Abstract Population ageing is an undeniable phenomenon with significant social, economic, and health implications for nations, including Ghana. Historically, the primary caregivers for older adults in rural Ghana have been family members, as formal/state support remains limited in these areas. However, this traditional caregiving model is in decline due to factors such as urban migration, economic challenges, and cultural shifts. This paper explores this decline's multifaceted causes and implications, including poverty, inadequate healthcare access, and the erosion of traditional family structures. It also highlights the stigmatisation and marginalisation faced by elderly individuals, particularly women. In response to these challenges, the paper calls attention to strengthening community-based support systems, Strengthening existing formal social protection programs, such as the National Health Insurance Scheme and the Livelihood Empowerment Against Poverty initiative, and addressing harmful cultural practices. Keywords: Elderly care, Family support systems, Population ageing, Rural Ghana, Social protection programs.