Promoting Healthy Ageing in Urban Settings: Sustainable Cities, Human Mobility and International Migration: Opportunity for South-South Cooperation and Intervention Needs MALIKI Director of Population Planning and Social Protection Yogyakarta, 28 November 2017
Ageing Vulnerability 1 2 OUTLINE South-South National Strategy Oppotunities 4 3
Indonesia is growing old - 1971 2015 2045 Number of elderly lives in Metropolitan areas Population 1.800 Thousands 119,2 255,1 321 (million) 1.600 1.400 1.200 Population in 14,5% 53,1% 67,1% 1.000 Urban 800 600 400 Life Expectancy 55,1 70,8 72,8 200 (million) 0 Number of 5,3 21,6 62,9 Elderly (juta) • In the nearest future, population is becoming ageing. Indonesia will reach 10% of 60+ elderly in 2021 • In 2015, number of elderly is around 21,6 million, in which more than half lives in the urban. • Number of elderly who lives in the metropolitan areas is about 5,3 million. Sumber: BPS, Sensus dan Supas
Vulnerability of the Elderly 4
Elderly in the developing countries are more vulnerable • Level of consumption indicates welfare or access to welfare • The elderly in the middle and lower income countries experience a declining welfare • On the contrary, with comprehensive pension program, elderly in the developed countries are less prone to poverty • INDONESIA Pension coverage in Indonesia is still much less than 40% Age • Women elderly is also the most vulnerable Sumber : National Transfer Accounts data base Consumption per capita of the elderly (60+) (relative to prime age consumption (30-49) per single age, by countries’ economic group 5
At least ONE in TEN older adults (60+) lives in poverty 11,21% 10,95% 8,23% 7,81% Food Insecurity Lack of Financial Lack of Health Support Insurance 2013 2014 2015 2016 Insufficient Isolation Housing Source: BPS: Susenas 2013-2016, estimated by Bappenas.
Ranked 74, Indonesian elderly is insecured Lingkungan Enabling Yang environment Mendukung Elderly citizens feel safe (89%), protected (78%) and strong social 100 cohesion 19,9 Jaminan Income Kemampuan 8 0 37,8 Finansial Only 16.2% elderly has high school diploma or higher (in average Capability security 30,3% in Asia) 61 Kesehatan Health Life expectancy at 60 is only 14,3 years (Score in Global Watch Index) Nilai Indonesia dalam GAWI We are still in ranked 74 Pension coverage only 8,1% Sumber: Global AgeWatch Index Report:2015 7
National Strategy 8
National Strategy on Ageing Framework 1. Right-based approach – Ensuring the elderly receive their rights – Ensuring the elderly understand and perform their obligation Universality and Inalienability – Indivisibility - Equality and Non-Discrimination - Participation and Inclusion – Accountability - Rule of Law 2. Life Cycle Approach : Empowering the elderly starts from the very early stage of life HUMAN CAPITAL INVESTMENT Skill Development PRODUCTIVITY Mother’s health health Social development = 9 Community values Family values Life in the womb Legal aspects education
National Strategy on for Prosperous, Indepedent, and Dignified Society Translating 3 Main Pillar of Madrid International Plan of Action on Ageing (2002 ) 5 Rights of the Awareness Community Government elderly building 1 4 Prosperous, Independent and Dignified Healthty Institutional Society Building Family Private Social Protection 2 and Productivity 3 10
South South Opportunities 11
Partnerships with the community to build eldery friendly society BENEFICIARIES BENEFITS OBJECTIVES At risk, frail, and Basic support To live comfortably in living alone older services their own homes Providing care and Integration of informal Persons Age in Place Recovering elderly follow-up through and formal health system Terminally ill Reduce unnecessary re- referral system Living debilitating Empowering the visits to health facilities Empowered elderly disease elderly District health One Stop Window INSTITUTIONAL ARRANGEMENT • To provide physical, social, emotional, economic facilities Services and spiritual services to elderly by the community • Adopted nationally in 2006 Caregiver Government Capacity Building Elderly Community
THANK YOU 13
Recommend
More recommend
