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Ageing – A global Perspective and Current and Emerging Issues Facing Older Canadians

Ageing – A Global Perspective & Current and Emerging Issues

Facing Older Canadians

“We are on the precipice”

Greg Shaw Director International and Corporate Relations International Federation on Ageing 5th May 2014 gshaw@ifa-fiv.org

http://www.arup.com/

Urbanization

Population Ageing

Urbanisation

Globalization

Drivers of Ageing

2010

COUNTRY

POPULATION

(Millions)

2050

COUNTRY

POPULATION

(Millions)

China 1,338 India 1,748 India 1,189 China 1,437 United States 310 United States 423 Indonesia 235 Pakistan 335 Brazil 193 Nigeria 326 Pakistan 185 Indonesia 309 Bangladesh 164 Bangladesh 222 Nigeria 158 Brazil 215 Russia 142 Ethiopia 174 Japan 127 Congo, Dem. Rep. 166

Most Populated Countries 2010 - 2050

Where will residents come from in the future?

Drivers of Ageing

Fertility Rates

Drivers of Ageing

Elderly Support Ratio 2010 2050

Life

Expectancy Both Sexes

Percentage

Urban

WORLD 9 4 69 50 MORE DEVELOPED 4 2 77 75 LESS DEVELOPED 11 4 67 44 LESS DEVELOPED (Excl China)

13 5 65 44

LEAST DEVELOPED 17 9 56 27

NTH AMERICA 5 3 78 79 Canada 5 2 81 80

STH AMERICA 9 3 73 82 ASIA (Excl China) 11 4 68 41 China 9 3 74 47

EASTERN AFRICA 17 12 53 22 Zambia 17 16 42 37

MIDDLE AFRICA 18 13 48 41

28 Countries currently have life expectancy of 80+ for both sexes 25 Countries have a life expectancy of less than 55 for both sexes.

Elderly Support Ratio - The number of working-age people ages 15-64 divided by the number of persons 65 or older, indicating levels of potential societal support available for the elderly.

0

5

10

15

20

25

30

35

40

1990 2000 2010 2010 2030 2040 2050

Prop

ortio

n 65

and

ove

r JapanSpainUSAChinaIndiaBrazilAustraliaThailand

Source: World Population Prospects: 2008 Revision

Real ageing is just beginning

0

2

4

6

8

10

12

14

16

18

1990 2000 2010 2020 2030 2040 2050

Prop

ortio

n 80

+

JapanSpainUSAChinaIndiaBrazilAustralia

Source: World Population Prospects: 2008 Revision

Real ageing is just beginning

10 91

Lesotho, Africa

Sweden

Face and Form of Family

To improve policy responses to age-related issues

through

Analysis of country trends applicable to the Canadian context

THE CANADIAN CONTEXT

CURRENT & EMERGING ISSUES FOR OLDER CANADIANS

What do you consider to be the

5 current and emerging issues in your country?

Gathering intelligence Mixed methods - Interviews and surveys Tiered approach Across sectors and disciplines Validating responses Making sense of information Synthesis of subject matter Validation of priorities

Current and Emerging Issues

1 Ageing in Place Home and Community Care, Staying at Home, Age Friendly Cities/Communities, Home Care Services, Ageing at Home Technology and Housing

2 Support to Caregivers Informal Carers, Family Carers, Financial and Psychological Support

3 Ageing Workforce Pensions, Retirement, Workforce Participation, Older People’s Incomes

4 Healthcare Sustainability 5 Ageism and Discrimination Rights and Responsibilities 6 Keeping Older People

Connected and Active Falls Prevention, Mobility, Health Promotion, Active Ageing, Volunteering, Life Long Learning, Technology, Intergenerational Programs, Preventing Social Isolation

7 Preventing Elder Abuse

March 2012 – Worldwide Survey

CURRENT AGEING ISSUES

EMERGING ISSUES

PRIORITIES Elder Abuse

Ageism and Discrimination

Ageing Workforce

Being Active and Connected

Healthcare Sustainability

Caregiving

Ageing in Place

WHOSE PRIORITIES AND WHY?

Synthesis Outcome

Care Active Ageing

Ageing in Place

Caregiving

Hlthcare Sust. Connected

Contribution vs

Dependency

Issues

SYNTHESIS THROUGH WHAT LENS IS POLICY DEVELOPED

A NEW APPROACH

LINEAR LIFE PLAN

Age

Education Work Leisure

0 10 20 30 40 50 60 70 80 85

“Longevity Bonus”

CYCLIC LIFE PLAN

Education Work Leisure

“Longevity Bonus”

“Longevity Bonus”

“Longevity Bonus”

“Longevity Bonus”

Age 0 10 20 30 40 50 60 70 80 85

Leisure

Flexible Work

Conditions

• Family care duties

• Health issues

2nd and 3rd Careers

• Choice / or not to work

• No retraining opportunities

Retirement • Volunteerism • Stigmatism

RELATIONSHIP TO ACTIVE AGEING

Non-communicable Diseases, WHO

NON-COMMUNICABLE DISEASES 4 diseases, 4 modifiable shared risk factors

111

Age

Deve

lopm

ent o

f NCD

Fetal Life

Adult Life Adolescence

Infancy and Childhood

SEP diseases growth rate

obesity lack of PA smoking

SES, established adult behavioural/biological risk factors

SEP; birth weight, maternal nutrition status

Source:Aboderin et al., 2002

Accumulated Risk

(Range)

high Fetal Life

SCOPE FOR PREVENTION

low

FACTORS IMPACTING CHANGE

National Index of

Wellbeing

Coordinating Implementation

Laws

Voice of Older

People Office

Champions Minister

Prevailing Orthodoxies

Impatience

Culture

Fear of

Change

Ageism

Above the water-line ‘hard factors’

Below the water-line ‘soft factors’

Stereo- typing

Values

Inter- Generational

Conflict

Whole System Change

Specific Research

Gap

Knowledge mobilisation

Gap

Policy and Practice

Gap

Resource and Action Gap

NGOs

Business

Academia

Government

RESPONDING TO THE GAPS

IFA - Niche(s)

(1) Action in Global Advocacy

(2) Knowledge Platforms (3) Global Think Tank

(4) International Centre of Excellence on Ageing

• Build Coalitions across sectors • Be a Advocacy Resource Repository: centralized hub of knowledge

exchange, best practices, and tools on advocacy • Be a Monitoring Body: liaison between organizations and

governments, “the go-to” for the dissemination of policy updates • Develop a platform that will be a “go-to” for advocacy tools and

practices www.actionglobaladvocacy.org

Ageing and Vaccinations

Ageing and Vision Loss

Ageing and Diabetes

Ageing and Animal Health

AGA Projects

WHY

•Responds to policy and practice gap – and much needed

•Main targets are govt, UN and agencies

•Partnerships across sectors

WHO •Main targets are Govt, UN

and agencies •Partnerships across sectors

HOW and

WHEN

•Based on tested, successful WEF Model

• Lead time 18mths – 24mths • Independent funding /

sponsorship • IFA product, partnered with

WHO potentially

WHAT

•Unique as it connects at a high level, responds to global agenda, feeds into regional and global dialogue

•Product output – position papers

IFA Global Think Tank

WHY • Responds to several gaps • Speaks to the IFA mission

WHO • National, regional and

international reach • Potential partners in regions • Connected to members states, UN

through the three broad themes

HOW • Canadian NFP in Istanbul with IFA

being the voting member • Separate BOD and management

with accountability to member • Funds raised through various

patron, friends of, government associated membership

WHAT • Focusses on knowledge

exploitation, transfer and exchange

• Three broad sub themes but work streams such as technology aligned with MIPAA

International Centre of Excellence on Ageing

Action in Global Advocacy

Conferences (Knowledge Platforms)

Global Think Tank on Ageing

International Centre of Excellence on Ageing

IFA Connecting Experts and Expertise

Is it possible to [provide] ‘care’

without ‘caring’?

• Preventing premature death linked to social and familial change

• Speed of ageing impacts on the ability of systems

• Urbanisation impacts access to service and social infrastructure

• What is the social and economic dividend?