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Some of you may already be suffering from information overload or boredom about ageing
Ageing – A global Perspective and Current and Emerging Issues Facing Older Canadians
Ageing – A Global Perspective & Current and Emerging Issues
Facing Older Canadians
“We are on the precipice”
Greg Shaw Director International and Corporate Relations International Federation on Ageing 5th May 2014 gshaw@ifa-fiv.org
http://www.arup.com/
Urbanization
Population Ageing
Urbanisation
Globalization
Drivers of Ageing
2010
COUNTRY
POPULATION
(Millions)
2050
COUNTRY
POPULATION
(Millions)
China 1,338 India 1,748 India 1,189 China 1,437 United States 310 United States 423 Indonesia 235 Pakistan 335 Brazil 193 Nigeria 326 Pakistan 185 Indonesia 309 Bangladesh 164 Bangladesh 222 Nigeria 158 Brazil 215 Russia 142 Ethiopia 174 Japan 127 Congo, Dem. Rep. 166
Most Populated Countries 2010 - 2050
Where will residents come from in the future?
Drivers of Ageing
Fertility Rates
Drivers of Ageing
Elderly Support Ratio 2010 2050
Life
Expectancy Both Sexes
Percentage
Urban
WORLD 9 4 69 50 MORE DEVELOPED 4 2 77 75 LESS DEVELOPED 11 4 67 44 LESS DEVELOPED (Excl China)
13 5 65 44
LEAST DEVELOPED 17 9 56 27
NTH AMERICA 5 3 78 79 Canada 5 2 81 80
STH AMERICA 9 3 73 82 ASIA (Excl China) 11 4 68 41 China 9 3 74 47
EASTERN AFRICA 17 12 53 22 Zambia 17 16 42 37
MIDDLE AFRICA 18 13 48 41
28 Countries currently have life expectancy of 80+ for both sexes 25 Countries have a life expectancy of less than 55 for both sexes.
Elderly Support Ratio - The number of working-age people ages 15-64 divided by the number of persons 65 or older, indicating levels of potential societal support available for the elderly.
0
5
10
15
20
25
30
35
40
1990 2000 2010 2010 2030 2040 2050
Prop
ortio
n 65
and
ove
r JapanSpainUSAChinaIndiaBrazilAustraliaThailand
Source: World Population Prospects: 2008 Revision
Real ageing is just beginning
0
2
4
6
8
10
12
14
16
18
1990 2000 2010 2020 2030 2040 2050
Prop
ortio
n 80
+
JapanSpainUSAChinaIndiaBrazilAustralia
Source: World Population Prospects: 2008 Revision
Real ageing is just beginning
10 91
Lesotho, Africa
Sweden
Face and Form of Family
To improve policy responses to age-related issues
through
Analysis of country trends applicable to the Canadian context
THE CANADIAN CONTEXT
CURRENT & EMERGING ISSUES FOR OLDER CANADIANS
What do you consider to be the
5 current and emerging issues in your country?
Gathering intelligence Mixed methods - Interviews and surveys Tiered approach Across sectors and disciplines Validating responses Making sense of information Synthesis of subject matter Validation of priorities
Current and Emerging Issues
1 Ageing in Place Home and Community Care, Staying at Home, Age Friendly Cities/Communities, Home Care Services, Ageing at Home Technology and Housing
2 Support to Caregivers Informal Carers, Family Carers, Financial and Psychological Support
3 Ageing Workforce Pensions, Retirement, Workforce Participation, Older People’s Incomes
4 Healthcare Sustainability 5 Ageism and Discrimination Rights and Responsibilities 6 Keeping Older People
Connected and Active Falls Prevention, Mobility, Health Promotion, Active Ageing, Volunteering, Life Long Learning, Technology, Intergenerational Programs, Preventing Social Isolation
7 Preventing Elder Abuse
March 2012 – Worldwide Survey
CURRENT AGEING ISSUES
EMERGING ISSUES
PRIORITIES Elder Abuse
Ageism and Discrimination
Ageing Workforce
Being Active and Connected
Healthcare Sustainability
Caregiving
Ageing in Place
WHOSE PRIORITIES AND WHY?
Synthesis Outcome
Care Active Ageing
Ageing in Place
Caregiving
Hlthcare Sust. Connected
Contribution vs
Dependency
Issues
SYNTHESIS THROUGH WHAT LENS IS POLICY DEVELOPED
A NEW APPROACH
LINEAR LIFE PLAN
Age
Education Work Leisure
0 10 20 30 40 50 60 70 80 85
“Longevity Bonus”
CYCLIC LIFE PLAN
Education Work Leisure
“Longevity Bonus”
“Longevity Bonus”
“Longevity Bonus”
“Longevity Bonus”
Age 0 10 20 30 40 50 60 70 80 85
Leisure
Flexible Work
Conditions
• Family care duties
• Health issues
2nd and 3rd Careers
• Choice / or not to work
• No retraining opportunities
Retirement • Volunteerism • Stigmatism
RELATIONSHIP TO ACTIVE AGEING
Non-communicable Diseases, WHO
NON-COMMUNICABLE DISEASES 4 diseases, 4 modifiable shared risk factors
111
Age
Deve
lopm
ent o
f NCD
Fetal Life
Adult Life Adolescence
Infancy and Childhood
SEP diseases growth rate
obesity lack of PA smoking
SES, established adult behavioural/biological risk factors
SEP; birth weight, maternal nutrition status
Source:Aboderin et al., 2002
Accumulated Risk
(Range)
high Fetal Life
SCOPE FOR PREVENTION
low
FACTORS IMPACTING CHANGE
National Index of
Wellbeing
Coordinating Implementation
Laws
Voice of Older
People Office
Champions Minister
Prevailing Orthodoxies
Impatience
Culture
Fear of
Change
Ageism
Above the water-line ‘hard factors’
Below the water-line ‘soft factors’
Stereo- typing
Values
Inter- Generational
Conflict
Whole System Change
Specific Research
Gap
Knowledge mobilisation
Gap
Policy and Practice
Gap
Resource and Action Gap
NGOs
Business
Academia
Government
RESPONDING TO THE GAPS
IFA - Niche(s)
(1) Action in Global Advocacy
(2) Knowledge Platforms (3) Global Think Tank
(4) International Centre of Excellence on Ageing
• Build Coalitions across sectors • Be a Advocacy Resource Repository: centralized hub of knowledge
exchange, best practices, and tools on advocacy • Be a Monitoring Body: liaison between organizations and
governments, “the go-to” for the dissemination of policy updates • Develop a platform that will be a “go-to” for advocacy tools and
practices www.actionglobaladvocacy.org
Ageing and Vaccinations
Ageing and Vision Loss
Ageing and Diabetes
Ageing and Animal Health
AGA Projects
WHY
•Responds to policy and practice gap – and much needed
•Main targets are govt, UN and agencies
•Partnerships across sectors
WHO •Main targets are Govt, UN
and agencies •Partnerships across sectors
HOW and
WHEN
•Based on tested, successful WEF Model
• Lead time 18mths – 24mths • Independent funding /
sponsorship • IFA product, partnered with
WHO potentially
WHAT
•Unique as it connects at a high level, responds to global agenda, feeds into regional and global dialogue
•Product output – position papers
IFA Global Think Tank
WHY • Responds to several gaps • Speaks to the IFA mission
WHO • National, regional and
international reach • Potential partners in regions • Connected to members states, UN
through the three broad themes
HOW • Canadian NFP in Istanbul with IFA
being the voting member • Separate BOD and management
with accountability to member • Funds raised through various
patron, friends of, government associated membership
WHAT • Focusses on knowledge
exploitation, transfer and exchange
• Three broad sub themes but work streams such as technology aligned with MIPAA
International Centre of Excellence on Ageing
Action in Global Advocacy
Conferences (Knowledge Platforms)
Global Think Tank on Ageing
International Centre of Excellence on Ageing
IFA Connecting Experts and Expertise
Is it possible to [provide] ‘care’
without ‘caring’?
• Preventing premature death linked to social and familial change
• Speed of ageing impacts on the ability of systems
• Urbanisation impacts access to service and social infrastructure
• What is the social and economic dividend?
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