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Ageing and vulnerability in ASEAN countries

Explore the demographic shift and challenges faced by ASEAN countries due to ageing populations. Learn about income security, health services, and community care needs for older individuals. Discover ways to address dependency ratios, NCDs, and care options for the elderly.

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Ageing and vulnerability in ASEAN countries

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  1. Ageing and vulnerability in ASEAN countries Eduardo Klien 5th ASEAN GO-NGO Forum, 22 November 2010, Brunei Darussalam

  2. Demographic Shift • Condensed in time • Irreversible in nature • Comprehensive in scope

  3. ASEAN population 80 60 14 Source: World Population Prospects: The 2008 Revision Population Database, United Nations Population Division http://esa.un.org/unpp/index.asp?panel=2) Compiled by HelpAge

  4. ASEAN population Source: World Population Prospects: The 2008 Revision Population Database, United Nations Population Division http://esa.un.org/unpp/index.asp?panel=2)

  5. Growth of the old and older old Source: World Population Prospects: The 2008 Revision Population Database, United Nations Population Division http://esa.un.org/unpp/index.asp?panel=2) Compiled by HelpAge

  6. Population ageing in ASEAN countries (%) http://esa.un.org/unpp/p2k0data.asp

  7. Reduction of proportion and absolute number of children • Increase of people over 60 years • Increase of older olds • Feminisation of old age

  8. Challenges on social and economic policy • How to ensure income security • How to provide adequate Health services • How to enhance Community care and inclusion

  9. Dependency ratios (Total, Child, Old-age) Compiled by HelpAge

  10. Dependency ratio in ASEAN Source: World Population Prospects: The 2008 Revision Population Database, United Nations Population Division http://esa.un.org/unpp/index.asp?panel=2) Compiled by HelpAge

  11. Income security More consumption than income

  12. Income security • 21% of older people have formal pensions • Expansion of contributory pensions: limited option • Role of non-contributory pensions

  13. Life expectancy after 60 and years of ill health

  14. Health Ageing and Non communicable diseases • 75% of the deaths in the region are attributable to NCDs compared to 14% of deaths from communicable diseases • NCDs represent 92% of the burden of disease (DALYs) in high income countries and 63% in middle and low income countries.

  15. Main NCDs of older people Source: WHO, 2006

  16. Health • Rethink health systems to cover NCDs • Self-care approaches • Access to health services for older people (2 approaches to achieve universality) • Bismark: social insurance • Beveridge: tax funded free health care

  17. Care giving - Continuum of Care Nursing Home Cost of Care Home for the Aged Short Stay Day Care Paid Home Care Home Care Volunteer& family Difficulties of ADL & IADL of OP Institutional care Community based care Source: HelpAge Korea

  18. Community care and inclusion • Older people in work (family care) • Family and community care for older people • Inclusion and mainstreaming ageing • OPA development

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