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Facilitationg mobilization of people

Facilitationg mobilization of people. Titchfield City Group on Ageing and Age Disaggregated Data Update on Work Strand 3 – Conceptual and Analytical framework Deajeon , Republic of Korea. Ritu Sadana, Senior Health Advisor Jeremiah Sixtus Dery

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Facilitationg mobilization of people

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  1. Facilitationg mobilization of people Titchfield City Group on Ageing and Age Disaggregated Data Update on Work Strand 3 – Conceptual and Analytical framework Deajeon, Republic of Korea Ritu Sadana, Senior Health Advisor Jeremiah SixtusDery Ageing and Life Course Regional Statistician World Health Organization Ghana National Statistics

  2. 2nd Annual Meeting Main Objectives • To reflect on City Group objectives, review progress of work and identify next steps • To provide an opportunity for representatives to work together to progress priority work strands through practical workshops • To build international collaboration on the topic of ageing related data • To increase knowledge within the group of potential opportunities to improve data on ageing through country examples. • UNFPA, UN WOMEN, UN DESA, WHO on steering committee Titchfield City Group on Ageing and Age- Disaggregated Data

  3. Ensure voice of older adults’ drives vision and strategic intent Gloria Caande, 73, Vice President of Pilkan Community Senior Citizens’ Association, Commonwealth, Manila Supported by HelpAge International & the Coalition of Services of the Elderly (COSE) in The Philippines

  4. Recognize and address different perspectives, complementary ideas… • Governments often think about policy – financing, productivity, security, development… • Individuals, families, and communities, including older persons, want to enjoy rights at all ages, and optimize their abilities – to live a long and healthy life … “participate, active, happy, dignified”…

  5. Conceptual Framework A conceptual framework is tool to make conceptual distinctions, account for variations and contexts, and organize ideas. Strong conceptual frameworks capture something real and do this in a way that is easy to remember and apply. It can be based on theories, but a conceptual framework can include additional concepts / constructs / variables that are relevant.

  6. Analytical Framework Analytical frameworks are designed to structure thinking in a systematic manner. An analytical framework underpins, supports and guides the collection, collation, storage and analysis of data by identifying key analytical outputs and products at each step of the analysis. In brief, it provides a way to organise what data to collect and how to analyse it.

  7. Work Stream 3: Conceptual and Analytical Framework Basic question to be resolved: 1. What concepts should be used to define ageing and ageing processes that are inclusive of all people? This includes: 2. How to unpack these concepts into an operational approach, an analytical framework that documents and builds on effective national practices including ways to address unequal challenges (e.g. gaps in vital registration, too many or too little data sources and data producers)? 3. How to demonstrate resulting data and information is useful for national policy design and implementation (e.g. informing multiple sectors and stakeholders) and global reporting through cross nationally comparable population based data (e.g. SDGs)

  8. Desired outputs and criteria for success The main deliverable will be a conceptual framework for ageing related statistics building on existing work and recognising variation in countries. It will achieve the following outcomes: • A common language around ageing related statistics • Better insight into the data requirements of ageing related policy issues • Re-thinking ageing to recognise the life course and person centered information • Think pieces and case studies on key concepts of ageing and challenges for statistical systems, including on endorsed SDG indicators, and how information is used for decision making (potential overlap with other strands)

  9. Globally, more people are living longer Broken limits to life expectancy Oeppen & Vaupel, 2002 (Science) WHO Global Health Observatory

  10. We need to add those “extra years” across the entire life course And this requires “whole of society transformation” – and information to support this transformation 80+ years

  11. But current global investments do not match burden of disease in age groups (DALYs) Skirbekk et al. 2017 - Health Affairs 36(5) data from 2013

  12. Yet country examples exist implementing a Life Course approach – (Columbia) Colombia Adulto Mayor- Life course Programme - Intersectoral (Source: Hessel et al. 2018)

  13. Work Strand 3: Conceptual & Analytical Framework Concepts Countries – key policy issues International Agencies – shape and support global commitments Older Adults – relevant to needs & expectations to enjoy human rights Analytics National, sub-national monitoring & reporting – leave no one behind SDG indicators, other metrics Impact and accountability – leave no one behind

  14. Initial responses from NSOs: • Hungary • Italy • Jamaica • Japan • Kazakhstan • Lithuania • Malawi • Mauritius • Moldova • Mongolia • Namibia • Netherlands • Pakistan • Palestine(observer) • Philippines • Poland • Republic of Armenia • Antigua and Barbuda • Australia • Austria • Brazil • Cameroon • Canada • Chile • China • Colombia • Denmark • Dominican Republic • El Salvador • Estonia • Egypt • Finland • Ghana • Republic of Belarus • Republic of Korea • Russia • Rwanda • Singapore • Spain • South Africa • Sri Lanka • Suriname • Switzerland • Thailand • Turkey • Turks and Caicos • Uganda • Ukraine • United Kingdom • United States

  15. For example, Ghana has the following national policies - challenges and priorities

  16. Some details Reducing Poverty Among Older Persons Improving Health, Nutrition And Well-being Of Older Persons

  17. Institutional Framework and Policy Implementation

  18. Institutional Framework and Policy Implementation

  19. Institutional Framework and Policy Implementation

  20. Many of the strategies in Ghana are being implemented • NSO better placed to produce data for monitoring implementation of policy • To accelerate implementation of policy on ageing, need more advocates, including TCGA

  21. For example, WHO is documenting Healthy Ageing trajectories over the life course – person centered World Report on Ageing and Health 2015 and Global Strategy and Action Plan on Ageing and Health 2016

  22. Healthy ageing – unpack it • Cognitive • Psychological • Sensory • Neuromusculoskeletal • Voice and speech • Cardiovascular • Haematological • Respiratory • Immunological • Digestive • Metabolic • Endocrine • Genitourinary • Reproductive • Skin, hair and nails 15 potential sub domains • Learning and applying knowledge • Communication • Mobility • Self-care • Domestic life • Interpersonal interactions and relationships • Major life areas • Community, social and civic life 8 Potential sub domains • Products and technology • Natural and built environment • Support and relationships • Attitudes • Services, systems and policies 5 potential subdomains IntrinsicCapacity Functional Ability Environment

  23. Documenting relationship between Healthy Ageing domains and subdomains from 50+ national surveys

  24. Link between SDGs goals and Healthy Ageing Intrinsic capacity Functional ability

  25. Nationally representative data and information on older adults – that can be disaggregated, 194 countries Cross-sectional Only 54 countries Longitudinal Only 35 countries 10 indicators of GSAP progress - full results: www.who.int/ageing/commit-action/measuring-progress/en/

  26. National case study: data, information & use inclusive of older adults. • Main sources of data and information on older adults • Range of routine data sources, civil & vital registration • Surveillance • Household surveys • Community based surveys • Institutional based surveys • Administrative data – pensions, social services • Burden of Disease studies • Other research • Other Qualitative studies • Clinical data • Personal data

  27. Main sources of data and information on older adults • Range of routine data sources, civil & vital registration • Household surveys • Qualitative and quantitative assessment • How complete are these data? Can these be linked? • Are there projections for the future? • Bridging evidence to policy and action • How are data, information and evidence used now? How could these be used in the future? • use by other stakeholders or sectors, including older persons themselves • Practices and learning for sharing • Strengthening capacities for analysis, reporting and sharing – to a wide range of stakeholders • Using data to inform policies, programs, media, business, other innovation

  28. For our work stream discussions Scope of the work – to be refined Conceptual framework detailed outline and clear contributions by October 2019 First draft by December 2019 to include • Ageing and ageing processes description • Case studies from NSOs/countries (minimum # 4, ideal more) • Examples of conceptual frameworks • Key concepts and challenges (think pieces) including common national priorities and extended list In addition, final draft to include • Reports on data relevant to government policies (including all case studies) • Mapping of SDGs • Knowledge transference from concepts to policy recommendations

  29. Thank you photo: HelpAge International

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