In India it is considered shameful to send an elderly relative to a nursing home; instead domestic workers often from rural areas with no education - care for older people in their homes.
Complicating matters even further is a lack of geriatric training for doctors in India, the absence of home health care services..
http://newoldage.blogs.nytimes.com/2013/04/05/caregiving-from-another-continent/?_php=true&_type=blogs&_php=true&_type=blogs&smid=fb-share&_r=1&