Abbreviations List of abbreviations ASEAN CAP CELADE CIESS ECA ECE ECLAC ESCAP ESCWA FAO ICESCR ILO MDGs NCDs OECD OHCHR SAGE UNAIDS UNICEF UNDESA UNDP UNFPA UN Habitat UNHCR UN Women WFP WHO Association of Sou<strong>the</strong>ast Asian Nations Consolidated Appeals Process Lat<strong>in</strong> American and Caribbean Demographic Centre Inter-American Centre for Social Security Studies Economic Commission for Africa Economic Commission for Europe Economic Commission for Lat<strong>in</strong> America and <strong>the</strong> Caribbean Economic and Social Commission for Asia and <strong>the</strong> Pacific Economic and Social Commission for Western Asia Food and Agriculture Organization <strong>International</strong> Covenant on Economic, Social and Cultural Rights <strong>International</strong> Labour Organization Millennium Development Goals non-communicable diseases Organisation for Economic Cooperation and Development Office of <strong>the</strong> High Commissioner for Human Rights World Health Organization Study on Global <strong>Age<strong>in</strong>g</strong> and Adult Health Jo<strong>in</strong>t United Nations Programme on HIV/AIDS United Nations Children’s Fund United Nations Department of Economic and Social Affairs United Nations Development Programme United Nations Population Fund United Nations Human Settlements Programme Office of <strong>the</strong> United Nations High Commissioner for Refugees United Nations Entity for Gender Equality and <strong>the</strong> Empowerment of Women World Food Programme World Health Organization 6 <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
Acknowledgements Acknowledgements Overall coord<strong>in</strong>ation and production of report: José Miguel Guzmán and Ann Pawliczko (United Nations Population Fund) and Sylvia Beales, Celia Till, and Ina Voelcker (<strong>HelpAge</strong> <strong>International</strong>). Contribut<strong>in</strong>g organizations: United Nations entities: Department of Economic and Social Affairs (Division for Social Policy and Development, and Population Division) of <strong>the</strong> United Nations (UNDESA), Food and Agriculture Organization (FAO), <strong>International</strong> Labour Organization (ILO), Jo<strong>in</strong>t United Nations Programme on HIV/AIDS (UNAIDS), Office of <strong>the</strong> High Commissioner for Human Rights (OHCHR), Office of <strong>the</strong> United Nations High Commissioner for Refugees (UNHCR), United Nations Children’s Fund (UNICEF), United Nations Development Programme (UNDP), United Nations Entity for Gender Equality and <strong>the</strong> Empowerment of Women (UN Women), United Nations Human Settlements Programme (UN Habitat), United Nations Population Fund (UNFPA), World Food Programme (WFP), World Health Organization (WHO), and <strong>the</strong> five United Nations Regional Commissions – Economic Commission for Africa (ECA), Economic Commission for Europe (ECE), Economic Commission for Lat<strong>in</strong> America and <strong>the</strong> Caribbean (ECLAC), Economic and Social Commission for Asia and <strong>the</strong> Pacific (ESCAP) and Economic and Social Commission for Western Asia (ESCWA). <strong>International</strong> organizations: Global Action on Ag<strong>in</strong>g (GAA), <strong>HelpAge</strong> <strong>International</strong>, <strong>HelpAge</strong> USA, <strong>the</strong> <strong>International</strong> Federation on <strong>Age<strong>in</strong>g</strong> (IFA), <strong>the</strong> <strong>International</strong> Network for <strong>the</strong> Prevention of Elder Abuse (INPEA), and <strong>the</strong> <strong>International</strong> Organization for Migration (IOM). Organizations <strong>in</strong>volved <strong>in</strong> <strong>the</strong> consultations with older persons: <strong>HelpAge</strong> offices <strong>in</strong>: Bangladesh, Belize, Bolivia, Cambodia, Ethiopia, Jamaica, Kenya, Kyrgyzstan, Moldova, Mozambique, Tanzania, Thailand, and Viet Nam; <strong>HelpAge</strong> affiliates: Age Action Ireland, Coalition of Services of <strong>the</strong> Elderly (Philipp<strong>in</strong>es), Fiji Council of Social Services, <strong>HelpAge</strong> Deutschland (Germany), <strong>HelpAge</strong> Ghana, <strong>HelpAge</strong> India, <strong>HelpAge</strong> Kenya, <strong>HelpAge</strong> Sri Lanka, Turbota pro Litnih v Ukra<strong>in</strong>i (Age Concern Ukra<strong>in</strong>e), Uganda Reach <strong>the</strong> Aged Association, and Yayasan Emong Lansia (<strong>HelpAge</strong> Indonesia); o<strong>the</strong>r organizations: Action on Community Development Sofala – ASADEC (Mozambique), Association for Support to Older People Nampula – APAI (Mozambique), Belarusian Red Cross, Care for Vulnerable People Tanzania, Center for Education, Tra<strong>in</strong><strong>in</strong>g and Rural Technology (Paraguay), Center for Health Promotion and Assistance (Peru), CHAWALI (Tanzania), Children <strong>First</strong> (Jamaica), Department of Gerontology at Akdeniz University, Antalya (Turkey), Ethiopian Elders and Pensioners National Association, Fantsuam Foundation (Nigeria), Foundation for Older Persons’ Development (Thailand), Geriatric Centre Nepal, Hope for Children (Jamaica), InterAge Consult<strong>in</strong>g <strong>in</strong> Gerontology (Brazil), Institute for Strategic Studies and Public Policy (Nicaragua), <strong>International</strong> Federation on <strong>Age<strong>in</strong>g</strong>, Korean <strong>International</strong> Cooperation Agency Cambodia, National Council for Senior Citizens (Jamaica), Nepal Participatory Action Network (NEPAN), Osmijeh – Association for Psychosocial Help and Development of Voluntary Work (Bosnia and Herzegov<strong>in</strong>a), Österreichische Plattform für Interdiszipl<strong>in</strong>äre Alternsfragen (Austrian Interdiscipl<strong>in</strong>ary Platform on <strong>Age<strong>in</strong>g</strong>), Proidoso (Mozambique), Resource Integration Centre (Bangladesh), Rift Valley Women’s and Children’s Association (Ethiopia), M<strong>in</strong>istry for Women and Social Affairs (Mozambique), Municipal Secretary of Social Development of Niteroi (Brazil), Red Cross Serbia, SAWATA Dodoma (Tanzania), Social Service of Commerce Fortaleza (SESC) (Brazil), St. Ca<strong>the</strong>r<strong>in</strong>e’s Development Agency (Jamaica), Tanzania Association of Women Leaders <strong>in</strong> Agriculture and Environment, Tesfa Social and Development Association (Ethiopia), University of Sao Paulo – EACH Escola de Artes e Ciencias da Humanidade (School of Arts and Science of Humanities) (Brazil), and Viet Nam Association of <strong>the</strong> Elderly. Contributors: Rose Aderolili (ECA), Nicholas Simcik-Arese (UN Habitat), Azita Berar Awad (ILO), Anusuya Banerjee (UN Habitat), Jane Barratt (<strong>International</strong> Federation on <strong>Age<strong>in</strong>g</strong>), Sylvia Beales (<strong>HelpAge</strong> <strong>International</strong>), John Beard (WHO), Eduard Beck (UNAIDS), Florence Bonnet (ILO), Jorge Bravo (UNDESA Population Division), Bethany Brown (<strong>HelpAge</strong> USA), Patricia Brownell (INPEA), Vivianne Brunne (ECE), Cai Cai (ESCAP), Patricia Esparza (WHO), Mariangels Fortuny (ILO), Sheila Grudem (WFP), Francisco Guerreiro (ILO), José Miguel Guzmán (UNFPA), Krzysztof Hagemejer (ILO), Ralph Hakkert (UNFPA), Michael Herrmann (UNFPA), Sandra Huenchuan (ECLAC), Gabriela Iancu (UNFPA), Sofie Isenberg (FAO), Selim Jahan (UNDP), Dirk Jaspers (ECLAC), Inge Jensen (UN Habitat), Kirsten Jensen (UN Habitat), Steven Kapsos (ILO), Yuko Kitado (ESCAP), Nanda Krairiksh (ESCAP), Frank Laczko (IOM), Laura Machado (InterAge Consult<strong>in</strong>g <strong>in</strong> Gerontology, Brazil), Maliki (State M<strong>in</strong>istry of National Development Plann<strong>in</strong>g, BAPPENAS, Jakarta, Indonesia), Makiko Matsumoto (ILO), Sherbano Maqbool (GAA), Aparna Mehrotra (UN Women), Verena Menec (IFA), Nathalie Meyer (ESCAP), Timothy Miller (ECLAC), Ghazy Mujahid (York Centre for Asian Research, York University, Toronto, Canada), Sheila Novek (IFA), Renata Nowak-Garner (UNDP), Isabel Ortiz (UNICEF), Eleanor Ott (UNHCR), Susanne Paul (GAA), Ann Pawliczko (UNFPA), Hannah Peaker (UN Women), <strong>the</strong> Population and Social Development Section of <strong>the</strong> Social Development Division (ESCWA), Grace Pulliyel (ECA), Hantamalala Rafalimanana (UNDESA Population Division), Kilaparti Ramakrishna (ESCAP), Igor Ribeiro (UNDESA Population Division), Louise Riondel (GAA), Luis Rosero-Bixby (University of Costa Rica), Thokozile Ruzvidzo (ECA), Raquel Zagato Thomazi (InterAge Consult<strong>in</strong>g <strong>in</strong> Gerontology, Brazil), Duygu Basaran Sah<strong>in</strong> (GAA), Jane Scobie (<strong>HelpAge</strong> <strong>International</strong>), Susan Somers (INPEA), Juana Sotomayor (OHCHR), Libor Stloukal (FAO), Donovan Storey (ESCAP), Annie Tam (IFA), Pablo Tapia (ECLAC), Celia Till (<strong>HelpAge</strong> <strong>International</strong>), Rachel Trayner (<strong>HelpAge</strong> <strong>International</strong>), Enrique Vega (PAHO), Robert Venne (UNDESA, Division for Social Policy and Development), Marcela Villarreal (FAO), Claudia V<strong>in</strong>ay (UNDP), Ina Voelcker (<strong>HelpAge</strong> <strong>International</strong>), Shuang Wang (GAA), Ralanda W<strong>in</strong>born (IOM), Natalia W<strong>in</strong>der (UNICEF), Vitalija Gaucaite Wittich (ECE), Hassan Musa Yousif (ECA), Sa<strong>in</strong>an Zhang (UNFPA). 7
- Page 1 and 2: Ageing in the Twenty-First Century:
- Page 3 and 4: Ageing in the Twenty-First Century:
- Page 5: Contents 6 List of abbreviations 7
- Page 9 and 10: Preface This is a special year for
- Page 11 and 12: HelpAge International Foreword Fore
- Page 13 and 14: In 1950, there were 205 million per
- Page 15 and 16: The way forward In many parts of th
- Page 17 and 18: Chapter 1 of the report provides an
- Page 19 and 20: Chapter 1: Setting the scene In 195
- Page 21 and 22: Discussions with older people in So
- Page 23 and 24: There are also marked sub-regional
- Page 25 and 26: The difference between current life
- Page 27 and 28: The implications of increasing life
- Page 29 and 30: The challenges of population ageing
- Page 31 and 32: The response: The Madrid Internatio
- Page 33 and 34: When the law was passed we started
- Page 35 and 36: Chapter 2: A fresh look at evidence
- Page 37 and 38: I take care of eight grandchildren
- Page 39 and 40: Older people in the Philippines mar
- Page 41 and 42: Income security in old age The chal
- Page 43 and 44: A major challenge in interpreting p
- Page 45 and 46: social (non-contributory) pensions
- Page 47 and 48: The global financial and economic c
- Page 49 and 50: Table 2: Selection of social pensio
- Page 51 and 52: South Africa’s Old Age Pension co
- Page 53 and 54: I’m lucky to have a large pension
- Page 55 and 56: Antonio Olmos/HelpAge International
- Page 57 and 58:
Computer training in Ireland. Rapid
- Page 59 and 60:
Transforming lives through literacy
- Page 61 and 62:
The rise of non-communicable diseas
- Page 63 and 64:
Dementia - a global concern Dementi
- Page 65 and 66:
Risk factors for chronic diseases T
- Page 67 and 68:
Many of the determinants of poor he
- Page 69 and 70:
Hospital care in Haiti. Older peopl
- Page 71 and 72:
Living longer with HIV Among infect
- Page 73 and 74:
Training of care providers and heal
- Page 75 and 76:
Age-friendly environments “Whatev
- Page 77 and 78:
Fixed-rate bus fares for people age
- Page 79 and 80:
In the UK, 45 per cent of 55-75 yea
- Page 81 and 82:
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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In Kyrgyzstan, older people raised
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Some also refer to the shifting rel
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“Older people were also invited t
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“Older women can do many things.
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“Pension fund officers treat olde
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“In the past there was only one h
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“People with mental disorders are
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In various aspects of daily life, o
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Another barrier to tackling abuse -
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Based on these recommendations, a f
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Chapter 5: The way forward “Older
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concern in developed countries, whi
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Capacity development for an ageing
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Specific actions according to the P
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Percentage of total population aged
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Percentage of total population aged
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Percentage of total population aged
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Percentage of total population aged
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Percentage of total population aged
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Percentage of total population aged
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7. Unemployment rate of older perso
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17. Number and proportion of public
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In most countries, it proved feasib
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30. OECD, Pensions at a Glance 2009
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156. UNAIDS, Together We Will End A
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286. US States Government Accountab
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UNFPA, the United Nations Populatio