Vega, 2010 Pan American Health Organization HEALTH, WELL-BEING, AND AGING AN INESCAPBLE CHALLENGE Dr. Enrique Vega PAHO/WHO Regional adviser on Aging and.

Vega, 2010

Pan American Health Organization

HEALTH, WELL-BEING, AND AGINGAN INESCAPBLE CHALLENGE

Dr. Enrique VegaPAHO/WHO Regional adviser on Aging and [email protected]

HEALTH, WELL-BEING, AND AGINGAN INESCAPBLE CHALLENGE

Dr. Enrique VegaPAHO/WHO Regional adviser on Aging and [email protected]

Vega, 2010

Pan American Health Organization

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AGING OF THE REGIONSTILL A WINDOW OF OPPORTUNITY

AGING OF THE REGIONSTILL A WINDOW OF OPPORTUNITY

0

20

40

60

80

100

120

140

160

180

200

1950 1975 2000 2025 2050

<5 years

>60 years

>80 years

0

20

40

60

80

100

120

140

160

180

200

1950 1975 2000 2025 2050

<5 years

>60 years

>80 years

Source: United Nation Population Projections, 2006

Millions

http://public.tableausoftware.com/views/EnvSal_IndiceEnvejecimiento_viz1/Dashboard1?:embed=yes&:toolbar=yes

Vega, 2010

Pan American Health Organization

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THEY ARE LIVING LONGERTHEY ARE LIVING LONGER

Life expectancy at birth in the region is more than 70, and it has increased by 17 years in the last 25 years

75% of persons born today in the LAC region will be older adults and 40% will live past 80

Life expectancy at age 60 in 2006, is 17 years for men and 21 for women. In developed areas the figures are 19 and 23 years

Life expectancy at birth in the region is more than 70, and it has increased by 17 years in the last 25 years

75% of persons born today in the LAC region will be older adults and 40% will live past 80

Life expectancy at age 60 in 2006, is 17 years for men and 21 for women. In developed areas the figures are 19 and 23 years

Vega, 2010

Pan American Health Organization

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In LAC 50% said they do not have enough resources to meet their daily needs

33% of the older persons in urban areas and 50% in rural areas are in poverty. One-third of the older persons do not have an annuity, pension, or paying job

Illiteracy rates are very high; in some countries as high as 80% in the rural zones

In LAC 50% said they do not have enough resources to meet their daily needs

33% of the older persons in urban areas and 50% in rural areas are in poverty. One-third of the older persons do not have an annuity, pension, or paying job

Illiteracy rates are very high; in some countries as high as 80% in the rural zones

Barriers remain; needs are growing

Vega, 2010

Pan American Health Organization

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In the United States 22.7% of older persons said they had fair or poor health. In LAC the figure was 58% for women and 51% for men

Two of every three older persons in LAC reported at least one of the most frequent chronic illnesses

30% had fallen within the past year, 20% experienced cognitive loss, and 18% depression

61% was overweight, three of every four did no physical activity, one in four men smoked

In the United States 22.7% of older persons said they had fair or poor health. In LAC the figure was 58% for women and 51% for men

Two of every three older persons in LAC reported at least one of the most frequent chronic illnesses

30% had fallen within the past year, 20% experienced cognitive loss, and 18% depression

61% was overweight, three of every four did no physical activity, one in four men smoked

Barriers remain; needs are growing

Vega, 2010

Pan American Health Organization

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OLDER PERSONS REPORTING AT LEAST ONE DISABILITYOLDER PERSONS REPORTING AT LEAST ONE DISABILITY

0,0

15,0

30,0

45,0

60,0

75,0

%

Male Female

0,0

15,0

30,0

45,0

60,0

75,0

%

Male Female

Source: SABE/2000 – PAHO

Vega, 2010

Pan American Health Organization

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WHO CARES FOR THE ELDERLY?WHO CARES FOR THE ELDERLY?

Family caregivers with no community support

Community health workers lacking adequate tools

Health professionals with no training in these subjects

Family caregivers with no community support

Community health workers lacking adequate tools

Health professionals with no training in these subjects

Barriers remain; needs are growing

Vega, 2010

Pan American Health Organization

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In LAC most caregivers of elderly persons are the families, the women (90%)

Caregivers are generally over the age of 50, subjected to high stress levels; 60% say they “can’t take it any more”

A little more than 80% say they have problems “meeting expenses”

Support programs for these persons are rare or nonexistent in the countries

In LAC most caregivers of elderly persons are the families, the women (90%)

Caregivers are generally over the age of 50, subjected to high stress levels; 60% say they “can’t take it any more”

A little more than 80% say they have problems “meeting expenses”

Support programs for these persons are rare or nonexistent in the countries

Barriers remain; needs are growing

Vega, 2010

Pan American Health Organization

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40% of the hypertense persons surveyed by SABE had not had a primary care doctor visit in the last 12 months

80% of those surveyed reported unmet dental needs

Only 2% of the countries have health promotion goals for persons above the age of 60

Only 5% of the depressed persons in the sample had anti-depression treatment

40% of the hypertense persons surveyed by SABE had not had a primary care doctor visit in the last 12 months

80% of those surveyed reported unmet dental needs

Only 2% of the countries have health promotion goals for persons above the age of 60

Only 5% of the depressed persons in the sample had anti-depression treatment

Barriers remain; needs are growing

Vega, 2010

Pan American Health Organization

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HUMAN RESOURCES PREPARATIONHUMAN RESOURCES PREPARATION

First-line human resources still have major knowledge gaps with respect to aging and older persons

There are insufficient human resources specialized in gerontology and geriatrics

Motivational and ethical aspects highlight older persons’ rights and opportunities to obtain positive results in improving their health.

First-line human resources still have major knowledge gaps with respect to aging and older persons

There are insufficient human resources specialized in gerontology and geriatrics

Motivational and ethical aspects highlight older persons’ rights and opportunities to obtain positive results in improving their health.

Vega, 2010

Pan American Health Organization

A RACE AGAINST TIME

Vega, 2010

Pan American Health Organization

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BUILDING A VISION OF HEALTH FOR OLDER PERSONS

Resolution CSP26.R20 on Aging and Health of the 26th Pan-American Sanitary Conference (2002) International Plan of Action on Aging. World Assembly on Aging (2002) Regional strategy for implementation in Latin America and the Caribbean (2003)

Declaration of Brasilia (2007)

Declaration on Primary Health Care(2006)

Health Agenda of the Americas 2008-2017 (2007)

Vega, 2010

Pan American Health Organization

“Maintaining the quality of life of elderly people should be part of health programs geared specifically to this age group. Combining economic and food subsidies to accompany these health interventions is key to ensuring that older adults participate in health programs. Educating health workers about elderly care technologies should be a priority and the focus of specific health care training programs.”

“Maintaining the quality of life of elderly people should be part of health programs geared specifically to this age group. Combining economic and food subsidies to accompany these health interventions is key to ensuring that older adults participate in health programs. Educating health workers about elderly care technologies should be a priority and the focus of specific health care training programs.”

Health Agenda of the Americas 2008-2017Approved by Ministers of Health of the AmericasPanama City, June 2007

PUBLIC HEALTH AND AGING

Vega, 2010

Pan American Health Organization

STRATEGIC APPROACH AND PLAN OF ACTION 2009-2018

STRATEGIC APPROACH AND PLAN OF ACTION 2009-2018

Older persons should have access to health care to help them to maintain or regain the optimum level of physical, mental, and emotional well-being and to prevent or delay the onset of illness

Older persons should be able to enjoy human rights and fundamental freedoms when residing in any shelter, care or treatment facility, including full respect for their dignity, beliefs, needs and privacy and for the right to make decisions about their care and the quality of their lives

UNITED NATIONS PRINCIPLES FOR OLDER PERSONSResolution 46/91

Older persons should have access to health care to help them to maintain or regain the optimum level of physical, mental, and emotional well-being and to prevent or delay the onset of illness

Older persons should be able to enjoy human rights and fundamental freedoms when residing in any shelter, care or treatment facility, including full respect for their dignity, beliefs, needs and privacy and for the right to make decisions about their care and the quality of their lives

UNITED NATIONS PRINCIPLES FOR OLDER PERSONSResolution 46/91

Response to health needs of older persons

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Pan American Health Organization

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STRATEGY AND PLAN OF ACTION 2009-2018

STRATEGY AND PLAN OF ACTION 2009-2018

Based on the United Nations Principles for Older Persons;

Recognizes that no country or agency can by itself take on the entire challenge of health and aging;

Demands a major reorganization of international cooperation to tackle the new challenges of aging and the health of older persons

Based on the United Nations Principles for Older Persons;

Recognizes that no country or agency can by itself take on the entire challenge of health and aging;

Demands a major reorganization of international cooperation to tackle the new challenges of aging and the health of older persons

Response to health needs of older persons

Vega, 2010

Pan American Health Organization

BASIC STRATEGIES:BASIC STRATEGIES:

• STRATEGIC AREA I: HEALTH OF OLDER PERSONS IN PUBLIC POLICY AND ITS ADAPTATION TO INTERNATIONAL INSTRUMENTS

• STRATEGIC AREA II: ADAPT HEALTH SYSTEMS TO THE CHALLENGES ASSOCIATED WITH THE AGING OF THE POPULATION AND THE HEALTH NEEDS OF OLDER PERSONS

• STRATEGIC AREA III: TRAINING OF THE HUMAN RESOURCES NECESSARY FOR MEETING THE HEALTH NEEDS OF OLDER PERSONS

• STRATEGIC AREA IV: STRENGTHEN THE CAPACITY TO GENERATE THE NECESSARY INFORMATION FOR EXECUTING AND EVALUATING ACTIVITIES TO IMPROVE THE HEALTH OF THE ELDERLY POPULATION

• STRATEGIC AREA I: HEALTH OF OLDER PERSONS IN PUBLIC POLICY AND ITS ADAPTATION TO INTERNATIONAL INSTRUMENTS

• STRATEGIC AREA II: ADAPT HEALTH SYSTEMS TO THE CHALLENGES ASSOCIATED WITH THE AGING OF THE POPULATION AND THE HEALTH NEEDS OF OLDER PERSONS

• STRATEGIC AREA III: TRAINING OF THE HUMAN RESOURCES NECESSARY FOR MEETING THE HEALTH NEEDS OF OLDER PERSONS

• STRATEGIC AREA IV: STRENGTHEN THE CAPACITY TO GENERATE THE NECESSARY INFORMATION FOR EXECUTING AND EVALUATING ACTIVITIES TO IMPROVE THE HEALTH OF THE ELDERLY POPULATION

Vega, 2010

Pan American Health Organization

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RESOLUTION: URGES THE MEMBER STATES

RESOLUTION: URGES THE MEMBER STATES

To consider the Principles of the United Nations for Older Persons as the foundation for public policies on aging and the promotion and protection of human rights and basic freedoms of older persons who receive long-term care

Promote an internal dialogue among public sector institutions and between them and the private sector and civil society, with a view to building a national consensus on the issue of the health of older persons

Conduct an internal review and analysis of the relevance and viability of this strategy in the national context

To consider the Principles of the United Nations for Older Persons as the foundation for public policies on aging and the promotion and protection of human rights and basic freedoms of older persons who receive long-term care

Promote an internal dialogue among public sector institutions and between them and the private sector and civil society, with a view to building a national consensus on the issue of the health of older persons

Conduct an internal review and analysis of the relevance and viability of this strategy in the national context

Vega, 2010

Pan American Health Organization

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FROM APPROVAL TO IMPLEMENTATION

THE REAL CHALLENGEFROM APPROVAL TO IMPLEMENTATION

THE REAL CHALLENGE

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Pan American Health Organization

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In the next 40 years the region’s demographic situation will offer a window of opportunity, in which the active working sector will grow faster than the dependent sectors. Only with adequate social and health investments based on a concept of a right will it be possible to democratize healthy and active longevity and enable our countries to convert it to a real social accomplishment rather than a future economic burden

In the next 40 years the region’s demographic situation will offer a window of opportunity, in which the active working sector will grow faster than the dependent sectors. Only with adequate social and health investments based on a concept of a right will it be possible to democratize healthy and active longevity and enable our countries to convert it to a real social accomplishment rather than a future economic burden

Vega, 2010

Pan American Health Organization

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