Mipaa presentation 2011


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  • Presentation at the National Institute for Health and Welfare in Helsinki, Finland on the 20 th of October, 2010. Topic: Global policies and local actions. Forward looking positive responses to ageing” Presentation on the implementation of MIPAA – From the Shadow to the Spotlight. Spotlighting Global Ageing 1. Background (MIPAA, Social Protection Floor, Economic Burden of Dementia …) 2. What we achieved/did in the past – how do we move on from here? 3. HelpAge’s agenda 2010/2012 for the review and appraisal of MIPAA: Global (developed and developing world / Global South and North) Link governmental action to older people’s realities (address the two essential questions for an analysis of the Plan’s implementation: 1. What has been done at the national level since the Second World Assembly? 2. What has been the impact of implemented policies on the quality of life and well-being of older people?) Elaborate on details in the second half of the presentation 4. Feedback from audience/ Q&A
  • The rights and contributions of older people and the urgency of action on ageing worldwide was fully recognised by the Second World Assembly on Ageing in Madrid in 2002. The Madrid International Plan of Action on Ageing, the outcome document of this Assembly, was adopted by 159 member states in April 2002.
  • Despite this, ageing is at periphery of international development agenda (e.g. absence of reference to ageing in MDGs) – guaranteeing older people access to services and income does not only benefit them, but also younger generations and thus, helps to achieve the MDGs
  • Josephine is just one example of how older people contribute to their societies. There are endless examples of material and immaterial intergenerational transfers from the older to the younger generation.
  • An opportunity for change?! Global Social Protection Floor Initiative 2009 There is wide evidence that social transfers and access to services empower older people and help thus them to support younger generations.
  • Despite MIPAA’s focus on development and the “developing world”, it is important to take a global approach: all countries should be preparing for their ageing populations and its implications. There are a number of reasons for this: demographic change is occurring in the developing and the developed world; migration/globalisation; change of disease patterns etc. Despite these challenges, which are often labelled as “burdens”, we need to acknowledge older people’s contributions (NEXT SLIDE) Add something about economic impact of dementia, care and inter-generational aspects and migration. Also about climate change and gender?
  • This approach is widely reflected in HelpAge’s work (e.g. OCM, ADA, OPAs)… NEXT THREE SLIDES WITH EXAMPLES FROM ADA, INSIGHTS ON AGEING SURVEY AND SOTWOP 2002
  • Partnerships on ageing and rights with UN - WHO, ILO, UNICEF, UNFPA, UNDESA – NGOs - Academics
  • Generate messages to engage international audiences with global ageing topics and also to contribute to desk research on ageing which can reinforce our advocacy on key issues such as calling for a convention to protect the rights of older people.  3500 respondents, predominantly from Bangladesh 22% of the respondents were aged between 30 and 39 years Overall results (all age groups, all countries) 61.4% think that people in their society value older people but 99.7% of people expect to be valued when they are considered old. 71.7% think older people contribute to society, 6% think that they don’t and 22.3% are not sure. 47.6% think the world is getting better for older people, 21.9% think it is getting worse and 18.6% think it is staying the same (this includes Bangladesh which is particularly positive) Results excluding Bangladesh (all age groups) 40.6% think that the world is getting better for older people, 34.9% think it is getting worse and 16.1% think it is staying the same. Under 60s compared to over 60s (all countries) 70.3% of those under 60 find it hard to obtain healthcare whilst only 63.5% of those over 60 find it hard. This could potentially be because those over 60 interviewed have obtained help accessing healthcare from the organisation which is carrying out the survey. 77.4% of people under 60 do not have enough income to pay for basic services compared to 72.8% of those over 60. These results are relatively similar, showing that people of all ages are finding it hard to pay for basic services. It is worth noting that most survey results are coming from our partners and affiliates who have interviewed the people they work with. These people inevitably tend to live in some of the poorest communities. Results may differ if there were more middle-class respondents. 78.7% of those over 60 think older people contribute to society compared to only 67.6% of those under 60. This is quite a significant difference, emphasising that the contribution made by older people to society is not always recognised. Under 60s compared to over 60s, excluding Bangladesh These results have been looked at again excluding Bangladesh. This is because over 50% of the overall responses came from Bangladesh, hence skewing the results. 58.9% of those over 60 find it hard to access healthcare compared to 56.2% of those under 60. 71.6% of those over 60 do not have enough income to pay for basic services compared to 69.7% under 60. 87.8% under 60 think older people contribute to society compared to 81.6 % over 60. I am not sure how to explain this other than a lack of opportunities for older people to fulfil their potential to contribute. Bangladesh (where there is a pension available) compared to Haiti (without) – all age groups 60.5% of people in Bangladesh think that people in their society value older people compared to 39% in Haiti. 54.2% of those surveyed in Bangladesh think that the world is getting better for older people in comparison to 17.1% of those in Haiti. Only 9.7% of those in Bangladesh think things are getting worse for older people but 60.7% in Haiti think things are getting worse. 95.9% of those in Haiti would like to see their government do something to make living in older age better compared to 83.6% in Bangladesh
  • HelpAge International plans to organize a number of projects under the title “From the Shadows to the Light. Spotlighting Global Ageing”. These projects are undertaken in the context of the 10 th anniversary of MIPAA and the overall aim is to put an end to poverty and discrimination in older age by helping to build a global movement that recognises and supports the realisation of older people’s rights around the world, in the Global South as well as in the Global North. Link between governmental action and the experiences of older people. (1. formal processes / 2. older people’s views)
  • Data collection by six regional consultancies Global report (early 2011) Build on this review for SOTWOP 2012 (this review will provide the necessary information to analyse the impact of these governmental actions on the QoL and well-being of older people) The impact on OP will be assessed through older people’s hearings (from the local to the global level)… NEXT SLIDE
  • Could be used to develop a HDI with an ageing component and to get a UN Convention on Older People’s Rights
  • Thank you
  • Mipaa presentation 2011

    1. 1. The Madrid International Plan of Action on Ageing – 10 years after its implementation From the Shadow to the Light. Spotlighting Global Ageing
    2. 2. The Madrid Plan of Action <ul><li>The key challenge for world is how to build… </li></ul>“ You are talking of a Second World Assembly on Ageing. What happened to the first? We were never consulted, yet you tell us a Plan of Action to address our situation emerged. Who made it?” Older woman, Zimbabwe (State of the World’s Older People 2002)
    3. 3. <ul><li>The Madrid International Plan of Action on Ageing (MIPAA) is an international agreement endorsed by the UN General Assembly recognising the potential of older people to contribute to development of their societies . </li></ul><ul><li>It consists of: </li></ul><ul><ul><li>Political Declaration of commitment to addressing the issues of ageing and incorporating them into national policies </li></ul></ul><ul><ul><li>Plan of Action : 33 objectives and 117 recommendations for implementation </li></ul></ul>The Madrid Plan of Action
    4. 4. Its main provisions <ul><li>Ageing should be incorporated into global development agendas </li></ul><ul><li>The rights of older people to an equal share of development resources </li></ul><ul><li>Governments to include older people in national-development and social-policy processes </li></ul><ul><li>Detailed sections issues of concern for older people and their families – e.g. poverty, HIV/AIDS, violence and abuse, access to health services and social protection </li></ul><ul><li>Collaboration and partnership between governments, civil society, international agencies and the private sector </li></ul>
    5. 5. Older people’s contributions <ul><li>Josephine is 78 years old. She rents a shack in a slum in Nairobi. She cares for five children who were abandoned by a relative. She does not get a pension so she sells vegetables and second hand clothes so they can go to school and be fed. She works most days from 5am to midnight and considers business to be one of her main talents. </li></ul>
    6. 6. Social Protection Floor 2009 <ul><li>UN Global Initiative – one of nine to combat the global crisis </li></ul><ul><li>Promotes universal access to essential social transfers and services </li></ul><ul><li>Currently 80% of global population lack regular transfers and services </li></ul><ul><li>Provides for availability, continuity geographical and financial access to essential services </li></ul><ul><li>Ensures a basic set of essential social transfers in cash and in kind (entitlements information and policies) in old age, childhood and at times of disability </li></ul><ul><li>MDG progress will be ‘accelerated’ by ‘ promoting universal access to public and social services and providing social protection floors ’ (MDG outcome document September 2010) </li></ul>
    7. 7. Ageing as a global… <ul><li>… and a multidimensional phenomenon: </li></ul>
    8. 8. The Bottom-up Approach to review and appraisal <ul><li>Government, the UN system and civil society is invited to participate in a bottom-up approach to the review and appraisal of the Plan (Economic and Social Council, res. 2003/14 of 21 July 2003) </li></ul><ul><li>UNDESA Guidelines for review and appraisal of the Madrid International Plan of Action on Ageing http://www.un-ngls.org/orf/pdf/Guidelines-Ageing-final-Sept06-0-n1.pdf </li></ul><ul><li>Identify national policies in response to ageing and review their implementation with older persons </li></ul>
    9. 9. State of the World Older People 2002 <ul><li>Unique report on older people’s views and experiences in Africa, Asia, Latin America, the Caribbean and Eastern and Central Europe </li></ul><ul><li>Three pillars for policy and action on ageing </li></ul><ul><ul><li>Equal rights for older citizens </li></ul></ul><ul><ul><li>A fair share of national and international resources </li></ul></ul><ul><ul><li>Inclusion in decision-making and in civil society </li></ul></ul><ul><li>Policy watch – Existence of a National Policy on Ageing </li></ul>
    10. 10. Age Demands Action <ul><li>Age Demands Action now in 50 countries </li></ul><ul><li>Global campaign that champions older people's rights and fights age discrimination </li></ul><ul><li>Programme to support learning and sharing of experiences between network members </li></ul><ul><li>In Kyrgyzstan activities began with a round table and press conference. An older people’s fair took place attended by several government ministers and representatives. The delegation of older people met the President, Rosa Otunbaeva to talk about the main themes of MIPAA. She delivered a speech emphasising the role of older people in development </li></ul>
    11. 11. Insights on Ageing Survey <ul><li>Provide an insight into the views of adults from anywhere in the world in relation to ageing </li></ul><ul><ul><li>e.g. regarding the access to healthcare or older people’s contributions to society </li></ul></ul><ul><li>http://www.helpage.org/get-involved/campaigns/towards-a-convention/insights-on-ageing-survey/?keywords =insights+on+ageing+survey </li></ul><ul><li>Nearly 3500 respondents </li></ul><ul><li>Included younger generations (22% 30-39 years old) </li></ul>
    12. 12. From the Shadows to the Light. Spotlighting Global Ageing. <ul><li>Understanding our Ageing World 2010 </li></ul><ul><li>World Generations’ Roundtable 2012? </li></ul><ul><li>State of the World’s Older People 2012 </li></ul>
    13. 13. Understanding our Ageing World <ul><li>Global review of status/availability of </li></ul><ul><ul><li>Data and research </li></ul></ul><ul><ul><li>Policies and legislation </li></ul></ul><ul><ul><li>Institutional arrangements </li></ul></ul><ul><li>in the three priority areas of MIPAA </li></ul><ul><ul><li>Older persons and development </li></ul></ul><ul><ul><li>Advancing health and well-being into old age </li></ul></ul><ul><ul><li>Ensuring enabling and supportive environments </li></ul></ul>
    14. 14. World Generations’ Roundtable –Consultations on ageing… <ul><li>… from the local to the global level </li></ul><ul><li>Assess the impact of governmental action since 2002 on older persons’ well-being </li></ul><ul><li>Identify the main concerns of older people around the world (including the global North) </li></ul><ul><li>Empower them to communicate their concerns to decision-makers </li></ul><ul><li>Create a platform for discussion “World Generations’ Roundtable” </li></ul><ul><li>Ultimate goal: ensure older people’s rights and improve their quality of life </li></ul>
    15. 15. Regional roundtable resulting from local, municipal and national hearings Regional roundtable resulting from local, municipal and national hearings Regional roundtable resulting from local, municipal and national hearings Regional roundtable resulting from local, municipal and national hearings Regional roundtable resulting from local, municipal and national hearings Regional roundtable resulting from local, municipal and national hearings WORLD GENERATIONS’ ROUNDTABLE
    16. 16. State of the World’s Older People 2012 <ul><li>Xxx </li></ul><ul><li>Policy appendix </li></ul><ul><li>Country Report Cards </li></ul><ul><ul><li>Multidimensional Poverty Index </li></ul></ul>
    17. 17. Contact details <ul><li>Sylvia Beales </li></ul><ul><li>Head of Strategic Alliances </li></ul><ul><li>[email_address] </li></ul><ul><li>HelpAge International PO Box 32832 London, N1 9ZN, UK </li></ul><ul><li>1st floor, York House 207-221 Pentonville Road London N1 9UZ, UK </li></ul><ul><li>Tel +44 (0)20 7278 7778 Fax +44 (0)20 7713 7993 </li></ul><ul><li>[email_address] www.helpage.org </li></ul>
    18. 18. Securing our future