Older Persons & the Right to Health. Astrid Stuck e lberger , PhD Institute of Global Health University of Geneva.
Astrid Stuckelberger, PhD
Institute of Global Health
University of Geneva
The Paradox Population Ageing in Europe and the World (N+%) GBD and chronic disease = Ageing Population 4-5 Generations of 2-3 Generations of Older PersonsvsNo Human Rights of Older Persons at UNNo Right to Health of Older Persons at UNonly very few fixed r-marked positions on ageingNo ethical frameworkThe Right to disease, degeneration, dependency…The «Neglect Syndrome» (Prof. Moulias et al., IAGG-ER, 2012)
Whatis the Right to Health in Old Age?
Whatis an Older Person?
WhatisHealth at Old Age?
Right to Health in Old Age = Availability, Accessibility, Acceptability, Affordable, Adaptable, and Quality
”The right to health is an inclusive right, extending not only to timely and appropriate health care, but also to the underlying determinants of health, such as access to safe and potable water and adequate sanitation, healthy occupational and environmental conditions, and access to health-related education and information, including on sexual and reproductive health.” (OHCHR)
A long range of specific evidence-based right to health conditions and situations :
Linked to ageing conditions
Linked to specific situation of older persons
The Solution: paradigm shiftMultidisciplinary expert teamsFrom engineering health to treating itFrom health promotion and prevention to palliative careFrom young age to end of lifeThe «Prejudice Syndrome» going from the Right to disease to the right to healthImportance to have scientific evidence and new modelisation of ageingReversibilty vs degeneration and unavoidable declineDeficit screening cured with personalized nutrition and food supplements before diseaseNEW MODELS AND SCIENCE OF AGEING
Theoretical - methodology
Political - Structural
Evidence vs generalization and prejudice Complexity of ageing and cofounding factors Non biais evidence and interpretation of data Constant reality-check in the face of S&T progress Bridge between NGOs and Policy-makers
Role of the Science of HealthyAgeing
Fundamental to the Right to Health of OP
3 examples of important upcoming events in 2015 :