In many developing countries, the sound of grandchildren laughing used to fill homes, with multiple generations living under one roof to care for aging family members. But times are changing. Urbanization has pulled young adults to cities for work, leaving behind elderly parents or grandparents who need daily support. At the same time, life expectancies are rising—meaning more people are living longer, often with chronic conditions that require ongoing care. The result? A growing gap between the number of elderly needing help and the caregivers available to provide it. This is where technology, and specifically robots, are stepping in to bridge the divide.
Let's start by looking at the numbers. According to the World Health Organization, by 2050, two-thirds of the world's elderly population will live in developing countries. Take India, for example: its population aged 60 and above is projected to reach 340 million by 2050, up from 100 million in 2020. In Brazil, that number is expected to jump from 30 million to over 60 million in the same period. With such rapid growth, traditional care models—relying heavily on family members or underfunded public services—are struggling to keep up. Enter robotics: a tool that's not here to replace human care, but to enhance it, making support more accessible, affordable, and sustainable.
To understand why robots are becoming critical, let's break down the daily struggles faced by elderly individuals and their families in these regions. First, there's the issue of caregiver shortage . In countries like Indonesia, where over 30 million people are over 60, there are only about 50,000 trained nurses—many of whom work in hospitals, not in-home care. This means family members, often untrained, take on the role of primary caregivers, juggling their own jobs and families in the process.
Then there's
cost
. Hiring a professional caregiver can cost upwards of $200 per month in countries like Vietnam, where the average monthly income is around $300. For many families, this is simply unaffordable. Even basic medical equipment, like a standard
Finally, accessibility is a hurdle. In rural areas, where a large portion of the elderly live, even finding a pharmacy or a doctor can require hours of travel. Advanced care tools, let alone robotics, are often only available in big cities. This leaves rural elderly with limited options, forcing them to either rely on family or go without necessary support.
Robots, when designed with these challenges in mind, can address each of these issues. They can work 24/7 without rest, reduce the physical and emotional burden on family caregivers, and—if produced locally—become more affordable over time. Let's dive into the types of robots making a difference today.
For many elderly individuals, loss of mobility isn't just about physical limitation—it's about losing independence. Simple tasks like walking to the bathroom, visiting a neighbor, or even standing up from a chair can become impossible without help. This is where
These devices, often lightweight and battery-powered, are designed to attach to the legs, providing support and assistance during movement. Think of them as "mechanical muscles" that augment the user's own strength. For someone with arthritis or partial paralysis, a lower limb exoskeleton can mean the difference between being confined to a bed and being able to walk to the kitchen for a glass of water.
Take the example of Raj, a 72-year-old farmer in rural India. After a stroke left him with weakness in his right leg, Raj could barely stand without support. His family, already stretched thin with farm work, struggled to help him move around. Then, through a local NGO, he was introduced to a basic lower limb exoskeleton—manufactured locally in Bangalore at a fraction of the cost of imported models. "At first, I was scared to put it on," Raj recalls. "But after a week of practice, I could walk to the shop by myself. My grandchildren no longer have to carry me everywhere. It's like getting a second chance."
These exoskeletons aren't just for stroke survivors. They're also used by elderly individuals with conditions like Parkinson's disease or osteoporosis, where falls are a constant risk. By providing stability and reducing the effort needed to walk, they lower the chance of injuries and improve overall quality of life. The key here is affordability: while imported exoskeletons can cost $50,000 or more, some developing countries—like China, a major
For those who are bedridden—whether due to severe illness, injury, or advanced age—daily tasks like bathing, changing clothes, or managing incontinence can be deeply humiliating. Caregivers, too, face physical strain: lifting a patient, changing bed linens, or assisting with hygiene can lead to back injuries over time. This is where
Incontinence care robots, for instance, are designed to automatically handle hygiene tasks. These devices, often placed under the user's bed linens, use sensors to detect when the user needs assistance. They then clean the area with warm water and air-dry it, applying a protective cream to prevent rashes—all without human intervention. For both the user and the caregiver, this means less embarrassment and more time saved.
Maria, a 68-year-old in Brazil, cares for her 90-year-old mother, who has Alzheimer's and is bedridden. "Before the robot, I was changing her diapers five times a day," Maria says. "It was exhausting, and my mother would often cry because she felt like a burden. Now, the robot does most of the work. I only need to check on her occasionally. She's calmer, and I can finally get some rest at night."
Alongside these robots,
In Thailand, where the elderly population is growing by 5% annually, the government has launched the "CareBot" program to distribute affordable robotic care devices to low-income families. One of the most popular tools is a compact incontinence care robot, priced at around $300, and an electric nursing bed costing $800—subsidized by the government to bring the total cost down to $100 for eligible families. "In the first year, we distributed over 5,000 units," says Dr. Supaporn, who leads the program. "The feedback has been overwhelming. Families report less stress, and elderly users say they feel more dignified."
One of the biggest barriers to adopting robotic care tools in developing countries is cost. Imported robots and medical equipment often come with high price tags due to shipping, taxes, and brand markups. That's why local manufacturing is key. Countries like China, India, and Brazil are emerging as hubs for producing affordable robotic solutions—from
China, in particular, has become a global leader in
Local production also allows for customization. For example, in Malaysia, a
Another advantage of local manufacturing is job creation. In India, a startup producing lower limb exoskeletons has trained over 200 workers in its Bangalore factory—many of whom are young engineers from rural areas. "We're not just making robots," says the startup's CEO. "We're building a skilled workforce that understands both technology and the needs of our elderly population."
While the future of robotic elderly care in developing countries looks promising, there are still hurdles to overcome. One of the biggest is cultural acceptance . In many societies, caregiving is seen as a deeply personal, human responsibility. Some families worry that using robots will make them look "uncaring" or that the elderly will feel replaced. "My mother refused to use the incontinence robot at first," says Lina, a daughter in Colombia. "She said, 'Are you too busy to take care of me?' It took months of explaining that the robot was there to help, not replace us, before she agreed to try it."
Then there's maintenance . Robotic devices, like any technology, need regular upkeep—replacement parts, software updates, repairs. In rural areas, where technical support is scarce, a broken exoskeleton or nursing bed can quickly become a useless piece of equipment. To address this, some companies are training local technicians. In Kenya, for example, a manufacturer of electric nursing beds offers a 3-day training program for community health workers, teaching them basic repairs and troubleshooting.
Power supply is another issue. In countries with frequent blackouts—like Nigeria or Pakistan—relying on battery-powered robots can be risky. "My exoskeleton runs on a battery that takes 4 hours to charge," says a user in Nigeria. "If the power goes out for a day, I can't use it. I wish it had a solar charging option." Some manufacturers are now adding solar panels to their devices, making them more reliable in off-grid areas.
So, what does the future hold? As technology advances and local manufacturing grows, robotic care tools will likely become more affordable, durable, and user-friendly. We can expect to see smaller, lighter exoskeletons, nursing beds with AI-powered sensors that monitor vital signs, and incontinence care robots that learn the user's schedule to provide more proactive support.
Governments are also starting to take notice. In Brazil, the government recently announced a subsidy program that covers 50% of the cost of lower limb exoskeletons for low-income families. In India, the Ministry of Health is partnering with startups to distribute electric nursing beds in rural health centers. These policies are crucial for scaling access to these life-changing technologies.
At the end of the day, robots are not here to replace human connection. They're here to take over the repetitive, physically demanding tasks—like lifting, cleaning, or monitoring vital signs—so that caregivers can focus on what really matters: talking, listening, and showing love. As Raj, the farmer from India, puts it: "The exoskeleton helps me walk, but it's my granddaughter's smile when I walk to greet her that makes life worth living. The robot gives me the freedom to be with my family again."
In developing countries, where the need is greatest, robots are proving to be more than just machines. They're partners in care—bridging gaps, restoring dignity, and helping elderly individuals live their golden years with independence and joy. And that, perhaps, is the most human thing technology can do.