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SHAPING THE FUTURE HOW CHANGING DEMOGRAPHICS CAN POWER HUMAN DEVELOPMENT

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Countries with<br />

the lowest shares<br />

of young people<br />

are likely to have<br />

larger proportions of<br />

older people by 2050<br />

FIGURE 4.6:<br />

Some countries still have a high number<br />

of working-age people to support elderly<br />

dependents<br />

Source: Based on UN DESA 2015a.<br />

FIGURE 4.7:<br />

Older countries have fewer working-age people<br />

per elderly dependent<br />

Nam. Ratios for 12 countries and territories<br />

will shrink to 3 or fewer persons. Traditionally,<br />

families have been a major source of income<br />

security and health care for older people, but<br />

this role is becoming less reliable as more women<br />

participate in labour markets, birth rates fall,<br />

children move away from the homes of their<br />

parents, people migrate from rural to urban<br />

areas and cultural norms evolve. These forces<br />

will increasingly leave older persons bereft of<br />

the assistance they received in the past. Falling<br />

support ratios do not take into account all of<br />

these dynamics, and in reality, it is likely that<br />

a significantly smaller number of working-age<br />

people may be around to actually help and<br />

care for older persons. A further challenge is<br />

the estimated global shortage of 13.6 million<br />

care workers. 7<br />

OLDER SOCIETIES FACE<br />

CHALLENGES—AND <strong>CAN</strong><br />

BUILD ON STRENGTHS<br />

Rapid ageing in Asia-Pacific poses particular<br />

issues in terms of human development, including<br />

those related to health, housing, poverty and<br />

gender. All older people have rights that must<br />

be protected, and diverse needs and hopes that<br />

should be respected. Many countries have begun<br />

to tackle different dimensions of ageing, but<br />

there is often scope for more comprehensive<br />

understanding and action, including through<br />

public policy that recognizes ageing touches<br />

every area of life.<br />

OLD AND IMPOVERISHED<br />

124<br />

Source: Based on UN DESA 2015a.<br />

Meeting essential needs for the well-being of<br />

older people is among the greatest challenges<br />

of ageing, given the continuously decreasing<br />

numbers of working-age people and growing<br />

pressures on public funds. Poverty rates are<br />

higher in many countries among older people, 8 a<br />

strong justification for pension schemes, which<br />

first emerged in highly developed countries, but<br />

have since spread across the globe. 9<br />

Vulnerability to poverty rises in later life<br />

as earnings and employment opportunities

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