Intervention Needs MALIKI Director of Population Planning and - - PowerPoint PPT Presentation

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

OUTLINE

Ageing

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Vulnerability

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South-South Oppotunities

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National Strategy

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Indonesia is growing old -

255,1 119,2

Sumber: BPS, Sensus dan Supas

• 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.

Population (million)

Life Expectancy (million)

55,1 70,8

Number of Elderly (juta)

5,3 21,6 1971 2015

Population in Urban

14,5% 53,1% 321 72,8 62,9 2045 67,1%

200 400 600 800 1.000 1.200 1.400 1.600 1.800 Thousands

Number of elderly lives in Metropolitan areas

Vulnerability of the Elderly

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• 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

• Pension coverage in Indonesia is still much

less than 40%

• Women elderly is also the most vulnerable

Consumption per capita of the elderly (60+) (relative to prime age consumption (30-49) per single age, by countries’ economic group

INDONESIA

Elderly in the developing countries are more vulnerable

Sumber : National Transfer Accounts data base

Age

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At least ONE in TEN older adults (60+) lives in poverty

Source: BPS: Susenas 2013-2016, estimated by Bappenas.

8,23% 7,81% 11,21% 10,95% 2013 2014 2015 2016

Lack of Health Insurance Lack of Financial Support Food Insecurity Insufficient Housing Isolation

Ranked 74, Indonesian elderly is insecured

Sumber: Global AgeWatch Index Report:2015

19,9 37,8 61 8 0 100 Lingkungan Yang Mendukung Kemampuan Kesehatan Jaminan Finansial

Nilai Indonesia dalam GAWI

Pension coverage only 8,1% Elderly citizens feel safe (89%), protected (78%) and strong social cohesion Only 16.2% elderly has high school diploma or higher (in average 30,3% in Asia) Life expectancy at 60 is only 14,3 years

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We are still in ranked 74

Enabling environment Income security

Capability

Health (Score in Global Watch Index)

National Strategy

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National Strategy on Ageing Framework

• 1. Right-based approach

– Ensuring the elderly receive their rights – Ensuring the elderly understand and perform their obligation

• 2. Life Cycle Approach: Empowering the elderly starts from the

very early stage of life

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Universality and Inalienability – Indivisibility - Equality and Non-Discrimination - Participation and Inclusion – Accountability - Rule of Law

health education Social development Family values Community values Legal aspects

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Skill Development

HUMAN CAPITAL INVESTMENT Mother’s health

Life in the womb PRODUCTIVITY

National Strategy on for Prosperous, Indepedent, and Dignified Society

Translating 3 Main Pillar of Madrid International Plan of Action on Ageing (2002)

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1 2 3 4 5

Rights of the elderly Social Protection and Productivity Awareness building Healthty Society Institutional Building Prosperous, Independent and Dignified

Government Private

Community Family

South South Opportunities

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Partnerships with the community to build eldery friendly society

Age in Place  At risk, frail, and living alone older Persons  Recovering elderly  Terminally ill  Living debilitating disease  Basic support services  Providing care and follow-up through referral system  Empowering the elderly  To live comfortably in their own homes  Integration of informal and formal health system  Reduce unnecessary re- visits to health facilities  Empowered elderly

Community Caregiver Government Elderly

BENEFICIARIES BENEFITS OBJECTIVES

Capacity Building District health facilities

INSTITUTIONAL ARRANGEMENT

One Stop Window Services

• To provide physical, social, emotional, economic

and spiritual services to elderly by the community

• Adopted nationally in 2006

THANK YOU

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