International Association of Homes and Services for the Aged
conference
“Connecting our Global Community”
Shanghai
18th Oc...
The 21st century is the century of aging
“The new millennium closes the first chapter in human history:
when we were young...
Global ageing is a triumph of human development
Twentieth Century advances...
Health and sanitation
Education

Poverty red...
Development progress...

more people are surviving childhood
more women are surviving childbirth
fewer children are being ...
Scale and rate of global population ageing
The deficit approach to ageing
strained pension & social security
systems

increasing demand for acute & primary
care serv...
A global aging crisis?
Many low- and middle-income countries are said to
be “growing old before they grow rich”
Media head...
The “burden” of old age

For the state - fiscal load of income support and health and social
care costs
For individuals - ...
Ageing is largely ignored as a global challenge...

a lack of preparedness (governments and societies)

fear of old age & ...
Old age is seen as a disease

older people frequently report this attitude among health staff

Older people are seen as a ...
A new view of old age
Attitudes to ageing formed when there were far fewer old people
Changing social structures over the ...
Life-courses are changing dramatically

Longer working lives in the developed world
A long old age is increasingly expecte...
A new view of old age

Focus on the individual and not the age – her/his capabilities and
assets, not deficits
Old age is ...
The Millennium Development Goals
Poverty
Education
Gender equality
Child mortality

Maternal health
HIV & AIDS

Sustainabi...
After the Millennium Development Goals – what next?

From 2015 Sustainable Development Goals

Not just developing countrie...
“… As the international community embarks on...the post-2015
development agenda, it is clear that the issue of population
...
Ageing in the “post-2015” agenda

a forward-looking global agenda on health, poverty, rights, the
environment -

must reco...
A UN Convention on the rights of older people?
Growing concern over challenges to older people’s rights…
…and abuses – phy...
Care in old age

A sense of crisis growing numbers of oldest old
growing numbers living with dementia
reduction in family-...
the great majority of care will continue to be given & received in
older people’s own homes and communities

care will be ...
Working with family caregivers
Problem

HIV pandemic in Africa and SE Asia - older people caring for
family members living...
Response
a training program for older carers

They trained others - basic nursing care, counselling, pain
control
Informat...
Utilising community resources

Problem

Increasing isolation, family separation due to migration, work
requirements
Lack o...
Response

Village-based older people's associations - foster social bonds
and help older people to support each other
trai...
In Cambodia, “National Guidelines on Home Based Care”
endorsed by government...

...a model for care at home for the most ...
Care in emergencies

Problem
Older people are especially vulnerable to
natural disasters
conflict
long-term crisis – droug...
Response
In Colombia, Peru & Bolivia...
Representatives from older people’s associations trained in
emergency preparedness...
Working together?
“to create a peer network so that providers around the world
can learn from one another and have a forum...
Thank you
Photo credits
Haiti: F. Dupoux/HelpAge International 2011
Bangladesh: Antonio Olmos/HelpAge International 2013
Singapore: ...
A new view on global ageing
A new view on global ageing
A new view on global ageing
A new view on global ageing
A new view on global ageing
A new view on global ageing
A new view on global ageing
A new view on global ageing
A new view on global ageing
A new view on global ageing
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A new view on global ageing

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Presentation given at International Association Homes and Services for the Aged (IAHSA) conference, Shanghai, 2013

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  • Transcript of "A new view on global ageing"

    1. 1. International Association of Homes and Services for the Aged conference “Connecting our Global Community” Shanghai 18th October 2013 Mark Gorman Director of Strategic Development HelpAge International
    2. 2. The 21st century is the century of aging “The new millennium closes the first chapter in human history: when we were young” (Paul Wallace: “Agequake”) Life expectancy is extending worldwide, fertility rates are falling, and demographic ageing is accelerating “The ageing of humanity across the world is a defining stage in history. It will change everything from business and finance to society and culture”
    3. 3. Global ageing is a triumph of human development Twentieth Century advances... Health and sanitation Education Poverty reduction
    4. 4. Development progress... more people are surviving childhood more women are surviving childbirth fewer children are being born... ...and people are living longer
    5. 5. Scale and rate of global population ageing
    6. 6. The deficit approach to ageing strained pension & social security systems increasing demand for acute & primary care services increased need for long-term and social care Reduced family care and support
    7. 7. A global aging crisis? Many low- and middle-income countries are said to be “growing old before they grow rich” Media headlines on aging... “Aging population may explode global economy by 2050” “Silver Tsunami” “World faces ageing population time bomb says UN”
    8. 8. The “burden” of old age For the state - fiscal load of income support and health and social care costs For individuals - care-giving effort and stress. The “burden”… “tends to simplify relationships... between age-groups ...or between a carer and an older person, and communicates senses of a nuisance and an excessive charge”
    9. 9. Ageing is largely ignored as a global challenge... a lack of preparedness (governments and societies) fear of old age & a wish to avoid it a reaction against older people fear-mongering today reinforces a fatalist approach to the future
    10. 10. Old age is seen as a disease older people frequently report this attitude among health staff Older people are seen as a problem economic pressures are challenging traditional caregiving Older people are seen as a threat destabilising economies and societies
    11. 11. A new view of old age Attitudes to ageing formed when there were far fewer old people Changing social structures over the last century In “developed” world education, work & retirement - the normal life-course For the majority in developing countries lifetimes of work, a short “old” age in poor health, & an early death
    12. 12. Life-courses are changing dramatically Longer working lives in the developed world A long old age is increasingly expected in the developing world Many older people remain connected to family & community... ...And play active roles in community life
    13. 13. A new view of old age Focus on the individual and not the age – her/his capabilities and assets, not deficits Old age is not the problem... ...Societies need to adjust– social structures, physical environments, attitudes
    14. 14. The Millennium Development Goals Poverty Education Gender equality Child mortality Maternal health HIV & AIDS Sustainability Global development partnership
    15. 15. After the Millennium Development Goals – what next? From 2015 Sustainable Development Goals Not just developing countries - collective responsibility for global future Aim - raise living standards and control the global burden on natural resources
    16. 16. “… As the international community embarks on...the post-2015 development agenda, it is clear that the issue of population ageing should be fully addressed as part of this process”. Ban Ki-moon, UN Secretary-General
    17. 17. Ageing in the “post-2015” agenda a forward-looking global agenda on health, poverty, rights, the environment - must recognize demographic change and global ageing needs a life-course based, inclusive approach
    18. 18. A UN Convention on the rights of older people? Growing concern over challenges to older people’s rights… …and abuses – physical, social, financial UN review of the Madrid International Plan of Action on Ageing - major obstacles to older people’s “participation, inclusion & social integration”, including discrimination and abuse
    19. 19. Care in old age A sense of crisis growing numbers of oldest old growing numbers living with dementia reduction in family-based care challenges to division of health care & social care rising costs
    20. 20. the great majority of care will continue to be given & received in older people’s own homes and communities care will be provided informally, by family, friends and neighbours, and in an ideal world... supported by formal local services - community health & care care workers, in community centres etc.
    21. 21. Working with family caregivers Problem HIV pandemic in Africa and SE Asia - older people caring for family members living with HIV, and orphans and vulnerable children many older carers have care needs themselves
    22. 22. Response a training program for older carers They trained others - basic nursing care, counselling, pain control Information on HIV and available services, nutritional advice for people with HIV, drug administration, referrals Support groups to combat the stigma felt by families Older carers increasingly offer a wider community resource
    23. 23. Utilising community resources Problem Increasing isolation, family separation due to migration, work requirements Lack of community-based facilities – health and community centers
    24. 24. Response Village-based older people's associations - foster social bonds and help older people to support each other training on older people's health “age-friendly” health consultations training on home-based care home care volunteers for frail older people
    25. 25. In Cambodia, “National Guidelines on Home Based Care” endorsed by government... ...a model for care at home for the most vulnerable older people Key need – to be closely linked to public service provision – family/community care also needs formal care service support
    26. 26. Care in emergencies Problem Older people are especially vulnerable to natural disasters conflict long-term crisis – drought, food shortages
    27. 27. Response In Colombia, Peru & Bolivia... Representatives from older people’s associations trained in emergency preparedness Teams of older people (“White Brigades”) have been set up for disaster preparedness (awareness, training) disaster response (rescue, rehabilitation)
    28. 28. Working together? “to create a peer network so that providers around the world can learn from one another and have a forum to share innovations and best practices.”
    29. 29. Thank you
    30. 30. Photo credits Haiti: F. Dupoux/HelpAge International 2011 Bangladesh: Antonio Olmos/HelpAge International 2013 Singapore: Jerry Wong/Flickr 2013 Tanzania: Jeff Williams/HelpAge International 2011 Cambodia: Joanne Hill/HelpAge International 2010 Tanzania: Jeff Williams/HelpAge International 2011 Cambodia: Nile Sprague/HelpAge International 2007 Bolivia: HelpAge International 2012
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