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4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
4 troisi-prague 2012 ifa
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4 troisi-prague 2012 ifa

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  • 1. IFA 11th Global Conference on Ageing Prague,Czech Republic, May 28-June 1, 2012MULTI-SECTORAL EDUCATION INTHE FIELD OF AGEING: THEMALTESE EXPERIENCE Professor Dr. Joseph TROISI Director International Institute on Ageing United Nations-Malta
  • 2. Population ageing poses unique challenges toevery society.It has profound effects on every aspect ofindividual, community, national andinternational life. The significant increase inlife expectancy unavoidably implies not onlya heightened demand for existing supportservices but also for new services andalternative approaches. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 3. Consequently, new approaches to medicalcare and the delivery of social andeconomic services are needed. The non-achievement of such standards wouldresult in dire consequences includingunnecessary suffering and prolongeddependence among the older personsinvolved. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 4. A very serious deficiency being faced bymany countries, especially in thedeveloping world, in the economic,social and health planning to meet thechallenges of population ageing is thepronounced scarcity of trainedcaregivers.Joseph TROISI, International Institute on Ageing, UN-Malta
  • 5. CAPACITY BUILDING
  • 6. As was emphasised in the Madrid Plan of Action on Ageing itself and in various UN General Assemblies, the very implementation of the Plan fundamentally requires two essential facets which though distinct are intrinsically related.Joseph TROISI, International Institute on Ageing, UN-Malta
  • 7. These are: national capacity building and the mainstreaming of ageing into national development policies and programmes on ageing.Joseph TROISI, International Institute on Ageing, UN-Malta
  • 8. The report of the Secretary-General entitledFollow-up to the Second World Assembly onAgeing delivered at the sixty-first session ofthe General Assembly in 2006, highlights thefact that the existence of national plans ofaction, programmes and services, althoughimportant, are not by themselves effectiveindicators of a country’s implementation ofthe recommendations of the Madrid Plan. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 9. These depend fully on the individualcountry’s human capacity to implementand oversee these policies andprogrammes. Capacity building is thusaimed at strengthening the country’sability to meet these needs in varioussectors be they economic, legal, medical,political, social, etc.Joseph TROISI, International Institute on Ageing, UN-Malta
  • 10. One of the five essential elements ofnational capacity building highlighted inthe Secretary-General’s report, in thelight of the recommendations of theMadrid Plan of Action, is HumanResource Development which“encompasses investment in training forthe acquisition of skills in crucial areas ofexpertise”. It is seen as the key element ofany effort made at capacity-building. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 11. EDUCATION AND TRAINING
  • 12. Although in many countries the need fortraining in the fields of geriatrics andgerontology has been recognised, thisrecognition has not yet been translatedinto action as one would have expected.Joseph TROISI, International Institute on Ageing, UN-Malta
  • 13. When referring to education andtraining in the various aspects of ageing,there is the danger of restricting them tohigh levels of specialisation given atuniversities resulting in the productionof geriatricians and gerontologists. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 14. In short it can be said that educationin the field of ageing needs to bemulti-sectoral in nature covering: 1)levels of specialisation for theprofessionals; 2) those who directlywork in the field of ageing or/andwith older persons; and 3) the olderpersons themselves.Joseph TROISI, International Institute on Ageing, UN-Malta
  • 15. The Madrid International Plan of Actionon Ageing 2002 constantly reiterated, invarious articles, the importance oftraining and of having trainedpersonnel. Issue 4 in the Second PriorityDirection is totally devoted to thetraining of care providers and healthprofessionals. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 16. Article 82 states “there is an urgentworldwide need to expand educationalopportunities in the fields of geriatricsand gerontology for all healthprofessionals who work with olderpersons and to expand educationalprogrammes on health and olderpersons for professionals in the socialservice sector”.Joseph TROISI, International Institute on Ageing, UN-Malta
  • 17. However, the same Plan emphasises thefact that the need of education andtraining is not only limited to the healthprofessionals and the formal carers butshould be open to all and at all levels.Moreover, because of the multi-facetednature of aging, the two Plans of Actionemphasise the need of developing multi-disciplinary and inter-disciplinaryeducation and training programmes. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 18. A number of countries stand today at acritical turning point for confronting thechallenges and issues generated by therapidly growing older population. Inorder to meet the special needs of thisphenomenon adequately, training ofpersonnel has become a major issue thatneeds to be tackled with urgency, lestevents overtake history. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 19. THE MALTESE EXPERIENCE
  • 20. For a number of years, Malta has beenplaying a very important role in the field ofageing.In fact in 1969, a resolution tabled by theMaltese government to consider thephenomenon of population ageing as a globalphenomenon and to give it priorityconsideration was unanimously accepted bythe UN General Assembly at its twenty-fourth session. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 21. Malta’s role in instigating theinternational community’s concernabout the world’s ageing populationfound its fruition in the first WorldAssembly on Ageing in 1982 Joseph TROISI, International Institute on Ageing, UN-Malta
  • 22. The First World Assembly on Ageing,and the ensuing Vienna InternationalPlan of Action on Aging, the UnitedNations General Assembly, in itsResolution 37/51 recommended ‘interalia’ the promotion of training andresearch, as well as the exchange ofinformation and knowledge in order toprovide an international basis for socialpolicies and action.Joseph TROISI, International Institute on Ageing, UN-Malta
  • 23. International Institute on Ageing, UnitedNations-Malta (INIA)As a result of its Resolution 1987/51, the UNEconomic and Social Council recommendedto the Secretary-General, the establishment ofthe International Institute on Aging (INIA).On the 9th October 1987, the United Nationssigned an agreement with the Government ofMalta to establish the Institute as anautonomous body under the auspices of theUnited Nations. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 24. The Institute was inaugurated on the15th April 1988 by the then UNSecretary-General, H.E. Mr. JavierPerez de Cuellar.Joseph TROISI, International Institute on Ageing, UN-Malta
  • 25. Its mandate is tripartite in nature namely: 1)To train personnel from developing countrieswho are working or who intend to work in thefield of ageing or with older persons; 2) Toprovide advocacy to developing countries inmatters concerning capacity buildingconcerning ageing and older persons; and 3)To act as a practical bridge between developedand developing countries in the area ofinformation exchange in the field of ageing. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 26. Activities Training and Capacity Building Networking Research Publications International Meetings and Fora Joseph TROISI, International Institute on Ageing, UN-Malta
  • 27. Training and Capacity BuildingMain Activity – 3 phases Training in Malta ‘In-Situ’ programmes Satellite Centres Joseph TROISI, International Institute on Ageing, UN-Malta
  • 28. INIA provides multi-disciplinary educationand training by annually running, in Malta,short-training programmes of two weeks’duration inSocial Gerontology,Economic and Financial Aspects of Ageing,Health Promotion, Quality of Life and Well-beingPolicy Formulation, Planning, Implementationof MIPAADemographic Aspects of Population Ageing Joseph TROISI, International Institute on Ageing, UN-Malta
  • 29. Almost 2,100 persons working in thefield of ageing from 151 countries allover the world benefitted from thecapacity building programmes held inMalta. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 30. In 1995, INIA started running ‘in situ’training programmes. Aware of the greatheterogeneity which exists in the field ofageing and among older personsthemselves, these are tailored to thespecific needs and situations of the olderpersons in each of the countries or regionsconcerned. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 31. During the past 16 years such trainingprogrammes have been carried out in thefollowing 24 countries. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 32. Almost 1,700 participants benefittedfrom these ‘in situ’ programmes. Theparticipants in the ‘in situ’programmes tend to be not only morehomogenous but also more familiarwith the national or local situations. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 33. In order to be better equipped inimplementing its mandate in humanresource developing and training in thefield of ageing, INIA has set up fivesatellite centres in China, in India for theseven SARC countries, in Singapore forthe ten ASEAN countries, inSt.Petersburg for the countries of Centraland Eastern Europe and in Tunisia forthe Maghreb countries. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 34. INIA also provides advocacy togovernments to help them in formulatingand implementing national and localpolicies and programmes in the field ofageing. Such a service has been provided tothe governments of Bahrain, Croatia,Egypt, India, Kuwait, Morocco, Oman,Pakistan and Tunisia. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 35. To implement its UN given mandate, INIAclosely collaborates with various UN bodiesand agencies, the United Nations RegionalCommissions, etc. INIA’s collaborativepartners also include other international andnational organisations, universities and non-governmental organisations. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 36. The Institute of Gerontology and Geriatrics,University of MaltaEducation in the field of ageing needs to bemulti-sectoral in nature covering:Levels of specialisation for the professionals;Those who directly work with older persons;The older persons themselves Joseph TROISI, International Institute on Ageing, UN-Malta
  • 37. In line with the Vienna InternationalPlan of Action on Ageing, Malta onceagain was at the forefront and, in 1986,set up within its University, one of theoldest in the Mediterranean, the Instituteof Gerontology aimed at providing multi-disciplinary academic education andresearch in the field of ageing. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 38. Following its mandate, it conducts postgraduate multi-disciplinaryacademic education: in-service programmes for carers ofolder persons; pre-retirement programmes;a University of the Third Age;the running of a radio programme topromote the quality of life of olderpersons and to educate the generalpublic. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 39. Postgraduate multi-disciplinaryprogrammes leading to a Master (M.Ger.)and a Doctorate in Gerontology &Geriatrics (Ph.D.Ger.). These academicprogrammes provide opportunities forcorrelation of theory and practice,experience in innovative practice, serviceplanning and delivery. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 40. In-Service training programmes Thegovernment of Malta firmly believesthat para-professionals and primarycare workers should have the necessaryknowledge, skills and attitudes tofacilitate good care namely concern,treatment of older persons in theirlocalities. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 41. To meet this need the Instituteinitiated two-weeks intensiveprogrammes for all those workingin the care of Older persons in theformal sector. Each programmeconsists of lectures, discussions andsite visits.Joseph TROISI, International Institute on Ageing, UN-Malta
  • 42. Pre-Retirement Programmes In 1997,the Institute set up pre-retirementprogrammes aimed at enabling workersin the public and private sector who willbe retiring from active employment toprepare themselves to a new style of life,socially, economically, psychologically,health wise, etc. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 43. Each programme normally consists ofbetween 14-16 sessions each of twohours duration. Every session is madeup of an animated lecture and adiscussion.Participants are encouraged to playan active role. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 44. University of the Third Age (U3A) One ofthe very effective modern forms ofparticipation of older persons in the processof development is the establishment of theUniversities of the Third Age. It wasprecisely in this light that in January 1993the Institute of Gerontology set up theUniversity of the Third Age in Malta. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 45. The aim of the U3A is knowledge for itsown sake. It does not ask for specialqualifications for enrolment nor does itgrant any certificates or diplomas.Membership is open to all those abovethe age of 60. Members come from allwalks of life. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 46. Radio Programme. In January 1993, theInstitute was requested by the MaltesePublic Broadcasting Services Corporationto produce and present a weekly one houreducational programme for one of thenational radio stations. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 47. In its own way this radio programme whichhas an overall holistic approach is bringingabout a change in perspective.On the one hand, it is helping older personsto improve their quality of life and well-being.On the other hand, it is promoting a positiveimage of older persons eradicating negativestereotypes and attitudes of the generalpublic. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 48. CONCLUSION
  • 49. The gap between the projected increasesof the older population and theconsequently required services,combined with the parallel developmentof the personnel needed to carry outthese services, creates a pressing andurgent need to train appropriate staff. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 50. The challenges ahead of us, especially in thecoming thirty years are huge. Our work is adrop in the ocean. However, we are veryoptimistic that together we can surely helpcountries to prepare themselves to meetingthe challenges of population ageing byimplementing the Priority Directions of theMadrid International Plan of Action onAgeing. Joseph TROISI, International Institute on Ageing, UN-Malta
  • 51. THANK YOUFOR YOUR ATTENTION

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