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Italy’s Elderly Care Crisis: The Growing Shortage of Caregivers

As domestic workers across Italy take their annual leave in August, thousands of families face an acute care deficit, exposing deep structural gaps in eldercare that persist throughout the year. According to demographic data released by Istat, Italy…

As domestic workers across Italy take their annual leave in August, thousands of families face an acute care deficit, exposing deep structural gaps in eldercare that persist throughout the year. According to demographic data released by Istat, Italy remains one of the oldest nations in Europe, with nearly 15 million residents aged 65 and older.

The Demographic Pressures of an Aging Population

Official figures from Istat show that at the start of 2026, Italy counted 14.821 million people aged 65 or older, representing 25.1% of the national population. This group grew by more than 240,000 individuals in a single year. Concurrently, the population of residents aged 85 and older reached 2.511 million, marking an increase of 101,000 over twelve months. These shifting demographics drive a continuous, high-volume demand for professional caregiving services for non-self-sufficient seniors.

Shrinking Workforce in the Domestic Sector

While the elderly population expands, the formal domestic labor market is contracting. Data published by the INPS observatory recorded 804,464 domestic workers with at least one contribution paid in 2025, marking a 2.3% decline compared to 2024. This drop follows four consecutive years of contraction, resulting in a loss of roughly 173,000 regular domestic workers since 2021. Furthermore, the workforce itself is aging: INPS figures indicate that 27.2% of domestic workers are at least sixty years old, while workers under the age of 25 account for just 1.6% of the total.

Economic Toll on Italian Families

The convergence of an aging demographic and a shrinking labor supply creates severe logistical hurdles during the summer holiday season. When live-in caregivers take time off, families must arrange private replacements, utilize expensive agency services, or absorb the care duties directly. This often forces family members to take personal leave, reduce working hours, or pause careers. According to Istat data referenced in recent parliamentary budget hearings, municipal spending on home care for the elderly averaged roughly 33 euros per resident aged 65 and older annually, with a majority of territorial social zones falling below that average. In the absence of robust public welfare coverage, the financial and logistical burden shifts directly onto households.

Frequently Asked Questions

How many elderly people live in Italy?

According to Istat data, Italy has 14.821 million residents aged 65 and older, representing 25.1% of the total population.

How large is the domestic care workforce?

The INPS observatory reported 804,464 registered domestic workers in 2025, which reflects a 2.3% decrease from the previous year and a continued multi-year downward trend.

What financial support does the public sector provide for elderly home care?

Istat reports indicate that municipal allocations for elderly home care average approximately 33 euros per year per elderly resident, leaving families to shoulder the vast majority of care costs and organization.

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About the author: Dr Natalie Singh - Health Editor

Board‑certified internal‑medicine physician and MPH. Natalie authored peer‑reviewed studies on infectious disease and served as medical editor. “Dr. Natalie Singh delivers evidence‑based health news, medical breakthroughs, and expert wellness guidance.”