Global launch of the Healthy Ageing and Prevention Index alongside the 76th World Health Assembly Date: Tuesday 23 May 2023 Time: 3.30pm – 4.30pm (CET) launch, followed by networking with refreshments Location: Geneva Press Club, Geneva, Switzerland

1. Healthy ageing and Prevention

2. Welcome
David Sinclair, Chief Executive, ILC-UK
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3. Professor Les Mayhew
Associate Head of Global Research,
ILC-UK
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4. Healthy Ageing and
Prevention Index
Arunima Himawan, Senior Health
Research Lead, ILC-UK
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5. preventionindex.org

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The top 50
countries on
the Index

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Only top 1%
of world
population is
best adapted
to longer,
healthier
lives.
With an average population
of only 8.4 million, the top 10
countries account for only
1.1% of the world’s
population.

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There is a 24-year
gap in life span
(life expectancy)
between the top 10
and bottom 10
countries.
There is a 21-year
gap in health span
(healthy life
expectancy) between
the top and bottom
10 countries.
There is a 23-year
gap in work span
(working life
expectancy)
between the top
and bottom
countries.
Our analysis
finds that
there are
significant
inequalities
between
countries at
the top and
bottom of
the Index.

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#PreventionIndex preventionindex.org
Political and
economic
bloc
rankings
The Index ranks political
and economic country
blocs, such as the G20,
EU and OECD to
demand action on
sustainable longevity at
the global level.

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Countries that
spend a higher
proportion of
their health
budgets
on prevention
perform better
on the Index.

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Countries that
spend more on
preventative
healthcare and
immunisation
perform better
on the Index.

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Countries that
invest in
Universal
Health
Coverage
(UHC) perform
better on the
Index.

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#PreventionIndex preventionindex.org
On average,
countries that
rank in the
bottom half of the
Index have four
times worse
access to
qualified medical
doctors than
those that rank in
the top half of the
Index.

14. The Healthy Ageing and Prevention
programme
•Use our convening power and position the Healthy Ageing and
Prevention Coalition as a leading voice on prevention to ensure
longevity is at the heart of global health policy.
•Use the Index as a tool to engage global health leaders and
move from commitment to action on healthy ageing and
preventative health.

15. Minister Ong Ye Kung
Minister for Health, Singapore
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16. The Honourable Carolyn
Bennett MD
Minister of Mental Health and Addictions
and Associate Minister of Health, Canada
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17. Q&A
Moderated by David Sinclair, Chief
Executive, ILC-UK
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18. Julia Tainijoki-Seyer
Medical Advisor, World Medical
Association
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19. Healthy Ageing and
Prevention
WHA 2023
Dr. Julia Tainijoki-Seyer
Medical and Advocacy Advisor
Word Medical Association

20. World Medical Association
• International organization representing 9
million physicians worldwide
• Founded 18 September 18th, 1947 in Paris
• 115 National Medical Associations members
in addition to individual associate members
• Mission: to ensure
• the independence of physicians
• the highest possible standard of medical
ethics
• best medical practice
• Acting on behalf of patients and physicians

21. Health challenges in an
ageing society
2 groups of aging society
• Stay healthy: prevention , healthy living
• Long term care, palliative care
Aim : “Healthy Ageing” is defined as the
process of developing and maintaining the
functional ability that enables well-being in
older age.
Value: The elderly populations are
frequently cast as a drag on economic
growth, they are in fact a powerful, but
often overlooked, human and social
resource.
• Multimorbidity – coexistence of 2 or more
chronic conditions:
• 60% for those aged 65-74 years and 80% for
those aged ≥85 years (1)
• Higher risk of death, disability, poor
functional status, poor quality of life, adverse
drug events, and other adverse outcomes. (1)

22. Geographical differences
• Developed world vs Developing world
• Inequalities in life expectancy:
• Central African Republic femal : 56,6 yrs,
male 52,2 yrs
• Hong Kong femal: 88,2 yrs male: 82,4 yrs
• Roughly 30 yrs difference - Worldometers data
• Demography of society will change as well in
developing world – more elderly
• High burden of NCD in developing world - e.g.
most cancer occur here and are detected later

23. Ageing workforce
• We face a shortage of HP already – 18
million by 2030 WHO’s estimation
• Workforce is aging too, many will retire
soon , thus we will lack many more HP
soon
• Especially prevention needs more HP and
social workers

24. Embed prevention across life
course
Multi-sectoral approach for ageing society:
• Creating age-friendly environments
• Aligning health systems to the needs of older
populations
• Developing sustainable and equitable systems
for long-term care
• Achieving a sustainable and appropriately
trained workforce
• Attaining universal health coverage based on
PHC
• Improving measurement, monitoring and
research for prevention and healthy ageing
Prevention as Life course approach
• Important is the live course
approach – start already with
health lifestyle at young
age/children
• There is a social and education
gradient in use of prevention -
SDH
• Governments see prevention as
costs – but it is investment in
order to safe at a later time

25. Health Care System
• HCS are historically developed to
be curative not preventive.
• Financing of HCS doesn’t foster
prevention. Prevention is not
reimbursed as much as it should.
• Slow uptake of e health, which is
of great help in providing
prevention
• HCS and social systems are split
and financed separately in many
countries, don’t cooperate well
together.
Health workforce
• Medical education focus more on curative care
than prevention
• Continuity of care is important: health care is
often managed in disconnection and fragmented
ways.
• HP are not enough awareness about behavioural
change models in delivering prevention

26. Finally...
• It is this inability of societies and
governments to adapt effectively to
population ageing, not ageing itself,
that is likely to have the greatest
impact on socioeconomic
development.
• Most of the health conditions of
older age can be prevented or
delayed.

27. Mario Ottiglio
President, Global Coalition on Ageing,
Europe
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28. Closing remarks
David Sinclair, Chief Executive, ILC-UK
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