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This program aims to address the needs of ageing populations by promoting good health and social benefits, creating age-friendly environments, and supporting chronic care and rehabilitation. Through a capabilities approach, it seeks to maximize the opportunities and freedoms for individuals to achieve multiple aspects of their lives that they value. With a focus on resilience, personal factors, and environmental factors, the program aims to ensure that older adults have the capability to lead fulfilling lives.
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Ageing and Health Program of Work – Why? Proportion of Population Over Age 60, 2012
Ageing and Health Program of Work – Why? Proportion of Population Over Age 60, 2050
Why Act on Ageing? Economics Human Rights Social Cohesion - the formation of societies that are cohesive, peaceful, equitable and secure requires that we attend to the needs of all.
Why is Policy Difficult? Diversity Disparity • Within and between countries Economic and political agendas Ageism
A Capabilities Approach to Ageing Capabilities - opportunities or freedoms to achieve multiple aspects of lives that people have reason to value ("functionings") – AmartyaSen
A Capabilities Approach to Ageing • Wellbeing • Having a role • Attachment • Enjoyment • Control • Security
A Capabilities Approach to Ageing Resilience • Capabilities • Good health • Financial security • Education • Social relations • Attitudes • Wellbeing • Having a role • Attachment • Enjoyment • Control • Security
A Capabilities Approach to Ageing Environmental factors Resilience • Capabilities • Good health • Financial security • Education • Social relations • Attitudes • Wellbeing • Having a role • Attachment • Enjoyment • Control • Security Personal factors
A Capabilities Approach to Ageing Environmental factors Resilience • Capabilities • Good health • Financial security • Education • Social relations • Attitudes • Wellbeing • Having a role • Attachment • Enjoyment • Control • Security Personal factors
The Capability of Good Health Resilience • Health Capabilities • Physical function • Cognitive function • Emotional function Wellbeing
The Capability of Good Health Resilience Personal factors Health behaviours Disease +/- Health literacy Agency Genetic Inheritance • Health Capabilities • Physical function • Cognitive function • Emotional function Wellbeing
The Capability of Good Health Environmental Stressors and Barriers Resilience Personal factors Health behaviours Disease +/- Health literacy Agency Genetic Inheritance • Health Capabilities • Physical function • Cognitive function • Emotional function Wellbeing Health Supportive and Age-friendly Environments
The Capability of Good Health Environmental Stressors and Barriers Resilience Personal factors Health behaviours Disease +/- Health literacy Agency Genetic Inheritance • Health Capabilities • Physical function • Cognitive function • Emotional function Wellbeing Chronic Care Rehabilitation Assistive devices Health Promotion Primary Care Disease Prevention Long term care Health system Health Supportive and Age-friendly Environments
The Capability of Good Health Environmental Stressors and Barriers Resilience Personal factors Health behaviours Disease +/- Health literacy Agency Genetic Inheritance • Health Capabilities • Physical function • Cognitive function • Emotional function Wellbeing Social Benefits Chronic Care Rehabilitation Assistive devices Health Promotion Primary Care Disease Prevention Long term care Health system Health Supportive and Age-friendly Environments
Capabilities – key points Goal is to maximise capabilities at any stage of life Trajectories Social benefits accrue and allow rational investment in the systems that maximise capabilities
What is WHO doing on ageing? • World Report on Ageing and Health (2015) • Global Strategy and Action Plan (2016) • Supporting member states - Knowledge Translation models (Ghana 2013, China 2014, ? 2015) • Normative work (Frailty, Long term care, Workforce) • Other initiatives (Dementia, Age-friendly Cities, Technical Innovation, hearing impairment, SAGE etc)
Ageing and Health Program of Work – How? • A“one-Organization” response is the best way to use the limited internal resources that will be available to tackle ageing issues. • Since many of the concrete products required are beyond the capacity of WHO, a core early goal should be to establish global platforms that enable external partnerships.
Ageing and Health Program of Work – How? • Ageing Program Network Coordination Forum • Strategic Advisory Group of Experts on Ageing and Health (SAGEAH) • Knowledge and Action Nodes on Ageing and Health