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Presentation ageing and disability

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Presentation to Departmenf for International Development 2009

Presentation to Departmenf for International Development 2009

Published in: Health & Medicine

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  • 1.
    • Ageing, disability and development
    • Disability Mainstreaming Forum
    • DFID 3 rd March 2009
    • Sylvia Beales
    • HelpAge International
    • [email_address]
  • 2. Context and Definitions
    • Life expectancy is extending worldwide, fertility rates are falling, and demographic ageing is accelerating – fastest in the developing world
    • Disabilities is an umbrella term, covering impairments, activity limitations, and participation restrictions. An impairment is a problem in body function or structure; an activity limitation is a difficulty encountered by an individual in executing a task or action; while a participation restriction is a problem experienced by an individual in involvement in life situations.
    • Thus disability is a complex phenomenon, reflecting an interaction between features of a person’s body and features of the society in which he or she lives.
    • (World Health Organisation 2009)
  • 3. Reality check ; who – and where - are the poor?
  • 4. Life expectancy trends
  • 5. Poverty in older age
  • 6. Ageing and disability
    • Hearing loss, vision problems and mental disorders are the most common causes of disability and loss of livelihood – 82 % of blind persons are over 50
    • Depression and Alzheimer's are among the 20 leading causes of disability worldwide. Alzheimer's affects 1 in 20 over the age of 65 and in in 5 over the age of 80
    • Fewer than 25% of those affected have access to adequate treatment and health care
    • Chronic limiting disorders are treatable at low cost (e.g. hearing loss; cataracts; stress; WHO wants extra mental health spend of US$ 2 per person per year in low-income countries
    • High overall rates underline the need for focus on these conditions and wider access to interventions that help people live productively
  • 7. Non communicable diseases (WHO 2008)
  • 8. Death by Non Communicable Disease WHO projections +17% -3% 388 35.7 58.2 Total +20% +1 105 9.7 12.4 Western Pacific +21% -16% 89 8.0 14.7 South-East Asia +4% +7% 88 8.5 9.8 Europe +25% -10% 25 2.2 4.3 Eastern Mediterranean +17% -8% 53 4.8 6.2 Americas +27% +6% 28 2.5 10.8 Africa Trend: Death from NCD Trend: Death from infectious disease NCD deaths (millions) NCD deaths (millions) Total deaths (millions) Geographical regions (WHO classification) 2006-2015 (cumulative) 2005
  • 9. Age helps
    • Older people make critical contributions to the welfare of their families and thus to the development of their communities and societies
    • Older people are caregivers, breadwinners
    • Older people are carers even when disabled and struggling to access health and other basic services
    • In the context of the HIV/AIDS, older women frequently act as the sole carers of their children dying of the disease and their grandchildren left orphaned…
    • Older people have the same rights as other age groups
  • 10. Approaches to work to support older people
    • Grassroots work that directly supports older people and their families
    • Supporting and strengthening organisations that are working in practical ways to improve the lives of older people and their dependents
    • Demonstrating contributions and building connections and coalitions across generations and across sectors
    • Supporting older people to be influencers on ageing, to gain access to services, to social protection and development benefits
    • Strengthening the capacity and reach of organisations working with older people
    • Connecting grassroots experience with government thinking and policymaking
  • 11. Way forward for partnerships
    • Recognise and act on impact of chronic limiting illness for older people and their dependents
    • Ensure age desegregation in MDG, poverty, hunger and disability data
    • Acknowledge intergenerational interdependence
    • Ensure age friendly health access and delivery – focus on accessibility, non communicable diseases and cost effective responses
    • Social Protection; universal basic income and equitable access to health – ‘minimum package’
    • Rights promotion – equal treatment equal rights
    • Awareness of and prevention of discrimination and abuse
    • HIV/Aids programmes that support older carers and access to treatment for all
    • Empowerment; voice, dignity and participation in old age
    • Inclusion of older people in humanitarian programmes
    • Age and disability awareness training, linked to service assessment, access monitoring and recorded age and disability outputs