Leaving no one behind measurement issues

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Leaving no one behind measurement issues Patricia Conboy, Head of Global Ageing, Advocacy, Campaigning, HelpAge International Expert Group Meeting, Measuring population ageing: Bridging research and policy Bangkok, Thailand, 25 26 February 2019

Ageing unequally Illustrations from OECD countries Source: OECD, Preventing Ageing Unequally, 2017

Average income changes for same cohort per country group 160 140 % 120 Plateau Hump Still increasing 100 80 60 40 20 0 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 Note: The Plateau group is made of Canada, Finland, Hungary, Israel, Italy, the Netherlands, Norway, Poland, the Slovak Republic and the United Kingdom. Hump is Australia, Austria, Belgium, Denmark, Slovenia, Sweden, Switzerland and the United States, while Czech Republic, France, Greece, Ireland, Luxembourg and Spain are part of the Still increasing group. The analysis is based on country, age and cohort fixed effects. Source: OECD calculations from the Luxembourg Income Study data.

Income inequality among those 65+ varies widely across countries Gini coefficient, 2014 or latest year 0.50 0.45 0.40 0.35 0.30 0.25 0.20 0.15 0.10 0.05 0.00 Source: OECD Income Distribution database

Poverty rates of the 80+ by family living arrangements Percentage of the 80+ with an equivalised income below 50% of the median % 40 35 30 25 20 15 10 5 0 Single living alone Single but living with other adults Partnered Source: EU-SILC, 2014.

Policy priorities on ageing & older people through an SDG lens Health Income security Violence, abuse & safety Empowerment & participation Source: Consultation response to IAEG-SDGs, HelpAge & UN Programme on Ageing Unit, January 2019

Health for all at all ages (SDG 3) Target 3.8, Achieve Universal Health Coverage (UHC) Indicators 3.8.1 & 3.8.2, Measuring coverage and financial protection Severe data deficits on UCH for older people accessibility, availability, acceptability, quality Need for data disaggregation Source: Global AgeWatch Insights 2018

Access to health care Overall, 49% of South African women aged 65+ reported at least 1 problem in accessing health care Getting permission to go for 23.6 treatment Getting money to pay for 37 treatment Distance 35 Didn t want to go alone 28.2 Source: South Africa Demographic and health survey 2016 (January 2019)

Income security (SDGs 1, 2, 5,8, 10) Data issues employment, pension coverage, pension adequacy, measurement of poverty, access to land and services

Estimates of labour force participation among older women (65+) in 2018, by region Region % Sub-Saharan Africa 42 Asia and the Pacific 15 Latin America and Caribbean 14 South Asia 12 Europe and Central Asia 5 Arab States 2 High income countries 10 World 14 Source: ODI, Between work and care: Older women s economic empowerment (2018)

Percentage of persons above statutory pensionable age receiving a pension, by region, latest available year Northern America Northern, Southern and Western Europe Europe and Central Asia Eastern Europe Americas Central and Western Asia Eastern Asia South Eastern Asia Oceania Latin America and the Caribbean Asia and Pacific Northern Africa Africa Arab States Southern Asia Sub Saharan Africa World 29.6 27.4 23.6 22.7 47.0 55.2 100.0 97.7 95.2 93.8 86.2 82.0 77.3 74.1 74.1 70.8 67.9 0 20 40 60 80 100 population above pensionable age receiving a pension (%) Source: ILO, Social Protection Report, 2017-19

Mauritius Botswana Bulgaria Georgia Thailand Azerbaijan Albania Uruguay Costa Rica Armenia Mexico Croatia Ecuador Kyrgyzstan Romania Sweden Lithuania Germany France Mongolia Bolivia, Plur. State of Source: ILO, Social Protection Report 2017-19 Colombia Jordan Panama Nicaragua Paraguay Female Congo 70 El Salvador Male Mozambique 80 Cameroon Dominican Rep. Burundi Burkina Faso Mali persons above pensionable age receiving a pension (%) Percentage of population above statutory pensionable age receiving an old age pension by sex, latest available year 100 90 60 50 40 30 20 10 0

Violence, abuse and safety (SDGs 1, 5, 16) Settings + measurement gaps + policy implications - intimate relationships, families, institutions, humanitarian emergencies & disasters

Experience of elder abuse by different categories among women & men aged 80 and over in India Type of abuse % reporting Beating, slapping 13 Verbal abuse 51 Economic exploitation 33 Unwelcome/forcible sexual 1 contact Neglect 35 Source: HelpAge India, Elder Abuse in India - 2018

Empowerment & participation (SDGs 4,5,10,11,16) Ageing in an ageist society negative impact on health and wellbeing (Ayalon & Tesch-Römer, 2018) Recognition of age discrimination Getting to grips with concepts of contribution, autonomy, participation role of Titchfield Group Developing measurements with participation of older people Measuring the age readiness of societal systems & policies (e.g. legal identity, approaches to education, employment, care & support)

Leave no one behind. Measure for diversity, complexity & nuance on ageing and older people. Thank you. www.globalagewatch.org https://unstats.un.org/sdgs/iaeg sdgs https://www.ageing better.org.uk/publications/ageing better measures framework https://unstats.un.org/sdgs/iaeg sdgshttp/