We analyzed four home care companies in Mexico, Colombia, and Chile based on the testimonials of 158 people, to understand what these services transform and where they hit a ceiling.

Home-based care services for the elderly are growing in Latin America, yet little is known about how they operate in practice. This study represents the second phase of research that began by profiling 234 entities that applied to the *Región Plateada* call for proposals—an initiative of BID Lab, GRADE, and the Arturo Sesana Foundation. From that group, we selected four companies in Mexico, Colombia, and Chile for in-depth study, gathering insights from 158 caregivers, hiring families, and management teams.

The analysis was organized into five dimensions: recognition, redistribution, remuneration, reduction, and representation. The pattern repeats across all of them. Progress is more evident in relational aspects than in structural ones. Regarding representation, for instance, between 74% and 91% of caregivers report having channels to voice day-to-day concerns, yet that figure drops to 40% when asked about the existence of formal spaces for sector representation.

The study also documents the knowledge these companies built on their own to operate in a market with no prior precedents, as well as the risk that this learning might be lost.

Discover the findings and recommendations by company type in the full report.