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Care for the aged in myanmar
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Care for the aged in myanmar


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  • Good Morning & Mingalaba. Now, I would like to express that I am very proud to have the opportunity of hosting this conference. We warmly welcome all participants to Myanmar. I wish all of you enjoy the days in Myanmar and hope you feel like you are at home. First and foremost I would like to express my special appreciation to HelpAge International and partners for initiation of this event, as well as special thanks to Htoo foundation and Air Bagan for bearing all the local costs. As the time-alloted is fairly short, I am going to brief you with a snap-shot of “care for the aged” in Myanmar.
  • May I introduce with my country. As you can see the details on the slide I am not going to elaborate it. But the thing I would Like to highlight is - the population of older persons is 5.46 million, that is 9.1% of total population. And out of that 5.46 million approximately 10% is needing special attention.
  • Ageing is happening fast in Asia and also in Myanmar. Currently, birth rate of children are decreasing over time while the aging rates are increasing. Interesting thing is majority of aged are women. There is also an increase in working-aged population.
  • We can see how progressively the population of Myanmar has changed and is changing during 1975 to 2050:
    The proportion of children to aged is changed through the chronological order. Less children - and more and more aged.
    So what? For us, as developing country – it can be interpreted as success as well as social challenges. We need to be prepared to overcome those challenges. The question is “how”?
  • People live longer than before due to improving health systems and changing live style. You can see the comparison in the slide. It’s a trend line between 1950 to 2050. You will see life expectancy boosted from 53 years to 75 years.
  • Like other countries in Asia, migration is a main issue in population. In some rural areas, due to internal and external migration , only older people and children are left at the origin. It is an issue that we need to focus.
  • Because of the demographic change, older workers are increasing. Due to lack of social pension, currently, older people are needing some sort of social security. The National Census in 2014 will give us a better understanding of their situation.
  • So, let’s see what counter measure we are doing for the social challenges for the aged at the operational level! Home for the Aged, ROK-ASEAN Home Care Programme, Older People Self Help Group, Rural Development on Ageing, health care project for Ops, two pilot studies on Day Care Centre and Paid Home. A number of interventions. You can observe that we are still lacking in social pension for aging. The plans are in progress.
  • Let me share a bit more detailed on what we are doing. Home for Aged! It was established since 1914 and still continuing. It is partly supported by the government in terms of food, clothing and operational costs.
  • Another one! ROK-ASEAN volunteer based home care for older people. It was started in 2004 and going through 3 phased. It is very contextually and culturally appropriate. We are continuing that intervention.
  • Another one! Older people self-help groups. The target area is divided into 3 sections. Upper Myanmar, Lower Myanmar and Yangon and covers 101 village tracks as implemented by HAI. It supports and improves, the income security, livelihood, skill, dignity and participation. This program contributes to the wider development of the communities too.
  • Another one! Rural Development for aging in dry zone. It is implemented by HAI and partners and very much in line with the national poverty reduction and rural development strategy. It focuses on the cross-cutting themes of equitability and inclusiveness.
  • Saying elderly care, we are not only focusing on the development mode but also in the emergency and disaster response mode too. Based upon the experience in the responses, disaster risk reduction for elderly people is mainstreamed in every programme.
  • While we are doing things, we would like to know more where we are in terms of aged people. A research has been conducted by HAI and partly assisted by UNFPA on the aged of Myanmar. We expect we will see the complete result of the study in June 2012.
  • I have presented what we did and what we are doing. In fact, we have a draft strategy to guide the actions. We give priority to the areas mentioned here in the slide.
  • So, what is the way forward? Approving the strategy and action plan, developing policy according to the strategy, researches, strengthening the cooperation and coordination, at different levels and other priority elderly care dimensions.
  • So, in brief what am I saying? In Myanmar we have the culture of caring the aged. We value the old people. Majority of aged are being looked after by their families and extended families. However, based upon the practical experience there can be a portion of aged who are not lucky enough of enjoying that sort of cares. In addition to that, considering the demographic pattern change I presented, current ways and scale of care will not be sufficient to cover the need of the aged of the near future. As a developing country we have limited capacity in terms of technical knowhow and resources. To overcome that challenge we will be very happy to collaborate with our regional bodies and partners like ESCAP, ASEAN and Asia Pacific countries who care for the elderly people. On that account, I would say that the outcome of this great event will be vital to guide and accommodate our future plan of “care for the aged”. Thank you very much.
  • Transcript

    • 1. Presented by Mr. Aung Tun Khaing Deputy Director General Department of Social Welfare 1 HelpAge International Asia-Pacific Regional Conference on Aging (2012) 2012 May 8~11 Sedona Hotel, Yangon Myanmar Care for the Aged in Myanmar
    • 2. Country Profile 2  Southeast Asia country  Sharing border with China, Thailand, Laos, Bangladesh and India  Andaman Sea and Bay of Bengal  Area - 677,000 square km  International boundary - 6151 km  Coastal line – 2229 km  Population – 59.37 m  Population growth rate – 1.29%  Estimated Older Population (above 60 ) is 5.46 Million (9.1%)  Older Person ratio -1:11
    • 3. Demographic pattern in Myanmar There is a rapid change in the structure of population in Myanmar  The proportion of children reduces over time  The proportion of people over 60 years of age increases  There is a growth of the “older olds”, people over 80  The majority of the older olds are women  There is an increase in working-aged population
    • 4. 4 Myanmar Myanmar population (1975-2050)
    • 5. Myanmar ageing Good news!?– Higher life expectancy  People live longer than previous generations  People in Myanmar live now nearly ten years longer than 50 years ago In 1950 – 1955, 53 yrs. In 2005-2012, 63.9 yrs. In 2045 – 2050, 75.5 yrs.  As health systems improved, then people will become healthier and live longer
    • 6. Pattern of population movement  Like in other countries of Asia, there is extensive Migration from rural to urban areas  Also migration to other countries  In many cases older people and children are left behind
    • 7. The situation of older people  Older people usually continue to work  The majority of people do not retire nor have a pension  In many cases, the aged stay at home, when they are frail, looked after by their relatives  But with less number of children and with more migration, many people are staying alone
    • 8. Current Programs for Older People 8  Home for the Aged  ROK-ASEAN Home Care Program  Older people Self Help Group  Rural Development on Ageing  Health Care Project for OPs  Day Care Centre (Pilot Study)  Paid Home (Pilot Study)
    • 9. Home for the Aged 9  70 Homes for the Aged covering about 2300 older persons  Provide rice, funds for food, clothes, salary of the administrators.  Technical assistance is also provided.
    • 10. ROK-ASEAN Home care for the older people 10 First phase 2004 – 2006  Pilot project 2 townships  National YMCA Second phase 2006 – 2009  Expansion through DSW  3 partners in 25 Townships Third phase 2009 – 2012  Delivery system of Home Care Activities continued  Development of National Policy  10 partner organization in 154 townships (volunteers-16624, OP-16919)
    • 11. Older People Self Help Groups (OPSHG) 11  Target areas  Upper Myanmar : 10 villages in Pyin Oo Lwin township, 8 villages in Pathein Gyi Township Mandalay Region  Lower Myanmar : 5 villages in Pathein township , 10 villages in Kan Gyi Daung township, 18 villages in Kyaik Lat township, 10 villages in Shwe Thaung Yan subtownship, Ayeyawaddy Region  Yangon : 2 Wards in Dagon (East) Township  Beneficiaries : about 20,000 OPs and their families  Formation of OPSHG :Main Committee, Fund Raising Sub-Committee, IGV Sub- committee, Health Sub-committee, Home Care Sub- committee, DRR Sub-committee  OPSHG activities : Fund raising, Livelihood, Income Generation Venture, Health, Home Care, DRR
    • 12. Rural Development on Aging (RDA) 12  Reducing Economic Vulnerability through an Equitable/ Inclusively Approach to Livelihoods – REVEAL  Target areas (Dry Zone)  Mandalay Region : Ma Hlaing tsp (15 villages)  Sagaing Region : Ayardaw tsp (15 villages)  Beneficiaries : 10,000 OPs and their families  Key Activities  Livelihood support to household with older people (in kind & in cash)  Home Care (Social Care)  Health Care  Income generation venture activities  Disaster Risk Reduction  Capacity Development to community
    • 13. 13 Emergency Response to OPs in disasters affected areas  Cyclone Nargis affected areas in Yangon and Ayeyawaddy Regions(2008)  Cyclone Giri affected areas in Rahkhine State (2010)  Ta Lay Earth quake in Eastern Shan State (2011)  Magway Dry Zone flood in Magway Region (2011)
    • 14. Situation of Country conduct national integrated studies or survey on aging Sample Size: 4108 Coverage Township: 60 No of sample village/ward: 262 Age Group 60 to 69: M 927 + F 1045 70++ M 863 + F 1273 Total M 1972 + F 2136 % of Female OP in study: 60% Data Collection Duration: March and April, 2012 Data Entry and Data Analysis: May 2012 Final Report: June 2012 14
    • 15. Strategy on National Plans of ActionStrategy on National Plans of Action  Income Security  Health and Healthcare  Natural Disasters and other Emergencies  Security of care during periods of dependency  Home and Environment  Care and Support  Education and Advocacy  Monitoring and Evaluation 15
    • 16. Future plan 16  Approving the National Plan of Action  Developing the National Committee on Ageing  Developing aging policy  Studying the International Perspective to develop the OP Law  Improving the later life of OPs  Strengthening the linkage with government organizations, civil societies, non-government agencies and International communities for aging issues  Implementing MIPAA more effectively  Promoting the Social Pension measures for older people
    • 17. 17 Thank you for your attention.. Towards asocietyforall ages!!Towards asocietyforall ages!!