IAAG Africa Regional Conference - Dr Alex Kalache Robert Butler Mermorial Presentation
International Longevity CentreRobert Butler Memorial LectureThe Longevity Revolution withinthe African context: opportunity and challenge. Cape Town, October - 2012 Alexandre Kalache President - International Longevity Centre - Brazil Senior Policy Advisor on Global Ageing, New York Academy of Medicine HelpAge International Global Ambassador
‘The Life Course approach offers an interdisciplinaryconceptual framework to guide research and policies in relation to health, human development and ageing’
Functional capacity decline Early Life Adult Life Older age Growth and Maintaining highest Maintaining independence and development possible level of preventing disability Functional Capacity function Rang e indiv of functio idual n in s Disability Threshold Rehabilitation and ensuring the quality of life AgeKalache 2011 Fonte: Kalache and Kickbusch, 1997
Functional capacity decline and the impact of interventions Early Life Adult Life Older age Growth and Maintaining highest Maintaining independence and development possible level of function preventing disabilityFunctional Capacity Disability threshold Rehabilitation and ensuring the quality of life Age
Healthy, active olderpersons are resourcesto their families, to theircommunities and to theEconomy.
The need for standard language:• Positive ageing• Healthy ageing• Successful ageing• Vital ageing• Ageing well• Productive ageing• ........................... ACTIVE AGEING
An Ageing WorldPopulation 2000 20252050(in billions)Total 6.0 7.8 8.9Developed countries 1.2 1.2 1.2Developing countries 4.7 6.67.860+ 0.6 1.2 2.0Developed countries 0.2 0.30.3Developing countries 0.4 0.91.7
In Africa, by the year 2050,there will 212 million people aged 60 and over.
Heterogeneous:THE DIVERSITY OF OLD AGE Gender SES Nationality Age group Culture Ethnicity Sexual identity Religion...
More older people throughout the world By 2050 the number of people 60+ living in urban areas of the developing world will be 6 times larger than now.
What is an Age Friendly City?An urban environmentaccessible and inclusivethat promotesACTIVE AGEINGin all its main pillars: Health, Life-long learning, Participation and Security
The 8 dimensionsfor research and action Transportation Housing Outdoor Spaces & Public Social Buildings ParticipationCommunity Age-FriendlySupport & Cities Respect &Health SocialServices Inclusion Civic Communication Participation & Information & Employment 50
A bottom up approach …Older persons as protagonists
... but also top downThe need for responses from the public sector
However, age friendly policies are particularly needed at a macro level: From cities to States: Sao Paulo South Australia Andalucía
... implying:• The Right to Health• The Right to Learn• The Right to Work• The Right to be Protected• The Right to be Insured• The Right to Participate• To have access to services ....as well as...
In developing countries 80%of Older Persons do not have basic incomeOn the whole they are highly productive... and deeply unprotected.
PROTECTIONOlder People as resources to their families, communities and the Economy.The role of non-contributory pensions in, for instance, South Africa and Brazil
The burden of inappropriate, unequal policies:In Brazil, the cost of social security for one million ex-civil servants is 5 times higher than the cost of non-contributory pensions benefitting over 9 million much poorer older persons.In financial terms the cost is over USD 60 billion !
Productive ageing:...”the capacity of an individual or population to serve in a paid employment, in volunteer work or in the family and to keep a certain degree of independence and autonomy for as long as it is possible”... Bob Butler
Productivity should not thoughbe measured only in financial terms. The role of older persons, particularly older women in providing CARE.
The economic argument:In Spain a study conducted in 2002 indicated that 88% of total care to sick individuals took place in the community – mostly by women, particularly older women.Those aged 75-84 devoted 320 minutes/day providing care compared to 23 minutes among women aged 18- 29 or 50 minutes for those aged 30-49. Duran, M (2002)