HAVANA: On a recent afternoon, a group of elderly residents slipped through the wooden doors of the Church of the Holy Spirit in Old Havana and gathered for a modest meal of ground meat, rice, red beans and crackers topped with mayonnaise — all finished with a cup of strong Cuban coffee.

‘May the Lord bless from his height, the meal our belly will take with delight,’ they chanted in unison before beginning their lunch, a ritual that takes place three times a week in the dining hall adjacent to the church.Among the nearly 50 elderly people was Carmen Casado, an 84-year-old retired chemical engineer who attends without fail.

Her monthly pension of 2,000 Cuban pesos is equivalent to $4 at the informal exchange rate that people use on a daily basis.

She lives alone, has no children and does not receive remittances from relatives abroad.She says the church meals are a needed supplement to the meager rations, such as bread, rice and beans, that she can obtain for free from state-run stores, or bodegas.

‘This is a lifeline for us retirees with small pensions,’ said Casado, speaking in a rapid-fire tone.

‘What we get from the bodegas alone is not enough.’The elderly are among the hardest hit by the severe economic crisis on the island, which has worsened dramatically since the beginning of the year following an oil embargo imposed by US President Donald Trump.

Most are former government employees — teachers, doctors, nurses, technicians, custodians, lawyers — whose pensions are usually less than $10 a month and who must face cuts to the basket of goods that have been subsidized for decades, as well as the loneliness brought on by the growing emigration of young people.They were young when Fidel Castro entered Havana and lived through all the major events on the island, from the Bay of Pigs invasion to US President Barack Obama shaking the hand of Raúl Castro in 2016.

Now, their revolutionary spirit is being tested in the latest crisis, which is forcing them to sell cigarettes on the streets, line up for a loaf of bread and seek free meals offered by churches and some state institutions.After lunch, Casado walked the four blocks home to tend to household chores she still performs without assistance.

Her home is on the second and top floors of a 19th-century building that, like many in the capital, is falling apart.

Born in 1942, Casado was a teenager when the revolution led by Castro triumphed.

Her life has spanned the island’s most defining moments.Even before the economic crisis worsened and before the wave of emigration over the past five years, Cuba was already one of the countries with the oldest populations in Latin America, a trend nudged further by high life expectancy and low birth rates.

The last five years have seen a population decline in Cuba of nearly 1.5 million, primarily due to migration.

The number of Cubans residing on the island, which stood at 11.1 million, has fallen to just 9.7 million.The plight of the elderly is so critical that the government recently authorized private entrepreneurs to operate elder care services and residential facilities, a move marking a significant departure from the island’s traditional model of total state control.

Casado insists that she is still privileged.

She is mentally sharp and has no physical impairments — she doesn’t even use a cane — and manages entirely on her own.

Her only medication is half a tablet for blood pressure, which, ‘so far,’ remains available at the state-run pharmacies.Despite the poverty and loneliness, she continues to have faith in the government and blames the country’s woes on the United States.

‘We’re doing everything we can here to move the country forward,’ she said.

‘But the thing is, we have a very powerful enemy, and he’s right there, right on our doorstep.’