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India has one of the most rapidly ageing populations on the planet. There is concern that this rate of population ageing, coupled with the decline of extended families, decreasing fertility rates, increasing life expectancy, widowhood, singlehood or strained intergenerational relationships, will have a negative impact on the availability of (family-based) care for older adults in India, resulting in poorer health and well-being. However, India is a complex and diverse country made up of different states, castes, cultures, and ethnic groups. Moreover, rates of population ageing are not uniform as Indian states are at diverse levels of demographic transition and vary to a great extent in their cultural practices, social norms and socio-political contexts. Indeed, while India’s older adult population has now risen to 8.57 per cent, in states such as Goa and Kerala the percentage of older adults is as high as 11.20 per cent and 12.55 per cent respectively. This introduction provides an overview of these issues by situating the subsequent chapters within the broad demographic trends already mentioned and gives an outline of the structure and chapters of the book. This chapter introduces the need for focus on living arrangements and care and highlight the social, economic and cultural contexts that shape the provision of care for older adults in India.

Living arrangements and the provision of care for older people in India have been affected by migration. This is particularly salient given that Indian diaspora is the largest in the world. Hence, one can expect the trends in transnational migration to have a particular impact in the Indian context. However, and perhaps more importantly, the chapter will explore the patterns of internal migration within India. This is an important corrective to the focus on transnational migration as levels of internal migration far outweigh the extent of international migration. Therefore, this chapter examines both internal and international migration to understand how families establish, maintain and retain transnational and transregional care relations. In so doing, we draw on 1) theories of migration, 2) global chains of care and 3) life course theories to frame how migration decisions are related to life-course transitions and care provision. The life-course approach focuses on life events and transitions of individuals and the ways in which these events define their life trajectories. In particular, we will draw on the concept of ‘linked-lives’ to show how older people’s life-course transitions, for example going into care, are linked to the migration decisions of their offspring. With increasing urbanisation and migration we will see emerging trends of global and transregional chains of care to supplant and complement care deficits for vulnerable populations left behind, especially older adults.