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Ageing and vulnerability in ASEAN countries

Ageing and vulnerability in ASEAN countries. Eduardo Klien 5 th ASEAN GO-NGO Forum, 22 November 2010, Brunei Darussalam. Demographic Shift. Condensed in time Irreversible in nature Comprehensive in scope. ASEAN population. 80. 60. 14.

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Ageing and vulnerability in ASEAN countries

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  1. Ageing and vulnerability in ASEAN countries Eduardo Klien 5th ASEAN GO-NGO Forum, 22 November 2010, Brunei Darussalam

  2. Demographic Shift • Condensed in time • Irreversible in nature • Comprehensive in scope

  3. ASEAN population 80 60 14 Source: World Population Prospects: The 2008 Revision Population Database, United Nations Population Division http://esa.un.org/unpp/index.asp?panel=2) Compiled by HelpAge

  4. ASEAN population Source: World Population Prospects: The 2008 Revision Population Database, United Nations Population Division http://esa.un.org/unpp/index.asp?panel=2)

  5. Growth of the old and older old Source: World Population Prospects: The 2008 Revision Population Database, United Nations Population Division http://esa.un.org/unpp/index.asp?panel=2) Compiled by HelpAge

  6. Population ageing in ASEAN countries (%) http://esa.un.org/unpp/p2k0data.asp

  7. Reduction of proportion and absolute number of children • Increase of people over 60 years • Increase of older olds • Feminisation of old age

  8. Challenges on social and economic policy • How to ensure income security • How to provide adequate Health services • How to enhance Community care and inclusion

  9. Dependency ratios (Total, Child, Old-age) Compiled by HelpAge

  10. Dependency ratio in ASEAN Source: World Population Prospects: The 2008 Revision Population Database, United Nations Population Division http://esa.un.org/unpp/index.asp?panel=2) Compiled by HelpAge

  11. Income security More consumption than income

  12. Income security • 21% of older people have formal pensions • Expansion of contributory pensions: limited option • Role of non-contributory pensions

  13. Life expectancy after 60 and years of ill health

  14. Health Ageing and Non communicable diseases • 75% of the deaths in the region are attributable to NCDs compared to 14% of deaths from communicable diseases • NCDs represent 92% of the burden of disease (DALYs) in high income countries and 63% in middle and low income countries.

  15. Main NCDs of older people Source: WHO, 2006

  16. Health • Rethink health systems to cover NCDs • Self-care approaches • Access to health services for older people (2 approaches to achieve universality) • Bismark: social insurance • Beveridge: tax funded free health care

  17. Care giving - Continuum of Care Nursing Home Cost of Care Home for the Aged Short Stay Day Care Paid Home Care Home Care Volunteer& family Difficulties of ADL & IADL of OP Institutional care Community based care Source: HelpAge Korea

  18. Community care and inclusion • Older people in work (family care) • Family and community care for older people • Inclusion and mainstreaming ageing • OPA development

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