products for perfumes, cosmetics, and skin healing among Sahrawi refugees of Western Sahara. Journal of Ethnobiology and Ethnomedicine, 8(1), 49. https://doi.org/10.1186/1746-4269-8-49

World Health Organization. (2021). Global report on ageism. Retrieved April 10, 2023 from https://www.who.int/publications/i/item/9789240016866

Young, M. Y., & Chan, K. J. (2015). The psychological experience of refugees: A gender and cultural analysis. In S. Safdar & N. Kosakowska-Berezecka (Eds.), Psychology of gender through the lens of culture: Theories and applications (pp. 17-36). Springer International Publishing.

Young, T. K. H., Pakenham, K. I., & Norwood, M. F. (2018). Thematic analysis of aid workers’ stressors and coping strategies: work, psychological, lifestyle and social dimensions. Journal of International Humanitarian Action, 3(1), 19. https://doi.org/10.1186/s41018-018-0046-3

Zamfir, I. (2017). Refugee policies in Africa: Open borders but limited integration. Briefing September 2017. European Parliamentary Research Service.

Zarafshani, K., Sharafi, L., Azadi, H., & Van Passel, S. (2016). Vulnerability assessment models to drought: toward a conceptual framework. Sustainability, 8(6), 588. https://doi.org/10.3390/su8060588

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2026-04-27

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Opono, S., Ahimbisibwe, F., Twinamasiko, S., & Goretti, K. (2026). Invisible Yet Resilient: Understanding the Vulnerability and Integration Pathways of South Sudanese Older Refugees in Uganda. Journal of Central and Eastern European African Studies, 6(1), 177–201. https://doi.org/10.12700/jceeas.2026.6.1.450