Healthy ageing â adding life to years in Europe
Healthy ageing â adding life to years in Europe
Healthy ageing â adding life to years in Europe
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5 th Oc<strong>to</strong>ber 2012<br />
Turkısh NatNet Meetıng<br />
Yalova, Turkey.<br />
<strong>Healthy</strong> <strong>age<strong>in</strong>g</strong> – <strong>add<strong>in</strong>g</strong> <strong>life</strong> <strong>to</strong><br />
<strong>years</strong> <strong>in</strong> <strong>Europe</strong><br />
Geoff Green<br />
Emeritus Professor, Sheffield Hallam<br />
University and special WHO adviser on<br />
<strong>Healthy</strong> Age<strong>in</strong>g
Age<strong>in</strong>g: “One of Humanity’s Greatest<br />
Triumphs”<br />
& a resource <strong>to</strong> society: wisdom, service and care
Age: Contribut<strong>in</strong>g, How Precisely<br />
Wisdom. Sternberg & Grigorenko (2005)<br />
Intelligence & Wisdom. Cambridge<br />
Handbook of Age & A’<strong>in</strong>g<br />
Work: OECD ‘Live Longer; Work Longer<br />
(2006) or ‘till you drop. Zamaro (2008),<br />
IJPH.<br />
Care: Dede Torun<br />
Cicekanne<br />
Glue : Social Capital<br />
Neighbourhood
Population Pyramids <strong>to</strong> ‘Mushrooms’<br />
Increase Turkish OP Dependency Ratio
Challenge: Demystify<strong>in</strong>g the myths of<br />
<strong>age<strong>in</strong>g</strong>.<br />
Defus<strong>in</strong>g the Time Bomb
Four strategic areas for action<br />
1 3<br />
<strong>Healthy</strong><br />
<strong>age<strong>in</strong>g</strong> over<br />
the <strong>life</strong>-course<br />
Supportive<br />
environments<br />
2 4<br />
Strengthen<br />
health<br />
systems for<br />
<strong>age<strong>in</strong>g</strong><br />
populations<br />
Address gaps<br />
<strong>in</strong> evidence<br />
and research<br />
Strategy and Action Plan for <strong>Healthy</strong> <strong>age<strong>in</strong>g</strong> <strong>in</strong> <strong>Europe</strong>, 2012-2016
Mapp<strong>in</strong>g actions and strategic areas<br />
<strong>Healthy</strong><br />
<strong>age<strong>in</strong>g</strong><br />
Falls<br />
prevention<br />
Supportive<br />
communities<br />
Social isolation<br />
Health<br />
systems<br />
Vacc<strong>in</strong>ation and<br />
control of<br />
<strong>in</strong>fections<br />
Physical activity<br />
Quality of care<br />
strategies<br />
Basic home care treatment<br />
Prevention of elder maltreatment<br />
Evidence and research
1. Active <strong>age<strong>in</strong>g</strong> makes the difference:<br />
a <strong>life</strong>-course perspective<br />
Source: Active <strong>age<strong>in</strong>g</strong>. A policy framework. Geneva, World Health Organization, 2002.
2. Health Care Systems focus below<br />
the disability threshold<br />
• Health and social care<br />
systems tend <strong>to</strong> be focused<br />
(c97%) on those below the<br />
disability threshold at this<br />
stage of their <strong>life</strong> course.<br />
•<br />
• ←
3. Social determ<strong>in</strong>ants of healthy Age<strong>in</strong>g<br />
Geoff Green. Intersec<strong>to</strong>ral plann<strong>in</strong>g for city health development.<br />
Journal of Urban Health. 2012
3. City commitment <strong>to</strong> supportive<br />
local level environments
Age-Friendly Cities: the WHO global<br />
<strong>in</strong>itiative<br />
• Inspirational; spread<strong>in</strong>g like<br />
wildfire <strong>to</strong> cities across<br />
globe<br />
• Comprehensive: 8 doma<strong>in</strong>s<br />
• Optimises ‘active <strong>age<strong>in</strong>g</strong>’ –<br />
l<strong>in</strong>k <strong>to</strong> WHO 2002.<br />
• Harmonise with <strong>Healthy</strong><br />
Age<strong>in</strong>g Sub-Network of<br />
<strong>Healthy</strong> Cities<br />
Global age-friendly cities: a guide (WHO, Geneva, 2007)
Pathways from urban plann<strong>in</strong>g <strong>to</strong> reduc<strong>in</strong>g<br />
the risk of heart disease
Neighbourly contact v street traffic<br />
flows<br />
‘Cross lights are made for Olympic runners’ Older<br />
person, Halifax.<br />
Walkable Streets <strong>in</strong>crease social contact and improve mental health<br />
cities: A Guide. WHO Geneva
4. Conundrums (gaps <strong>in</strong> research evidence)<br />
• Turkey: <strong>in</strong>crease<br />
<strong>in</strong> <strong>life</strong><br />
expectancy<br />
• But free of<br />
disability Is a<br />
‘compression of<br />
morbidity’<br />
possible<br />
• ‘Upstream’ <strong>in</strong>vestment<br />
leads <strong>to</strong> ‘downstream’<br />
improvements <strong>in</strong><br />
health (slide 13).<br />
• But how strong is the<br />
evidence and what is<br />
the payback period
Priority <strong>in</strong>terventions:<br />
WHO Regional Office commitments<br />
• Achievable progress with<strong>in</strong> a limited time span<br />
• Relevant for countries at different <strong>in</strong>come levels and stages of<br />
demographic transition<br />
• Mobilization of exist<strong>in</strong>g WHO <strong>to</strong>ols and expertise<br />
• L<strong>in</strong>ks <strong>to</strong> <strong>in</strong>ternational and regional policy frameworks and<br />
mandates<br />
• Effectiveness and contribution <strong>to</strong> susta<strong>in</strong>ability of health and<br />
social care systems<br />
• Complementary with actions of partners with<strong>in</strong> <strong>Europe</strong> (e.g.<br />
<strong>Europe</strong>an Commission, Organisation for Economic Co-operation<br />
and Development (OECD)
Get Organised: The 4 prequisites of a<br />
<strong>Healthy</strong> city (Agıs Tsouros)
Work of the <strong>Healthy</strong> Age<strong>in</strong>g Sub-Network<br />
City of Kadikoy: Critical Success Fac<strong>to</strong>rs<br />
Evaluation<br />
Political Commitment<br />
10<br />
9<br />
8<br />
7<br />
6<br />
5<br />
4<br />
3<br />
2<br />
1<br />
0<br />
Profile<br />
Resources<br />
Strategy<br />
Action Programmes <strong>in</strong> place
Work of the <strong>Healthy</strong> Age<strong>in</strong>g Sub-Network
"We were never<br />
separated. We have<br />
always supported<br />
each other. We have<br />
solved any and every<br />
problem <strong>in</strong><br />
solidarity. The most<br />
important of all is that<br />
although we are 80 we<br />
still are able <strong>to</strong> f<strong>in</strong>d<br />
reasons <strong>to</strong> keep us<br />
smil<strong>in</strong>g.“<br />
Mrs Hacer Sarı,<br />
Mrs Emriye,<br />
Mrd Hayriye Sari<br />
Thank you!
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