Elderly Care: A challenge for Asia and ADB
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1 Elderly Care: A challenge for Asia and ADB 19 February 2015 Claude Bodart and Wendy Walker EARD/EASS
2 Aging as an Opportunity!
3 Aging: No Country is Spared
4 France Sweden United Kingdomof Great Britain United States of America Japan Republic of Korea China Thailand Brazil Percentage of Population Aged 65+ The Speed of Aging: always faster (Time required or expected for population aged 65 or older to increase from 7% to 14%) 14% % Source: Kinsella K, He W. An aging world: 2008 Washington, DC: National Institute on Aging and US Census Bureau, 2009
5 Asia: Limited Public Spending (Non health public social expenditures for elderly above 65) Source: OECD statistics 2012
6
7 Vulnerability OECD countries: old-age poverty 13.3% per cent, compared with 10.6% population average Vietnam: 17.2% elderly live in poverty (vs. avg. 6.8%). By 2050 elderly will triple from 8.9% to 30% of the population. 40% of elderly in Vietnam are widows Four-fifths of older people do not have regular income, and millions are unable to access basic services, including transport and health, due to high cost and inadequacy of services
8 Number of words recalled Elderly Care: Multifaceted Gender Inequality Persistent gender inequalities in access to income security in old age Men and women above statutory pensionable age receiving pension (ILO 2014) Need help with daily activities Unequal cognitive ability by gender and age group (PRC) Body pain Overweight Hypertension Poor self-reported health Women Men Source: China Health and Retirement Longitudinal Study Unequal physical health status of the Elderly by gender (PRC) Women Men Age Source: China Health and Retirement Longitudinal Study 2012
9 Impact of Aging on Economic Growth - Not Yet Clear - KEY: Healthy Aging + Public policy that accommodates the needs of an aging society For instance: A healthy population can reduce care needs and maintain high levels of productivity. Public policy can support employment sharing, parents living with children, age friendly public transportation, day health care services, etc. Data/Research are needed!
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11 Addressing Elderly Care Needs is Complex Policies and legislation Human resources Financing: Pensions, long term care insurance, subsidies Care services (home/community/institutions) Health care services Social conditions Infrastructure and private sector engagement Information systems (Needs, quality of services) Assistive technology
12 What Sectors of ADB are Involved? Infrastructure Public Financial Management Social Protection Education Health Governance Urban development Private Sector Civil Society Organizations Transport
13 Good Reasons for ADB to Engage? Fiscal impacts of elderly care will increase and could/will become unsustainable Huge care needs and market for investment in DMCs (private and public) Large potential for job creation ADB can play a role in minimizing the negative consequences of delayed policy development and investments
14 EARD Emerging portfolio Social Protection Planning TA Private Sector Human Resources Public Financial Management Loan Integrated Service Delivery
15 ADB is Unprepared to Support Governments From Spiky Silos to.multidisciplinary Teams Private sector Education Private sector Social protection Urban and rural development specialists Education Finance Leadership Health Governance specialist Finance/pension specialist Governance Urban and rural Social protection specialist Health Specialist
16 The Way Forward for ADB (short to midterm: 2-3 Years) 1. Make Multidisciplinary Team work 2. Set-up a Thematic Group with interested staff 3. Mobilize resources (e.g., RETA - with a full time coordinator acting as the engine of the Theme Group Secretariat)to generate knowledge and business 4. Establish Links to Centers of Excellence 5. Develop a course for ADB and government and briefing pack for Management and ADB Staff 6. Develop an Elderly Care Knowledge Hub 7. Maintain a Database (experts, experiences, lessons learned) 8. Stimulate Demand of DMCs: policy dialogue, sector assessments, business development
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