By Rohandeep Arora
Outside the Sikh Gurudwara in Richmond Hill, Queens, I approached an older Sikh man with a turban and a long, flowing beard. “Hello, Uncle!” I said in Punjabi, my mother tongue. “Do you have a couple of spare minutes to fill out a survey on our research for the needs of the South Asian seniors?” “Sure, beta,” he said. He was very pleased to help me out and patiently answered my questions. It was very hot day, and after a while, he invited to his home which was two blocks down from where we were for a cold drink. He sent me on my way with best wishes for my future.
This experience was just one of many similar encounters I and my fellow interns had this summer as we helped gather data for the first ever needs assessment of South Asian seniors in New York City. We were working with India Home, the only professionally staffed nonprofit in the North East that serves South Asian elders, to gather information on a wide range of issues that confront immigrant South Asian seniors.
India Home’s interns fanned out across Queens to interview South Asian elders for a new Needs Assessment Survey this summer. Tenzin is talking to two seniors.
My fellow hardworking interns, Tenzin, Zarifa, Daiyan, Sanjana, Amna and I helped India Home to survey the needs of South Asian seniors in areas of New York City that have high populations of South Asian immigrants like Queens, Brooklyn, and the Bronx. Our goal was to understand the requirements of these seniors and make them feel comfortable enough to answer our questions. We surveyed senior citizens who have immigrated from India, Bangladesh, Pakistan, Nepal, Guyana, Sri Lanka, Afghanistan, and other South Asian countries. We visited temples, mosques, gurudwaras, churches, senior centers, and spent time in parks and streets in order to gather legitimate data for the needs assessment research.
South Asian Seniors Overlooked and Underserved
South Asian immigrant seniors are part of a demographic that is often overlooked by social service agencies, community providers, and public policy initiatives. They face issues of social isolation, limited English proficiency, poverty, health difficulties, transportation deficits, and more. Even though they are among the fastest growing groups of the older adult population of New York city, South Asian seniors are consistently underserved by government agencies. India Home aims to gather objectively verifiable data to make a strong case for increased focus on South Asian seniors.
Interns who spoke the languages of South Asia
India Home’s interns spoke over 12 languages between them and were competent in diverse South Asian cultures
India Home’s gathered an intern team that was very diverse and multilingual. Between all of us, we spoke close to 12 South Asian languages.
Zarifa Ahmadi (Queensboro Community College), originally from Pakistan, speaks Urdu, Hindi, Dari, Farsi and Pashto.
Tenzin Lama (Baruch College), who is from Nepal, is fluent in Tibetan, Nepali and Hindi.
I am from India and can speak Hindi, Punjabi and Urdu fluently. (Pace University)
Amna Aslam (Vassar College), originally from Pakistan, is fluent in Urdu, Hindi and Punjabi.
Daiyan Hossain (Hamilton College), originally from Bangladesh, can speak Bengali fluently.
Sanjana Inala (The College of New Jersey), who is from India, speaks Telugu.
Many older adults from South Asia have little or no English proficiency which makes it difficult for them to communicate in this country. That is why our abilities in multiple languages paid off when we encountered elders who were not proficient in English. My team and I did not face any problems in talking to elders and translating the surveys to them. Even those seniors who could speak some English were happy to have us approach them in their native tongue.
“Quite a few seniors have adjusted themselves to the city’s lifestyle but still miss the friendliness and warm community relationships in their native lands. Most of them get very excited when we approach the seniors with their mother tongue and are pleased to help us by participating in the survey,” said Tenzin Lama.
Even though we came from different backgrounds and cultures, we enjoyed each other’s company, whether we were working or taking a day off to enjoy the summer in NYC.
What is the survey about?
“What is the survey about” was the very first question the elders invariably asked us. We would tell them that the survey asked detailed questions related to the lifestyle of South Asian seniors, like marital status, age, year of immigration, a reason of immigration, income, housing status, health related questions, social security income and much more. “The surveys are anonymous and records no personal information of the respondents,” we would reassure them.
We made sure our elder participants in the Needs Assessment Survey were comfortable. Daiyan is interviewing a senior.
Challenges in the Field
One of the biggest challenge we faced was convincing the seniors we met that taking the survey would not harm them in any way. Despite repeated assurances that their responses were anonymous, many elder respondents were scared. Some were undocumented or had a distrust of government. The lack of literacy among immigrant seniors was also reason why it was hard for our interns to persuade elders to take the survey. However, we were trained to combat this distrust and fear. For instance, our team was trained to greet elders appropriately and with respect according to the cultural norms of their respective cultures. Thus we would fold our hands in a namaste while approaching Indian elders or say tashi delek to greet Tibetan elders.
I like to think that our cultural competence helped to put the elders at ease. “Sometimes elders need that support from someone to move on from a tragedy or depression if they have any. Sometimes they want to share some tragic experience,” Sanjana said.
The other thing we did well was listen – sometimes to much more than just answers to our questions. “Most of the senior citizens we surveyed were very friendly and warm. I think they tend to feel lonely when their families aren’t home which makes the seniors more than happy to communicate and share their experiences with someone” said Sanjana.
Funding for the needs assessment was generously provided by New York Community Trust and SAALT We Build Community.
Our seniors, many of whom are from Bangladesh, went to visit Boscobel House, one of America’s greatest historical homes
On July 27th 2017 our seniors from our Desi Senior Center went on a summer picnic to Boscobel House and Gardens in Hudson Valley. Described by Nelson A. Rockerfeller, then Governor of New York, in his keynote address at Boscobel’s opening celebration in 1961 as “one of the most beautiful homes ever built in America,” the house is considered, “one of the finest examples of Federal architecture in the country and contains one of the nation’s leading collections of furniture and decorative arts from the Federal period,” according to their website. In short, it is a quintessentially American gem.
Many of our seniors are immigrants from Bangladesh and are relative newcomers to America. Many do not have the economic means to travel for pleasure. So this trip was very exciting and a revelation for them, one that had them looking forward to getting out into the open air for days.
Our seniors were awed by the breathtaking views of the Hudson Valley
As the bus wound along the Hudson, and they finished their breakfast and broke out the snacks, they admired the beauty the towns and mountains we passed through and were vocal in their appreciation of the river and the rocky cliffs that fell away from the road.
The bus got to Boscobel mansion at around 12:00 PM. The driver made a mistake and took our party to the entrance to the woods instead of Boscobel. “You build up so much expectation through the journey only to bring us to the woods?” our seniors joked. Though, once we found the correct entrance, everybody was in awe of the elegant house set in the midst of beautiful rolling gardens, and the breathtaking views of the Hudson river shimmering in the calm valley.
Docents explain the history and traditions of Boscobel House to our seniors
Docents from Boscobel treated our seniors to a tour of the house and the gardens. They went went over its unique architectural details, furniture and decorative objects, and also talked about daily life in the early 1800s. Our seniors loved hearing the stories of the history and traditions of the house. The docents were thrilled with their enthusiasm and interest and answered many questions with patience and humor.
Boscobel House had provided us with tents to rest in and have our picnic. Later in the evening, our seniors, who come from a tradition that reveres literature and poetry, held an impromptu cultural event under the tents.
They sang folk songs in Bengali. They recited famous poems by poets like Nurul Hassan or Rabindranath Tagore, or the ones they had written, told jokes, and read from famous works of literature or their own pieces.
That is where we shall leave them: a collection of our Muslim elders, on the grounds of this tradition-steeped American historical landmark, filling the air that wafts off the storied Hudson river with their own words and songs – creating on that day their own American moment and memories.
Reporting contributed by: Sabit Bhuyian
Our seniors recited poetry and sang folk songs in Bengali in an impromptu cultural event under the tents at Boscobel
Last year, Narendra Butala, a long time member of India Home, was facing a health crisis. He had been feeling breathless for a while. His blood pressure would drop suddenly and he would sweat profusely.
Still, he was afraid to go to the cardiologist because his brother had got a pacemaker in 2004 and had passed away shortly after. Even as he worried about the condition of his heart, he heard from one of his relatives. Pacemaker technology had changed, she said, and urged him to get a check-up. Finally, in July, a few months after his 78th birthday, Butala, took the plunge and went to Mount Sinai Hospital in New York City, and got a pacemaker inserted. “I was home after two hours,” he said. “They monitor my heart from the hospital, remotely.”
South Asian seniors like Mr. Narendra Butala (left) will benefit from a new bill introduced by Rep. Pramila Jayapal that targets heart health in the community
Mr. Butala, who emigrated from India 20 years ago, lives an active lifestyle, and is a life-long vegetarian who doesn’t smoke. At first glance, he would not appear to be a typical candidate for heart disease. However, there is one indicator that increases his risk exponentially – his South Asian descent. Several recent studies have found that all over the world, individuals of South Asian descent account for 60 percent of heart disease patients. A study conducted by the University of California San Francisco found that in the United States, South Asians have the highest death rate from heart disease compared to other ethnic groups. Other research published in the Annals of Internal Medicine, discovered an even more troubling trend. Among people of normal BMI (Body Mass Index), South Asians were twice as likely as whites to have risk factors for heart disease.
BMI, a height-to-weight ratio, is used to determine whether someone is overweight or obese. Body Mass Index and weight are often the first numbers doctors consider. Many doctors may not screen for heart disease and Type 2 diabetes if they are within normal range, but what the study indicated was that when it came to South Asians, even patients of normal weight were showing risk factors for heart disease.
Fortunately, someone in the federal government has been paying attention to these concerning numbers. Representative Pramila Jayapal (D-Washington) introduced in the House in late July a bill aimed at the issue of high levels of heart disease in the South Asian American community. Called the “South Asian Heart Health Awareness and Research Act,” the bill garnered bipartisan support and was co-sponsored by 18 other members of Congress, including Rep. Joe Wilson (R-South Carolina).
In an email to NBC News, Jayapal said that she introduced the bill because she thinks the US, needs, “to take action by expanding funding for research and spreading awareness targeting [these] communities. We’ll save lives and reach a better understanding of heart health that will benefit all Americans.”
Rep. Pramila Jayapal (D-Washington) sponsored the “South Asian Heart Health Awareness and Research Act,” in the House of Representatives.
NBC News reported that the bill would “establish grants at the Centers for Disease Control and the National Institutes of Health to provide information about heart health to South Asian-American communities and fund medical research on cardiovascular disease in South Asians in the U.S. The bill would also fund grants through the U.S. Department of Agriculture for the promotion of better South Asian heart health nutrition.”
India Home, which runs the largest South Asian senior center in the North-East, has made its own modest contribution to improve heart health among the older South Asian adults it serves. Regular yoga, meditation and Ayurveda is taught at its centers along with holistic and healthful ways to exercise and maintain their physical and mental wellness. Moreover, in partnership with NYU Langone’s Center for the Study of Asian American Health (CSAAH), India Home has introduced its members to a number of educational projects like Keep On Track / REACH FAR.
Eighty seniors from India Home took part in Reach Far, a project in collaboration with NYU Langone, which taught community volunteers to monitor blood pressure for better heart health.
This project trained 26 volunteers at India Home to monitor blood pressure as part of a Community Health Assessment. Over 80 Bengali seniors from India Home’s Desi Senior Center participated in the project. Another project helped to disseminate nutrition information with culturally and linguistically adapted brochures in Bengali and Hindi and taught seniors how to measure their food portions and try new nutrition strategies.
As for Mr. Butala, he’s back at India Home’s Sunnyside center, being the first to volunteer to push the lunch cart, as usual. “I’m feeling fine,” he said the other day. “The doctor said I can do all activities.”
The Museum of Modern Art in New York City is the largest and most influential museum of modern art in the world. As part of a creative aging initiative, our seniors got to engage with the art of photography in the MoMA. The program featured a guided tour of exhibits, and two photography classes at our center conducted by Jano Cortijo, an artist-educator from the museum.
“Looking” at photos at MoMA:
Jano Cortijo, an artist educator from the MoMA asks our what they notice in Samuel Fasso’s self-portraits
Our seniors study Robert Rauschenberg’s photographs at the MoMA
Henri Carter-Bresson, considered one of the world’s greatest photographers, said, “In photography, the smallest thing can be a great subject.” Our seniors were encouraged to look for the smallest thing in a photo and asked to wonder why it had been included and what effect it had on the photograph. We looked at light falling through a sheet, the lines on a tower, various graphic shapes in Robert Rauschenberg’s work — with Cortijo asking guiding questions that made our seniors understand the many choices that go into making a photograph. We talked about Samuel Fasso’s self-portraits which have him taking on roles of his heroes like Nelson Mandela and Angela Davis, and his attempt to take on a larger political and activist role as an artist.
Seniors workshop their own photographs
Photography class, homework and all:
Taking photos outdoors and in the street
A lesson about backgrounds
After looking at photos by famous artists, our seniors got a lesson in taking better photographs using a smartphone. They learned about backgrounds, about lighting, angles, position of the photographer, focus on the subject and rudimentary editing. They also learned about the difference in portrait photography versus landscapes, tricks to modulate the brightness in iPhones and so on.
Cortijo, the artist-educator, also assigned our seniors “homework.” They were asked to take photos at home using their new found skills. When their homework assignments were displayed on the TV, the class enthusiastically critiqued the results – generously pointing out what worked in the photos as well as the flaws.
Our seniors listened avidly and responded with enthusiasm to this foray into photography as art. While it is true that modern technology has made taking a photograph easy, it was fascinating for seniors to see it as an art form, one that required more than just a point and click. We could see that the lessons had made a difference–many of the photos taken after the class showed that they were paying attention and practicing their skills!
Our seniors loved the tight focus on the little boy, the symmetry of the trees, the repetition of ochre color in this photograph. (c) Jayesh Patel.
Elders waited patiently at Queens Borough Hall to see the Mayor and air their issues
On 18th July, Mayor Bill de Blasio hosted a City Resource Fair at the Queens Borough Hall in order to help residents understand the various services available to them, and untangle problems incurred by the people of the city. The event was very well organized and different departments like NYC Department of Health, Department of Aging, New York Police Department, Fire Department of the City of New York, MTA’s Access a Ride as well as Reduced Fare services, NYC Rent Freeze Programs were represented at the venue.
India Home seniors Bharti Parikh, her nephew, and Narendra Bhutala with NYC Mayor Bill D’Blasio at the City Resource Fair in Queen
Most of the people who were waiting to meet the Mayor had come in search of a solution to specific issues like health care, transportation, housing and so on.
Several seniors from India Home attended the Resource Fair. Our seniors were very excited as well as honored to be able to meet the Mayor of New York City. The long lines did not deter our seniors, instead, the waiting allowed our elders more time to come up with other concerns they wished to share with the Mayor. “Since the Mayor has made so much of effort to organize this type of an event for all of us, in turn, we can definitely spare a few minutes standing in the line to meet him,” said Mr. Butala.
In the end, the hassle of waiting in line paid-off as the seniors finally got to meet the Mayor and expressed their problems. Mayor de Blasio immediately helped the seniors find solutions. “He was very friendly and patient in listening to all my problems and further asked Donna Corrado, Commissioner of Department for Aging who in turn helped me with information on care resources for my husband,” said Bharti Parikh. As for Mr. Butala, he brought an important issue to the Mayor’s notice: “I notified the Mayor about the increasing number of accidents near my neighborhood and how badly someone needs to take action for it,” he said.
For 75 years the Voice of America – VOA has been the the official news source of the United States government and provides news and information in 47 languages to a weekly audience of more than 236.6 million people on 5 continents around the world. Last week they did a multi-media segment on India Home.
“Among New York City residents over the age of 65, the immigrant population accounts for 49.5 percent, up from 38 percent in 2000, and growing. Facing language and cultural barriers, increased isolation, and higher levels of poverty than their native-born counterparts, the rapid expansion has taken its toll on both immigrants and the small, cash-strapped organizations that serve them….
“But Lakshman Kalasapudi, deputy director of India Home, says there is a misconception that South Asian immigrants who arrive as older adults are “fully taken care of” when they live with their children.
“This financial dependency kind of creates family tensions, especially when the seniors are living in overcrowded situations,” Kalasapudi says. “There becomes a real breakdown in the family structure and it really profoundly negatively affects the seniors’ mental health.”
“India Home is a secular organization that depends heavily on community donations and discretionary funding from local council members. It confronts social isolation and loneliness among South Asian elders. But it does so by partnering with existing centers, including Jamaica Muslim Center.”
To read more click here: https://www.voanews.com/a/aging-new-york-immigrants-confront-shortage-of-culturally-appropriate-services/3959423.html
They danced on the stage, they danced in the street, they danced in front of our table. They were India Home’s wonderful senior ladies and nothing was going to stop them. Not the heat or the crowds or their sore feet. Our wonderful seniors had come prepared to be the life and soul of the Annual Rubin Block Party and they gave it their all.
Our seniors taught everyone, from the littlest guests to seniors like them, how to use the dandiya sticks. They demonstrated garba dance steps. They let people admire their beautiful chaniya choli (skirts and blouses) or saris. They also got the entire crowd to join in the dancing at one point.
On a more serious note, our immigrant seniors who are also people of color, are sending a a very important message by participating in giant public events like the Rubin Block Party. Their very presence in these spaces demonstrates that older people of color are active and engaged in public life, that aging is what you make it to be. Their visibility helps to break down prejudices and benign ignorance around aging and seniors of color, and forces people to change their perspectives. Our mission is to challenge the stereotypes around aging, and we are grateful to the Rubin Museum for helping us realize it.
India Home’s Dilafroz Nargis Ahmed has won AARP’s Asian American Pacific Islander (AAPI) Community Hero Award. The American Association of Retired Persons (AARP) created the award in 2016 to acknowledge the hard-working staff and volunteers of nonprofit organizations serving AAPIs age 50-plus. AARP is the largest membership organization in the United States with over 38 million members across the country.
Nargis Ahmed, or Nargis Apa, as she is known to the seniors and staff, is the Center Director at India Home’s Desi Senior Center, the largest Muslim senior center in New York City. A staff member since 2014, Nargis has worked tirelessly to make the Desi Senior Center a warm and welcoming place for new immigrant Bangladeshi Muslim seniors, helping them to access social services, feel comfortable in their new country and integrate into American society. As Center Director, she oversees the programming that improves the well being of her seniors and provides a safe haven for the over 150 Muslim seniors who visit the center every program day. She also advocates for our seniors, providing valuable culturally relevant testimony and perspective to elected officials and city and state authorities on issues as varied as halal home delivered meals and transportation.
Talk to our seniors about Nargis, and they say that they look forward to coming to the center every day because of her warm and generous nature. She knows each one of them and their problems and always has the time to stop and listen. She has been their hero all along.
AARP garnered 61 nominations for the award and their judges chose 10 outstanding finalists. A popular vote competition on Facebook helped involve the AAPI communities and choose the top three winners. The top three finalists will each be awarded with $1,000 dollars and another $1,000 dollars will go to the non-profit organizations they represent.
Congratulations to them all — and especially to Nargis for her hard work and dedication to her community and India Home’s mission.
Manhattan’s best kept secret is Roosevelt Island. Once host to insane asylums, prisons, hospital outpatients, and uniform Soviet style blocks, the island is now dotted with shiny new condos, swathes of grassy playing fields and gardens, and the brand new Four Freedoms Park. A famed tram (which had a star turn on “Spiderman”), runs between Manhattan’s 59th street and the island and anchors what is surely one of the most unique commutes in NYC.
Our elders loved the spectacular views of Manhattan’s Upper East Side
We took our seniors on a day trip to Roosevelt Island recently. They enjoyed the spectacular views of Manhattan’s iconic buildings on the Upper East Side, walked along the riverside under the spindly beauty that is the Queensboro Bridge.
Elders pose In the shadow of the Queensboro Bridge on Roosevelt Island
Since most of our elders are active and healthy, they decided not to take the golf carts we had arranged, and walked over to the new FDR Four Freedoms Park. Located at the southern most tip of Roosevelt Island, it is the only memorial dedicated to President Franklin Delano Roosevelt in his home state. We had boxed lunches delivered which they ate in the picnic areas.
FDR’s face graces the new FDR Four Freedom’s Park on Roosevelt Island
Then it was picture time, and picture time, and…well…picture time. The tram ride was the highlight – the quick swing up into the skies over Manhattan transforms the city into a lego set for a fleeting, spectacular instant, before the ground come rushing back up as the tram descends. Quick trips like this one, help us vary the routine for our elders and help combat social isolation and build community. Plus, they give our members a chance to have fun and experience something new and exciting.
Our active seniors walked many over the riverside paths at Roosevelt island
Tram from Roosevelt Island (photo courtesy Lonely Planet)
India Home marked the beginning of Ramadan by celebrating our members’ achievements
The elders were dressed in fancy saris and kurtas. Their grandchildren played catch in the back of the room and were shushed by their mothers. The aroma of fried snacks was everywhere.
It was the beginning of Ramadan and India Home’s Desi Senior Center hosted a night of poetry, songs, and a meal to celebrate before the elders entered a period of fasting in Jamaica. The venue and dinner were generously donated by Exit Alliance Realty, a well known real estate company in New York. Mr. Azahar Haque and his colleagues were gracious hosts for the entire night.
India Home published an anthology of poetry written by our elders
The elders from the center were also celebrating the completion of a successful writing workshop. We wrote about it here. One by one they went up on stage and recited their poems. Some others, sang songs about their beloved Bangladesh. Some told jokes or spoke on a favorite topic.
Council Member Daneek Miller was the Guest of Honor at the Ramadan Celebration at India Home’s Desi Senior Center
Councilmember I. Daneek Miller was the Guest of Honor and he gave away certificates marking the completion of the Writing Workshop to the elders. He said he was happy to see how well the elders were doing. He also officially released the booklet of elders writings that India Home had printed.
Nargis Ahmed, the Center Director of Desi Senior Center, who had expertly managed the ceremonies then introduced a professional singer who took the stage and sang popular songs late into the night.
Elders at the celebration marking the beginning of Ramadan at the Desi Senior Center
The elders left late after a hearty dinner of favorite Bengali dishes, some carrying their sleeping grandchildren and the book with their poetry. A month of fasting, austerity and prayer lay ahead, but the night’s celebration had been a feast in every way.