Care Needs of Older People:
Evidence from Vietnam and Indonesia
GIANG THANH LONG
Institute of Public Policy and Management...
“The issue of ageing must be at the centre of the global
development agenda. Today, the elderly are the world’s fastest-
g...
Contents of PresentationContents of Presentation
1. An Overview of Aging Populations in
Vietnam and Indonesia
2. Factors u...
Vietnam and Indonesia are going toward the end of
‘demographic transition’ with lower (decreasing) fertility and
mortality...
It will take only 20 years for Vietnam (2017-2037) and
Indonesia (2020-2040) to increase older population (65+) from
7% to...
1. Aging Populations in Vietnam and Indonesia
1. Aging Populations in Vietnam and Indonesia
From macro perspective, a great challenge for both
Vietnam and Indonesia in taking (social, economic and
health) care of o...
2. Factors underlying Care Needs of Older People
(1) ‘Feminization of aging’ – care needs of older women and
the oldest ol...
2. Factors underlying Care Needs of Older People
Percentage of widowed males and females by gender and age, 2009
Age group...
2. Factors underlying Care Needs of Older People
(2) ‘Living alone’ and ‘only older couple’ – resulting from
changes in li...
LIVING ARRANGEMENTS (by location of the nearest child)
12
Same house Nearby Same
commune
Same
ward
Same
district
Same
prov...
Percent distribution of family members who provide most
help to older people who currently live with spouse, by sex
(Vietn...
Percent distribution of family members who provide most help
to older people who currently do not live with spouse, by sex...
To whom older people give support?
15
2. Factors underlying Care Needs of Older People
(3) Care needs for those who perform ADLs (Activities of Daily
Life) with difficulty, particularly those at more advanced ...
2. Factors underlying Care Needs of Older People
Source: IFLS 2007
By Age Group By Gender
(4) Isolated, neglected and depressed in family life
2. Factors underlying Care Needs of Older People
Source: Vietnam Nati...
Low rates of
disability and
illness
Active social
participation
Physical and
mental activities
HEALTH
SOCIAL
ECONOMIC
Succ...
THANK YOU FOR YOUR ATTENTION
QUESTIONS & COMMENTS
ARE WELCOME
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Care needs of older people - Vietnam and Indonesia

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  • Cai nay khong co y nghia thong ke
  • Cai nay khong co y nghia thong ke
  • Cai nay khong co y nghia thong ke
  • Cai nay khong co y nghia thong ke
  • Care needs of older people - Vietnam and Indonesia

    1. 1. Care Needs of Older People: Evidence from Vietnam and Indonesia GIANG THANH LONG Institute of Public Policy and Management National Economics University, Hanoi, Vietnam giang.long@ippm.edu.vn HelpAge Network Asia/Pacific Regional Conference Rapid Ageing: A Caring Future 7-11 May 2012, Yangon, Myanmar
    2. 2. “The issue of ageing must be at the centre of the global development agenda. Today, the elderly are the world’s fastest- growing population group, and among the poorest. One person in ten is 60 years and older, but by 2050, the rate will be one person in five. We must meet the needs of the older persons who are alive today and plan ahead to meet the needs of the elderly tomorrow. In the developing world, there are almost 400 million people over age 60, the majority of whom are women, and this figure is expected to rise dramatically in the coming decade.” (UNFPA Former Executive Director Ms. Thoraya Obaid’s address to The Second World Assembly on Ageing in Madrid in 2002)
    3. 3. Contents of PresentationContents of Presentation 1. An Overview of Aging Populations in Vietnam and Indonesia 2. Factors underlying Care Needs of Older People in Vietnam and Indonesia 3. Concluding Remarks
    4. 4. Vietnam and Indonesia are going toward the end of ‘demographic transition’ with lower (decreasing) fertility and mortality rates. Along with higher life expectancies for both males and females, populations in two countries are aging. 1. Aging Populations in Vietnam and Indonesia CDR Population growth rate CBR Time Fertility/MortalityRates
    5. 5. It will take only 20 years for Vietnam (2017-2037) and Indonesia (2020-2040) to increase older population (65+) from 7% to 14% of the total population [or moving from ‘aging phase’ to ‘aged phase’] 1. Aging Populations in Vietnam and Indonesia 115 85 73 69 45 45 26 0 50 100 150 France (1986 - 1980) Sweden (1890 -1975) Australia (1938-2011) USA (1944-2013) England (1930 -1975) Spain (1947 -1992) Japan (1970-1996) 27 26 23 22 20 20 19 0 50 100 150 Chile (1998 -2025) China (2000-2026) Sri Lanka (2004 -2027) Thailand (2003 -2025) Indonesia (2020-2040) Vietnam (2017 -2037) Singapore (2000-2019) Source: Adapted based on Kinsella and Gist, 1995; U.S. Census Bureau, 2005; GSO (2011) for Vietnam; UN (2010) for Indonesia
    6. 6. 1. Aging Populations in Vietnam and Indonesia
    7. 7. 1. Aging Populations in Vietnam and Indonesia
    8. 8. From macro perspective, a great challenge for both Vietnam and Indonesia in taking (social, economic and health) care of older people is a status of ‘getting old before getting rich’. 1. Aging Populations in Vietnam and Indonesia 0 10 000 20 000 30 000 40 000 50 000 60 000 0 5 10 15 20 25 30 35 %of 60+ GDP/Capita Japan Europe USA Australia Korea Singapore China Indonesia Viet Nam Philippines Malaysia Thailand Source : World Health Statistics 2008 as quoted by Ogawa and Toshihiro (2009)
    9. 9. 2. Factors underlying Care Needs of Older People (1) ‘Feminization of aging’ – care needs of older women and the oldest old. Marital status of Vietnamese older people, 2011 Single Married Divorced/Separated Widowed Age 60-69 5.6 72.7 2.3 19.4 70-79 3.3 54.9 0.6 41.2 80+ 0.4 37.1 0.5 62.0 Gender Male 1.2 84.3 0.5 14.0 Female 5.4 42.1 1.7 50.7 Source: Calculation from VNAS (Vietnam National Aging Survey) 2011 Marital status of Indonesian older people, 2011 Single Married Divorced/Separated Widowed Age 60-69 1.0 68.4 2.4 28.2 70-79 0.8 49.3 2.3 47.6 80+ 1.1 32.5 2.4 64.0 Gender Male 0.8 84.4 1.2 13.6 Female 1.1 37.1 3.3 58.5 Source: Calculation from Susenas 2011
    10. 10. 2. Factors underlying Care Needs of Older People Percentage of widowed males and females by gender and age, 2009 Age group 60-69 70-79 80+ All Male 5,88 15,73 36,02 13,85 Female 36,97 57,94 81,93 53,69 All 23,04 40,56 66,25 37,12 Source: Vietnam Population and Housing Census 2009 ‘Double jeopardy’ – female and widowhood
    11. 11. 2. Factors underlying Care Needs of Older People (2) ‘Living alone’ and ‘only older couple’ – resulting from changes in living arrangements and migration. Living arrangements of Vietnamese older people, 1993-2008 (%) 1993 1998 2002 2004 2006 2008 With children 79.73 74.48 74.27 70.65 63.74 62.61 Living alone 3.47 4.93 5.29 5.62 5.91 6.14 Only elderly couple 9.48 12.73 12.48 14.41 20.88 21.47 With grandchildren only 0.68 0.74 0.82 1.09 1.16 1.41 Other 6.64 7.12 7.14 8.23 8.31 8.37 Total 100 100 100 100 100 100 Source: Calculation from VHLSS 1992/93 – 2008 Living arrangements of Indonesian older people, 1993-2007 (%) 1993 1997 2000 2007 With children 65.80 49.45 48.24 40.13 Living alone 9.63 8.37 7.97 10.97 Only older couple 5.71 5.80 5.53 7.09 With grandchildren only 4.23 2.47 2.54 2.38 Other 14.63 33.92 35.71 39.43 Total 100 100 100 100 Source: Calculation from IFLS 1993, 1997/98, 2000, 2007/08
    12. 12. LIVING ARRANGEMENTS (by location of the nearest child) 12 Same house Nearby Same commune Same ward Same district Same province More than 90% of parents aged 70-79 and 80+ having at least a child who live in the same commune, and this may show a supply of care for the older people 2. Factors underlying Care Needs of Older People Source: Vietnam National Aging Survey (VNAS) 2011
    13. 13. Percent distribution of family members who provide most help to older people who currently live with spouse, by sex (Vietnam) 2. Factors underlying Care Needs of Older People Source: Vietnam National Aging Survey (VNAS) 2011
    14. 14. Percent distribution of family members who provide most help to older people who currently do not live with spouse, by sex (Vietnam) 2. Factors underlying Care Needs of Older People Source: Vietnam National Aging Survey (VNAS) 2011
    15. 15. To whom older people give support? 15 2. Factors underlying Care Needs of Older People
    16. 16. (3) Care needs for those who perform ADLs (Activities of Daily Life) with difficulty, particularly those at more advanced ages 2. Factors underlying Care Needs of Older People Source: Vietnam National Aging Survey (VNAS) 2011
    17. 17. 2. Factors underlying Care Needs of Older People Source: IFLS 2007 By Age Group By Gender
    18. 18. (4) Isolated, neglected and depressed in family life 2. Factors underlying Care Needs of Older People Source: Vietnam National Aging Survey (VNAS) 2011 % feeling depression
    19. 19. Low rates of disability and illness Active social participation Physical and mental activities HEALTH SOCIAL ECONOMIC Successful Aging Source: Adapted from Rowe and Kahn (1998) 3. Concluding Remarks • Female and more advanced age older people are more needy of care in various aspects. • Given changes in living arrangements, which influence familial support, community-based care should be considered/promoted as most feasible alternative.
    20. 20. THANK YOU FOR YOUR ATTENTION QUESTIONS & COMMENTS ARE WELCOME

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