PRESENTATION: Ageing and Health Perspectives From WPRO

7/25/2019 PRESENTATION: Ageing and Health Perspectives From WPRO

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Ageing and health in the WesternPacific Region:

policy implications and priorities for action

Disclaimer: The views expressed in this paper/presentation are the views of the author and do not necessarily reflect the

views or policies of the Asian Development Bank (ADB), or its Board of Governors, or the governments they represent. ADB

does not guarantee the accuracy of the data included in this paper and accepts no responsibility for any consequence of their

use. Terminology used may not necessarily be consistent with ADB official terms.


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Populations are getting older

2015

2020

2025

2030

2035

2040

2045

2050


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Ageing and health:Varying demographic transitions

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

Proportion(%)ofpopulationaged60yearso

rover

(sorted from low-income to high-income group according to World Bank Classification 2012)

Year 2010 Year 2030


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235 million people aged 60 years and above account for

over 13% of total population in the Western Pacific Region.

The speed of population ageing

is increasing


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How these extra 20

years can be spent

depends on health.

?

People are living longer.


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Health in older age is not random


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Labour force participation, 60+ years, 2010


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Literacy in younger and older

population, selected countries


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Feminization of ageing: sex ratios

11

Sex ratio of population aged 60 yearsand above, selected countries,

Western Pacific Region, 2012


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Healthy life expectancy

Women livelonger than

men, but

spend

proportionally

fewer years

in good

health.


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Top 10 causes of DALYs,

men and women, 70+ years, 2012


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Public Health Framework

Age


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Domains of functional ability


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Healthy Ageing:is the process ofdeveloping and

maintaining thefunctional ability

that enableswell-being

in older age.


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WHO is committed to support Member

States in addressing ageing and health.

Regional Framework for

Action on Ageing and Health

in the Western Pacific

(2014-2019)


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Health system attributes and action domains of UHC

RESILIENCE Public health preparedness

Community capacity

Health system adaptability

and sustainability

QUALITY Regulations

Effective, responsive

services

Individual, family, and

community engagement

EFFICIENCY System design

Incentive for appropriate

provision and use of services

Managerial efficiency and

effectiveness

EQUITY Financial protection

Service coverage

Non-discrimination

ACCOUNTABILITY Government leadership

Partnerships

Transparency, monitoring

and evaluation

This support is guided by

WHOs action framework for UHC.


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Health system attributes and

action domains for UHC

Health System attributes

Action domains for achieving UHC

QUALITY

1.1 Regulations and regulatory environment

1.2 Effective, responsive individual and population-based services

1.3 Individual, family and community engagement

EFFICIENCY

2.1 System design to meet population needs

2.2 Incentive for appropriate provision and use of services

2.3 Managerial efficiency and effectiveness

EQUITY

3.1 Financial protection

3.2 Service coverage and access

3.3 Non-discrimination

ACCOUNTABILITY

4.1 Government leadership and rule of law for health

4.2 Partnerships for public policy

4.3 Transparency, monitoring and evaluation (M&E)

SUSTAINABILITY AND

RESILIENCE

5.1 Public health preparedness

5.2 Community capacity

5.3 Health system adaptability and sustainability


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Regional framework for action on

ageing and health: Action pillars

1. Foster age-friendly

environments through action

across sectors

2. Promote healthy ageing across

the life course and preventfunctional decline and disease

among older people

3. Reorient health systems to

respond to the needs of older

people

4. Strengthen the evidence-base

on ageing and health


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1. Foster age-friendly environments

through action across sectors

Role of determinants inhealth e.g. transport

Leadership role of the health

sector for collaboration and

action across sectors

Age-friendly cities and

communities

Participation andempowerment of older

people


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An example of mobility

Accessible

housing?

Footpaths available

throughout?Pedestrian

crossing?

Pleasing and safe

neighbourhood?

Any benches

to rest on,

public toilets ?

Accessible

buses or taxis?

Shop keeper

helpful andfriendly?

A

B


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Different sectors need to work together

Health

Transport

Housing

Work

Nutrition

Urban

planning

Social welfare


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WHO Global Network of Age-

friendly Cities and Communities


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2. Promote healthy ageing across

the life- course and prevent functional

decline and disease among older people

Reduce exposure to risk factors and promote healthy

behaviours across the life course

Empower people to maintain their health as they growolder

Maximizing functional ability and preventing functional

decline and ill-health among older people:

Falls

Dementia

E l G d ti i J


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Various prevention programmes areprovided in municipalities, managed by

elderly themselves.

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Example: Good practices in Japan

-Local prevention programmes

3 R i h l h d


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3. Reorient health systems to respond to

the needs of older people

Develop a

comprehensive

national policy that

responds topopulation ageing:

Ageing in national

health plans

Health in national

ageing plans

3 R i t h lth t t d t


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3. Reorient health systems to respond to

the needs of older people (contd.)

Integrated service delivery to

ensure continuity of care

Health workers with

appropriate skills Equitable health financing

and financial protection

Access to essential

medicines and healthtechnology


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The importance of long-term care systems

Establish the

foundation for a

functioning system

Develop the long-term

care workforce

Ensure the quality of

long-term careSource: WHO World Report on ageing and health (2015)

Fig.: Elements of an older person-centred system of long-term care


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Example: Integrated care in Japan

WHO Gl b l St t d A ti Pl


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WHO Global Strategy and Action Plan on

Ageing and Health

WHR 67/13 requested

the development of a

Global Strategy and

Action Plan

Consultations are

ongoing

Revised draft discussed

by WHO EB (Jan 2016)and on agenda of WHA

2016


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Thank you!http://www.wpro.who.int/topics/ageing/en

/

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PRESENTATION: Ageing and Health Perspectives From WPRO

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