303 moving forward on mipaa s beales

‘A report prepared by UNFPA in collaboration with HelpAge International and with input from United Nations bodies and other international organisations’

Launch date 1st October 2012

April 12, 2023

World of Older People 2012

Sylvia Beales

Head of Strategic Alliances

sbeales @helpage.org

April 12, 2023BackgroundThe challenge of the Madrid Plan of Action on Ageing (MIPAA)

The key challenge for world is how to build…

“You are talking of a Second World

Assembly on Ageing. What happened to

the first? We were never consulted, yet

you tell us a Plan of Action to address our

situation emerged. Who made it?”

Older woman, Zimbabwe

(State of the World’s Older People, HelpAge

International 2002)

April 12, 2023

Bottom up review and appraisal

• Government, the UN system and civil society invited to participate in a bottom-up approach to the review and appraisal of the Plan (Economic and Social Council, res. 2003/14 of 21 July 2003)

• UNDESA Guidelines for review and appraisal of the Madrid International Plan of Action on Ageing

• Collaboration with UNFPA to review policies and implementation with older persons 2010/11

• First ever global World Older Persons report to be published in October 2012

April 12, 2023

World of Older People 2012 report

The key challenge for world is how to build…

To position population ageing within the global development and human rights agendas based on an assessment of progress since the Second World Assembly on Ageing in 2002

Why is this special?

Focus on the perspective of older persons themselves, to identify gaps and to propose the way forward

Global reach

UN agency input (UNDESA, ILO, UNICEF, UNDP, OHCHR, UNHCR, FAO, UN Women, IOM, Regional Commissions

Recommendations for ICPD plus 20, MDGS post 2015 agenda

April 12, 2023

1.Situation analysis eight years after the implementation of MIPAA

Information was collected from 133 countries and 32 country case studies

Review of status/availability of

• Data and research

• Policies and legislation

• Institutional arrangements

Living document (work in progress)

Available on UNFPA and HelpAge websites

Goal: assess progress and gaps on MIPAA’s three priority directions

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Findings

Between 2002 and 2010

48 countries approved and published national policies on ageing

10 countries brought into force overarching legislation on ageing

51 produced research or surveys on ageing,

64 countries set up official bodies and institutions to respond to ageing with at least one ministry responsible for ageing or older people

• Big variations across regions – limited or no policy coverage in:

• Mainstreaming of ageing into poverty reduction programmes

• Emergency programmes

• Migration/rural development

• HIV/AIDS, NCDs, mental health, disabilities

• Violence and human rights

Little evidence on budgets to implement policies

April 12, 2023

Main recommendations • Urgent policy action needed in all priority directions to respond

to the demands of demographic transition

• Use and improve existing data sets; disaggregate data by age

• Ensure age adjusted sectoral and public policies

• Mainstreaming plus integrated age targeted programmes

• Follow legislation with accountable budgets

• Focus on Non Communicable Diseases (NCDs)

• People centred/bottom up evaluation of policies and programmes more necessary than ever

• Share and communicate best practice in policy implementation, legislative action, data collection and analysis 

April 12, 2023

2. Older Persons input

To assess

- older people’s awareness of MIPAA and knowledge of and engagement with the national implementation of government action linked to MIPAA

-the impact of national actions relating to MIPAA on older people’s lives

-Priority actions for next steps

The innovation is to

- provide an authentic older people’s voice on the implementation of MIPAA

- offer a global vision of what needs to be done to implement MIPAA

Consultations in over 40 countries

April 12, 2023

Bottom-up approach manual

Activities at national level are:

- Group discussions (in 2 rural and 2 urban communities)

- Community profile charts with contextual information

- Participant profile questionnaires (for each participant)

- Individual case studies

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Voices and aspirations of active, articulate

but often excluded older women and men

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Some findings • Lack of knowledge of MIPAA and other policies, rights and entitlements

• Improvements put down to infrastructure – water, roads, health clinics

• Importance of secure income - pensions

• Intergenerational interdependence on family and community; caring, livelihoods (work)

• Marked differences between urban and rural in relation to poverty, inclusion, participation, basic service provision

• Worries about being costly to families (health, frailty)

• Disputes over land and housing – family, official and police abuse

• Increasing cost of food, medicines, consultations, care and transport

• Short sighted policies – free consultations but expensive medicines

• Government policies not known by service providers

• Abuse a source of shame and anguish

• Value placed on caring for others – neighbours , grandchildren

• Value of being organised – many benefits including sense of worth and political recognition

April 12, 2023

Some overview recommendations

• Ageing is the issue of our time. It is a reality for us all, wherever we are whatever age we are

• Globalisation challenges together with global ageing demands a radical rethink of how we organise our societies

• Older people are our unacknowledged ‘global good’; all must support their contributions, activism and economic weight

• The data gaps on age lead to invisibility, discrimination and human rights violations

• Investing in older people and their organisations brings important societal and economic benefits

• Policy on ageing through MIPAA without budgets and cross sectoral implementation will not deliver results

• We have choices, we have the knowledge, we have the evidence; it is time to think and act differently

• Age Inclusive and rights based policy frameworks for our sustainable future are urgent