Home Care Nursing for Elderly in India: Addressing the Needs and Challenges of a Rapidly Aging Society

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Abstract
India is experiencing demographic changes, with the aged population projected to rise from 153 million to 347 million by 2050. This unprecedented phase calls for urgent attention to geriatric home care, especially with the growing prevalence of chronic diseases and dependence on untrained informal caregivers. A trained workforce with expertise in psychological support, preventive and rehabilitative care, digital literacy, and communication is urgently needed. From a demand perspective, systemic constraints inhibit quality care, including limited training, inadequate financial support, social stigma, and caregiver burnout. Frameworks like NITI Aayog's Senior Care Reforms and WHO's Integrated Care for Older People (ICOPE) offer pragmatic strategies focusing on holistic person-centred care, digital enablement, and caregiver support. This piece identifies critical gaps in competencies and advocates for a professional geriatric home care curriculum aligned with national and global priorities. Integrating these measures with supportive policies, financial incentives, and infrastructure will improve accessibility and caregiver retention. Strengthening the geriatric care platform requires collaboration among policymakers, providers, and educators to ensure equitable, compassionate care for India’s aging population while empowering caregivers to deliver sustained support.