Endnotes 20. ECLAC Member States: Antigua and Barbuda, Argent<strong>in</strong>a, Bahamas, Barbados, Belize, Bolivia (Plur<strong>in</strong>ational State of), Brazil, Canada, Chile, Colombia, Costa Rica, Cuba, Dom<strong>in</strong>ica, Dom<strong>in</strong>ican Republic, Ecuador, El Salvador, France, Germany, Grenada, Guatemala, Guyana, Haiti, Honduras, Italy, Jamaica, Japan, Mexico, Ne<strong>the</strong>rlands, Nicaragua, Panama, Paraguay, Peru, Portugal, Republic of Korea, Sa<strong>in</strong>t Kitts and Nevis, Sa<strong>in</strong>t Lucia, Sa<strong>in</strong>t V<strong>in</strong>cent and <strong>the</strong> Grenad<strong>in</strong>es, Spa<strong>in</strong>, Sur<strong>in</strong>ame, Tr<strong>in</strong>idad and Tobago, United K<strong>in</strong>gdom of Great Brita<strong>in</strong> and Nor<strong>the</strong>rn Ireland, United States of America, Uruguay, Venezuela (Bolivarian Republic of). Anguilla, Aruba, British Virg<strong>in</strong> Islands, Cayman Islands, Montserrat, Puerto Rico, Turks and Caicos Islands, and United States Virg<strong>in</strong> Islands are Associate members. 21. UNDESA, Population Division (2012). Prepared by <strong>the</strong> Population and Development Section on <strong>the</strong> basis of data from UNDESA, World Population Prospects: The 2010 Revision (New York, 2011) and UNDESA, World Population <strong>Age<strong>in</strong>g</strong> and Development 2012, Wall Chart (2012; forthcom<strong>in</strong>g). Available from www.unpopulation.org Data <strong>in</strong> this list are from this source unless <strong>in</strong>dicated o<strong>the</strong>rwise. 22. ESCAP Member States: Afghanistan, Armenia, Australia, Azerbaijan, Bangladesh Bhutan, Brunei Darussalam, Cambodia, Ch<strong>in</strong>a, Fiji, France, Georgia, India, Indonesia, Iran (Islamic Republic of), Japan, Kazakhstan, Kiribati, Korea (Democratic People’s Republic of), Korea (<strong>the</strong> Republic of), Kyrgyzstan, Lao People’s Democratic Republic (<strong>the</strong>), Malaysia, Maldives, Marshall Islands (<strong>the</strong>), Micronesia (Federated States of), Mongolia, Myanmar, Nauru, Nepal, Ne<strong>the</strong>rlands (<strong>the</strong>), New Zealand, Pakistan, Palau, Papua New Gu<strong>in</strong>ea, Philipp<strong>in</strong>es (<strong>the</strong>), Russian Federation (<strong>the</strong>), Samoa, S<strong>in</strong>gapore, Solomon Islands, Sri Lanka, Tajikistan, Thailand, Timor-Leste, Tonga, Turkey, Turkmenistan, United K<strong>in</strong>gdom of Great Brita<strong>in</strong> and Nor<strong>the</strong>rn, United States of America (<strong>the</strong>), Uzbekistan, Vanuatu, Viet Nam. American Samoa, <strong>the</strong> Cook Islands, French Polynesia, Guam, Hong Kong (Ch<strong>in</strong>a), Macao (Ch<strong>in</strong>a) New Caledonia, Niue, and <strong>the</strong> Nor<strong>the</strong>rn Mariana Islands are Associate members. 23. UNDESA, Population Division (2012). Prepared by <strong>the</strong> Population and Development Section, on <strong>the</strong> basis of data from United Nations (2011) and United Nations (2012; forthcom<strong>in</strong>g) World Population <strong>Age<strong>in</strong>g</strong> and Development 2012, Wall Chart. Available from www.unpopulation.org 24. ESCWA Member States: Bahra<strong>in</strong>, Egypt, Iraq, Jordan, Kuwait, Lebanon, Oman, Occupied Palest<strong>in</strong>ian Territory, Qatar, Saudi Arabia, Sudan, Syria, United Arab Emirates, Yemen. 25. UNDESA, Population Division (2012). Prepared by <strong>the</strong> Population and Development Section, on <strong>the</strong> basis of data from United Nations (2011) and United Nations (2012; forthcom<strong>in</strong>g) World Population <strong>Age<strong>in</strong>g</strong> and Development 2012, Wall Chart. Available from www.unpopulation.org Chapter 4 1. <strong>HelpAge</strong> <strong>International</strong>, State of <strong>the</strong> World’s Older People 2002 (London, 2002). 2. United Nations, Political Declaration and Madrid <strong>International</strong> Plan of Action on <strong>Age<strong>in</strong>g</strong> (New York, 2003), p. v, Foreword. 3. Ibid. 4. United Nations, Guidel<strong>in</strong>es for <strong>the</strong> Review and Appraisal of <strong>the</strong> Madrid <strong>International</strong> Plan of Action on <strong>Age<strong>in</strong>g</strong>, Bottom-up Participatory Approach (New York, 2006), p. 14, para. 4. 5. It is only possible <strong>in</strong> <strong>the</strong> space of this chapter to give <strong>the</strong> summary f<strong>in</strong>d<strong>in</strong>gs of <strong>the</strong>se consultations. 6. The 36 countries selected can be divided <strong>in</strong>to two broad groups: develop<strong>in</strong>g and developed countries. The develop<strong>in</strong>g countries can be fur<strong>the</strong>r divided <strong>in</strong>to three regional groups: Africa (Ethiopia, Ghana, Kenya, Mozambique, Nigeria, Tanzania, Uganda); Asia and <strong>the</strong> Pacific (Bangladesh, Cambodia, Fiji, India, Indonesia, Kyrgyzstan, Nepal, Philipp<strong>in</strong>es, Sri Lanka, Thailand, Viet Nam, Turkey); and Lat<strong>in</strong> America and <strong>the</strong> Caribbean (Belize, Bolivia, Brazil, Chile, Jamaica, Nicaragua, Paraguay, Peru). Developed countries can be divided <strong>in</strong>to two groups: Eastern and Sou<strong>the</strong>rn Europe (Belarus, Bosnia and Herzegov<strong>in</strong>a, Moldova, Serbia, Ukra<strong>in</strong>e) and o<strong>the</strong>r developed countries (Austria, Canada, Germany, Ireland). 7. United Nations, Guidel<strong>in</strong>es for <strong>the</strong> Review and Appraisal of <strong>the</strong> Madrid <strong>International</strong> Plan of Action on <strong>Age<strong>in</strong>g</strong>, Bottom-up Participatory Approach (New York, 2006), p. 143, para. 52. 8. This is a reference to credit available from <strong>the</strong> Grameen Bank – <strong>the</strong> micro-credit facility founded by <strong>the</strong> Nobel Peace Prize w<strong>in</strong>ner, Mohammed Younis Khan. The Bank found that women were far more <strong>in</strong> need of commercial credit than men, and also more trustworthy and reliable <strong>in</strong> us<strong>in</strong>g <strong>the</strong> credit efficiently and repay<strong>in</strong>g on time. 9. Those entitled to receive cash transfers under Ghana’s Livelihood Empowerment Aga<strong>in</strong>st Poverty programme are s<strong>in</strong>gle parents with an orphan or vulnerable child, disabled people, and poor older persons. 10. There is no evidence on this topic from <strong>the</strong> African countries. Chapter 5 1. In <strong>the</strong>ir article on “Global <strong>in</strong>equality: beyond <strong>the</strong> bottom billion: a rapid review of <strong>in</strong>come distribution <strong>in</strong> 141 countries” Ortiz and Cumm<strong>in</strong>gs (2011) found that us<strong>in</strong>g market exchange rates, <strong>the</strong> richest population qu<strong>in</strong>tile gets 83 per cent of global <strong>in</strong>come with just a s<strong>in</strong>gle percentage po<strong>in</strong>t for those <strong>in</strong> <strong>the</strong> poorest qu<strong>in</strong>tile, middle-<strong>in</strong>come countries appear<strong>in</strong>g as <strong>the</strong> most unequal. They estimate that it would take more than 800 years for <strong>the</strong> bottom billion to achieve ten per cent of global <strong>in</strong>come under <strong>the</strong> current rate of change. They conclude that “not only does <strong>in</strong>equality slow economic growth, but it results <strong>in</strong> health and social problems and generates political <strong>in</strong>stability…. In <strong>the</strong> context of <strong>the</strong> global economic crisis … <strong>the</strong> urgency for equitable policies has never been greater.” Isabel Ortiz and Mat<strong>the</strong>w Cumm<strong>in</strong>s, “Global <strong>in</strong>equality: beyond <strong>the</strong> bottom billion: a rapid review of <strong>in</strong>come distribution <strong>in</strong> 141 countries”, Social and Economic Policy Work<strong>in</strong>g Paper (UNICEF, New York, April 2011). 190 <strong>Age<strong>in</strong>g</strong> <strong>in</strong> <strong>the</strong> <strong>Twenty</strong>-<strong>First</strong> <strong>Century</strong>: A Celebration and A Challenge
UNFPA, <strong>the</strong> United Nations Population Fund, is an <strong>in</strong>ternational development agency that delivers a world where every pregnancy is wanted, every childbirth safe and every young person’s potential is fulfilled. <strong>HelpAge</strong> <strong>International</strong> helps older people claim <strong>the</strong>ir rights, challenge discrim<strong>in</strong>ation and overcome poverty, so that <strong>the</strong>y can lead dignified, secure, active and healthy lives. Our work is streng<strong>the</strong>ned through our global network of like-m<strong>in</strong>ded organizations – <strong>the</strong> only one of its k<strong>in</strong>d <strong>in</strong> <strong>the</strong> world. Cover photo: Nile Sprague/<strong>HelpAge</strong> <strong>International</strong> Design: TRUE www.truedesign.co.uk Pr<strong>in</strong>ted <strong>in</strong> <strong>the</strong> UK by Purepr<strong>in</strong>t Group us<strong>in</strong>g <strong>the</strong>ir purepr<strong>in</strong>t® environmental pr<strong>in</strong>t technology on Revive 100 White Silk, made from 100% recycled fibre and fully FSC® certified. Purepr<strong>in</strong>t Group is a carbon neutral company registered to EMAS, <strong>the</strong> Eco Management Audit Scheme and certified to ISO 14001 Environmental Management System.
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Ageing in the Twenty-First Century:
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Ageing in the Twenty-First Century:
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Contents 6 List of abbreviations 7
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Acknowledgements Acknowledgements O
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Preface This is a special year for
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HelpAge International Foreword Fore
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In 1950, there were 205 million per
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The way forward In many parts of th
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Chapter 1 of the report provides an
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Chapter 1: Setting the scene In 195
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Discussions with older people in So
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There are also marked sub-regional
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The difference between current life
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The implications of increasing life
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The challenges of population ageing
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The response: The Madrid Internatio
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When the law was passed we started
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Chapter 2: A fresh look at evidence
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I take care of eight grandchildren
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Older people in the Philippines mar
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Income security in old age The chal
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A major challenge in interpreting p
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social (non-contributory) pensions
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The global financial and economic c
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Table 2: Selection of social pensio
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South Africa’s Old Age Pension co
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I’m lucky to have a large pension
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Antonio Olmos/HelpAge International
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Computer training in Ireland. Rapid
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Transforming lives through literacy
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The rise of non-communicable diseas
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Dementia - a global concern Dementi
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Risk factors for chronic diseases T
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Many of the determinants of poor he
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Hospital care in Haiti. Older peopl
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Living longer with HIV Among infect
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Training of care providers and heal
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Age-friendly environments “Whatev
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Fixed-rate bus fares for people age
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In the UK, 45 per cent of 55-75 yea
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Workers in rural informal labour fo
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Urban life also has negative aspect
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Ageing and environmental change Cli
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A refugee in Dadaab, Kenya. A surve
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Global response In the past 10 year
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In Myanmar, volunteers from older p
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I give my mother my love “My moth
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Exposing elder abuse and discrimina
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Government response Few countries h
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Teresa Minja of the Tanzania Social
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On a different yet equally importan
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News, television, film and advertis
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Chapter 3: A review of progress The
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At least 17 countries have approved
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Table 2: Examples of surveys and re
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In a few countries, including the D
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South Africa’s National Archives
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Residents and staff of a care home
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Regional preparations for the secon
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Regional Strategy for Implementatio
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Since 2011, Peru’s National Solid
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A great-grandmother in Viet Nam, wh
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In preparation for an analysis of p
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More specific recommendations are:
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service policies across sectors and
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In some countries, programmes to su
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Chapter 4: The voices of older pers
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Older persons’ responses to the M
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Health in older age Overall, partic
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