1. Geriatric Concerns
Issues and Challenges
Ahmed Nabeel Alvi
Executive Director
TARAQUI Association for Human Development
2. Objective of the session
Mainstreaming Ageing through public awareness
1
What is Ageing?
2
Ageing – GLOBAL - LOCAL situation
3
What is Geriatrics
4
Global and National Initiatives
5
Role of TARAQUI in Ageing
6
Way Forward!
3. What is ageing?
Ageing (British English) or aging (American English) is
the accumulation of changes in a person over time.
Ageing in humans refers to a multidimensional
process of physical, psychological, and social change.
Some dimensions of ageing grow and expand over
time, while others decline.
4. What is ageing?
The world is in the midst of a unique and irreversible
process of demographic transition that will result in
older populations everywhere.
As fertility rates decline, the proportion of persons
aged 60 and over is expected to increase
Every month 1,000,000 people become 60 yrs old in
the world
80 percent of them live in developing countries
5. Key Facts about Ageing!
2 billion people will be aged 60 and older by 2050.
This represents both , a challenge and an opportunity.
2000 and 2050, the proportion of the world's population over
60 years will double from about
Between
11% to 22%.
7. Key Facts about Ageing!
•
In almost every country, the proportion of people aged over 60
years is growing faster than any other age group, as a result of
longer life expectancy and declining fertility rates.
•
Due to health advancement, awareness
and technology.
8. At a glance
•
Today almost 1 in 10 people are over 60 years old
•
People aged over 60 will outnumber children aged 0-14 by
2050
•
Source : Help Age International
9. Trends in Global Ageing
30%
25%
Percent of Population
Aged 65 & Over:
History and UN Projection
25%
23%
19%
20%
16%
15%
14%
15%
12%
13%
13%
10%
10%
5%
26%
8%
4%
10%
9%
8%
4%
4%
4%
4%
5%
6%
0%
1950
1970
1990
Developed World
Source: UN (2005)
2010
2030
Developing World
2050
10. Ageing in Pakistan
• Based
on U.N. (2002) projection estimates, the
proportion of population 60 years and above in
Pakistan will increase from
% increase
5.8
7.3
12.4
By
2000
2025
2050
11. But the fact is
• Pakistan’s
current elderly population already is
11.2 million and will triple the number by
2050.
12. Nature of issues affecting the aged
•
Health
• Income
• Education and training
• Social Welfare and Protection
• Transportation
• Gender
• Human Rights
Directly leading to Psycho- Social,
Socio-Economic and physical issues for
elderly in Pakistan
13. Multiple Concurrent Losses
• Loss
of physical health
• Loss of social contacts: Friends/family
• Loss of financial security: Retirement
• Loss of independence and power
• Loss of mental stability
• Loss of Respect
Geriatrics 13
14. What is Geriatric?`
Health, diseases and their prevention for
elderly relates to Geriatrics
Studying the social and psychological aspects
of Ageing relates to Gerontology
16. Global Initiatives on Ageing
The Vienna International Plan of Action on Aging was adopted by the World Assembly on
Aging held in Vienna, Austria from 26 July to 6 August 1982.
The focus was on
1.
2.
Participation
3.
Care
4.
Self Fulfillment and
5.
•
Independence
Dignity
The Madrid International Plan of Action on
Ageing (MIPAA) 2002 - Discussed later
19. Global Initiatives on Ageing
The year is intended to raise awareness of the contribution
that older people make to society. It seeks to encourage
policymakers and relevant stakeholders at all levels to take
action with the aim of creating better opportunities for
active ageing and strengthening solidarity between
generations.
20. National Initiatives on Ageing
•
•
•
•
•
•
•
Social Security offered to Working class only,
Employees Old age Benefit Institution,
Health Policy for Elderly since 2009,
slightly higher interest rates on savings certificates
A few Old Age Homes
Bait-ul-Maal .
Senior Citizen Bill in National Assembly
since 2009(pending )
21. Private Sector Initiatives:
Pakistan Senior Citizens Association
• Senior Citizens Advisory Council
• Pakistan Senior Citizen Foundation
• Pakistan National Centre of Ageing,
• Old Age Homes
• Edhi Foundation,
• Dar-ul-Afayat,
• Geriatric Care Foundation and a few associations
working for the welfare of retired persons,
• OPAs in Sindh and KP established with
•
the assistance of HelpAge Pakistan.
22. Issues faced by the Association
Working informally instead of Professionally.
• Work in isolation.
• No national consensus.
• 18th Amendment – No provincial initiative
•
•
23. Madrid international plan of action on ageing
•
MIPAA is a
16,000- word document calling for changes in
attitudes, policies and practices
that the ‘enormous
century may be fulfilled
at all levels in all sectors, so
potential’ of ageing in the twenty-first
33
117
The Madrid Plan lists
objectives and
concrete recommendations, grouped into
3 priorities
Together, the priorities cover
18 areas of concern to
older people.
24. Three Priorities include
Priority 1: Older persons and development
1.
2.
3.
4.
5.
6.
7.
8.
Active participation in society and development
Work and the ageing labour force
Rural development, migration and urbanisation
Access to knowledge, education and training
Intergenerational solidarity
Eradication of poverty
Income security, social protection / social security and
poverty prevention
Emergency situations
25. Three Priorities include
Priority 2: Advancing health and well being into old age
1.
2.
3.
4.
5.
6.
Health promotion and wellbeing throughout life
Universal access to healthcare services
Older persons and HIV/AIDS
Training of care providers and health professionals
Mental health needs of older people
Older people and disabilities
26. Three Priorities include
Priority 3: Enabling and supportive environments
1.
2.
3.
4.
Housing and the living environment
Care, and support for caregivers
Neglect, abuse and violence
Images of ageing
28. MISSION STATEMENT
To improve the quality of life of marginalized people through community based
programs with special focus on elderly population of Pakistan.
29.
Geriatric Information Club (GIC) aims to disseminate public
awareness about several health related diseases related to old age
through publications in local language and conduct awareness
sessions , lectures for the benefit of elderly age.
Objectives
To raise public awareness about diseases/behavior affecting
ageing population.
Raise public awareness for research and care givers.
To promote positive ageing & discuss laws and policies for elderly
in Pakistan.
30.
The program was launched in Gulshan –e – Maymar in collaboration
with a local school where grandparents of children attended
awareness session on osteoporosis conducted by health experts in
collaboration with Baqai Medical University and Karachi University.
The program will be replicated in other schools of the community
and will reach approx 45,000 elderly people
Arrange seminars to inform communities/society about issues.
Conduct researches to explore existing work in Gerontology .
Form volunteer groups for providing care for older adults.
Develop a comprehensive resource centre serving researchers
31.
Engaging New Generation with AGED (ENG-AGED) will work to
minimize the gap occurring between generations due to socio,
economical and technological advancements. We aim to use schools as
a vehicle for change by involving grandparents and grand children.
Story Telling sessions
Drawing Competition
Age Awareness campaigns e.g Do you support Active Ageing?
32.
33.
34.
35.
36.
37.
38.
Strengthening Partnerships for Elderly Empowerment and
Development (SPEED) aims to bring in various stakeholders
of our society who are already working on elderly issues
under one platform of SPEED.
This will help Pakistan in
achieving its goals set in the Madrid
International Plan of Action on Ageing
successfully.
39.
Inspiring Moments of AGE (IM-AGE) is a
program that will capture the moments of ageing through
various mediums of communication such as Pictures, Films,
theatre , cartoons, illustrations etc.
40. Active participation in society
and
development
PowerPoint has new
layouts that give you
more ways to present
your words, images
and media.
Access to knowledge,
education and training
Intergenerational
solidarity
41. Health promotion and wellbeing
throughout life
PowerPoint has new
layouts that give you
more ways to present
your words, images
and media.
Training of care providers
and
health professionals
Mental health needs of
older people
42. Care, and support for caregivers
PowerPoint has new
layouts that give you
more ways to present
your words, images
and media.
Neglect, abuse and violence
Images of ageing
43. Way Forward!
•
•
•
•
Good Policy Needs Good Data – More authentic and centralized
research initiatives to be taken by universities, NGO’s , Govt etc
Enhancement of Public Private Partnerships. Consolidated
efforts needs to be taken in order to achieve MIPAA objectives
in Pakistan. CSR initiatives
Encour-age! The role of families, communities and society in
dealing with elderly needs to be encouraged through
volunteerism .
Cover-Age! Promoting age as a positive change
through electronic/ print media and
face to face awareness campaigns.
“Establishing an age friendly society”.
44. “The best way to predict the future is to invent it”
Allan Kay
We will either find a way, or make one …
Thank You
