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Regional Review and Appraisal Regional Review and Appraisal of the Madrid International Plan of of the Madrid International Plan of

ActionActionon Ageing (MIPAA)on Ageing (MIPAA)

Ms. Noeleen HeyzerUnder Secretary-General and Executive Secretary

United Nations Economic and Social Commission for Asia and the Pacific(ESCAP)Bangkok

Panel in Commission for Social DevelopmentNew York

8 February 2008

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I. Major Findings:Fertility trends by major region of the

world1950-2005

Source: World Population Prospects: The 2006 Revision, United Nations Population Division, New York.

0

1

2

3

4

5

6

7

1950-1955

1955-1960

1960-1965

1965-1970

1970-1975

1975-1980

1980-1985

1985-1990

1990-1995

1995-2000

2000-2005

To

tal f

erti

lity

rate

Europe

Northern America

Australia/New Zealand

Asia

Eastern Asia

South-Central Asia

South-Eastern Asia

Western Asia

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Fertility trends in extremely low fertility countries

(TFR below 1.6 children per woman)

Source: World Population Prospects: The 2006 Revision, United Nations Population Division, New York.

0.0 1.0 2.0 3.0 4.0 5.0

Georgia

Singapore

Armenia

Russian Federation

Japan

Republic of Korea

Hong Kong, China

Macao, China

TFR

1970-1975

1990-1995

2000-2005

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Life expectancy at birth by major region of the world

1950-2005

35

40

45

50

55

60

65

70

75

80

85

1950

-195

5

1955

-196

0

1960

-196

5

1965

-197

0

1970

-197

5

1975

-198

0

1980

-198

5

1985

-199

0

1990

-199

5

1995

-200

0

2000

-200

5

Years

Europe

Northern America

Australia/New Zealand

Asia

Eastern Asia

South-Central Asia

South-Eastern Asia

Western Asia

Source: World Population Prospects: The 2006 Revision, United Nations Population Division, New York.

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Consequences of demographic dynamics

Fertility decline

Mortality decline

Changes in population

age structure

Population ageing

Feminizationof

elderly population

Decrease in potential

support ratio

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Number and percentage of older person(60 years or over) to total population:

410 million (10%) in 2007;

733 million (15%) in 2025;

1.3 billion (25%) in 2050

The region is rapidly ageing

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Objectives Review developments; Review MIPAA implementation; Identify priorities for further actions.

Participation 100+ representatives from 22 ESCAP

members/ associate members 3 UN agencies 14 NGOs and 3 universities.

II. Major Achievements:a. High-level Meeting on the Regional Review of

MIPAA9-11 October 2007, Macao, China

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Institutional mechanisms, plans, policies, strategies and monitoring for an ageing society;

Stronger Government-NGO relations;

Increased social protection measures;

Ageing-in-place initiatives;

Intergenerational solidarity programmes;

Enhanced awareness of the media;

Highlights of the meeting

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Mobilizing resources, enhancing knowledge and building capacity;

MIPAA implementation more successful in urban areas;

Changing family structures;

Increasing chronic diseases;

Family/income support decline;

Access to affordable and quality health-care services.

III. Obstacles:

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The challenges identified: resource constraints, income insecurity, poverty and exclusion in old age.

Active involvement of all stakeholders to advance the implementation of MIPAA in the region.

IV. Future Priorities for Action:

The Macao Outcome Document

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Increase the level of integration and mainstreaming of ageing concerns in national policies and poverty reduction strategies;

Establish and strengthen multi-pillared social security schemes;

Ensure affordable, accessible, good quality age-friendly and culturally appropriate health, rehabilitation, palliative and social services;

IV. Future Priorities for Action (contd.):

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Develop age-friendly physical environments to promote “ageing in place” to ensure readily accessible community level facilities and health services;

Promote barrier-free physical environment, transportation, public facilities, services, and information and communications to meet the accessibility needs of older persons;

Design policies appropriate to the needs of present and future generations of older persons.

IV. Future Priorities for Action (contd.):

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Build national capacities to identify challenges, formulate appropriate measures and programmes on ageing, and monitor the progress of implementation;

Conduct multidisciplinary research for evidence-based planning and decision-making;

Mobilize international donor community to provide necessary technical and financial support to address population ageing issues at all levels.

V. Cooperation by the UN System to Enhance the Implementation of MIPAA

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