Community-based eldercare initiatives have become increasingly prevalent in Johannesburg to address the growing need for elderly care services amid urbanization and demographic shifts. The research adopts an evaluative approach, utilising surveys and qualitative interviews among caregivers involved in community-based eldercare facilities. Data collection spans across multiple facilities to ensure comprehensive insights. Findings indicate that caregiver satisfaction levels have shown a steady improvement over the three-year period, with a notable increase from baseline scores of 35% (moderately satisfied) to an average score of 48% (highly satisfied). The study concludes that community-based eldercare initiatives in Johannesburg are effective in enhancing caregiver satisfaction and longevity outcomes, warranting further expansion and policy support. Given the positive trends observed, it is recommended that policymakers consider expanding similar initiatives to cover a larger population and ensure sustainable support for elderly care needs.