Presentation on theme: "Presentation by Asghar Zaidi European Centre Vienna Also on behalf of"— Presentation transcript:
1The Response of the International Community: Madrid International Plan of Action on Ageing (MIPAA) Presentation byAsghar ZaidiEuropean Centre ViennaAlso on behalf ofAlexandre Sidorenko,UN Programme on AgeingUN PROGRAMME ON AGEING AS 2007European Centre for Social Welfare Policy and Research
2Outline of my two-part presentation: The Madrid International Plan of Action on Ageing (15 mins)What is MIPAA?Implementation strategy of MIPAAImplementation effortsReview & appraisal: what modalities and proceduresMIPAA and the Improvement of the Quality of Life (5 mins)UN PROGRAMME ON AGEING AS 2007European Centre for Social Welfare Policy and Research
3What is MIPAA?Madrid, April 2002: The 2nd World Assembly on Ageing adopted the Madrid International Plan of Action on Ageing (MIPAA) – a major international coordination initiative;Mandate to the UN Regional Commissions to translate the Plan into regional action plans and to assist national institutions in implementation and monitoring of their actions on ageing (MIPAA, para 128);2007/08 is the 5th anniversary of MIPAA – thus, a review and appraisal of the activities undertaken under the MIPAA.
4COMMITMENTS OF GOVERNMENTS IN THE POLITICAL DECLARATION: andMadrid InternationalPlan of Action on AgeingSecond World Assembly on Ageing, Madrid, Spain April 2002COMMITMENTS OF GOVERNMENTS IN THE POLITICAL DECLARATION:Incorporate ageing within social and economic strategies…Eliminate age discrimination…Protect older persons in armed conflict and foreign occupation…Provide older persons with universal and equal excess to health care and services…UN PROGRAMME ON AGEING
5Reaching a society for all ages Political DeclarationandMadrid InternationalPlan of Action on AgeingSecond World Assembly on Ageing, Madrid, Spain April 2002Overall GOAL:Reaching a society for all agesCONTENT:Adjustment to an ageing worldUN PROGRAMME ON AGEING
6I. Older Persons and Development Priority Directions for Policy ActionsI. Older Persons and DevelopmentII. Advancing Health and Wellbeing into Old AgeIII. Ensuring Enabling and Supportive EnvironmentsUN PROGRAMME ON AGEING
7I. Older Persons and Development Adjustment to an ageing world is measured in terms of:I. Older Persons and DevelopmentSocial developmentII. Advancing Health and Wellbeing into Old AgeImproving ‘QOL’ of older personsSustainability of support systemsIII. Ensuring Enabling and Supportive Environments
8“TARGETED” MAINSTREAMING RegionOverall (social/economic) priorityAgeing mainstreaming component (focus)AfricaPovertyHIV/AIDS, incl. orphan childrenOlder persons as caregivers and household leadersLatin America(Out)migrationOlder persons left behind in rural areas. Older persons adjusting to urban environmentAsiaAdjustment to fast societal changeTransition from informal (family, e.g. filial piety, etc.) to mix (formal + informal) support systemsEurasian countriesTransition from all-inclusive social welfare to market based schemesOlder persons as active members of transitional societyUNECE countriesReform of social security and health care systems;Labour force participationOlder persons as beneficiary of social security system and contributors to developmentUN PROGRAMME ON AGEING
9Implementation of the Madrid Plan Political DeclarationandMadrid InternationalPlan of Action on AgeingSecond World Assembly on Ageing, Madrid, Spain April 2002Implementation of the Madrid Plan
10The essential element of its implementation is to help extend national capacity on ageing institutional frameworkhuman resources (governmental/ non-govt)mobilization of financial resourcesresearch, data collection and analysispolicy processes, including the use of mainstreaming
11Example on national capacity on ageing: research, data collection and analysis UN EUROPEAN REGION:The European Centre for Social Welfare Policy and Research (Vienna) assists governments in monitoring the regional implementation strategy for the MIPAA in the UNECE region.The European Research Area in Ageing (ERA-AGE): a four year project funded by the European Commission, to promote the development of a European strategy for research on ageing.
12Political Declaration andMadrid InternationalPlan of Action on AgeingSecond World Assembly on Ageing, Madrid, Spain April 20023. First cycle of the review and appraisal of the Madrid Plan of Action
13Key Modalities of National Review & Appraisal: Review and appraisal will be undertaken every five years;Each review and appraisal cycle will focus on the theme based on the priority directions of MIPAA;Review and appraisal will include two dimensions: ageing-specific policies and ageing-mainstreaming efforts; andBottom-up and flexible approach will be the major format of the review and appraisal exercise.
14The first global cycle of the review and appraisal of the Madrid Plan of Action - Started in 2007 at the 45th session of the Commission for Social Development and will conclude it in 2008 at its 46th session.Global theme: “Addressing the challenges and opportunities of ageing”.Format of the concluding event (in 2008): plenary debate + a series of panel discussions and events related to the theme of the first review and appraisal cycle.
15Part II: Quality of Life What does it generally mean?multi-dimensional and complex conceptHealth often used as a proxyMajor focus of scientific research in Europe and North America, BUT with limited benefits to policymaking and to actual people quality of lifeIt is important driver of policy (in EU, in UN and also in MIPAA)MIPAA: It is not clear what exactly is meant by such terms as “enhancing of quality of life”, “maintaining quality of life”, “contributing to quality of life”, etc, but it is regarded one of the central goals of ageing policies.
16References to Quality of Life in MIPAA “medical conditions due to environmental pollution affects quality of life of persons as they age”“mental health problems are a leading cause of disability and of reduced quality of life”“health promotion and disease prevention activities [that] can improve the functioning and quality of life of older persons who already have disabilities”The Action Plan refers to quality of life within the context of health!Is this what it is?
17MULTI-DIMENSIONAL NATURE OF QoL PsychologicalPhysicalSpatialSocial/EconomicSource: Walker (2007)
18MODELS OF QUALITY OF LIFE Objective social indicatorsSatisfaction of human needsSubjective social indicatorsHealth and functioning
19Older People’s own perspectives on QoL FOUNDATIONS OF A GOOD QoL IN OLD AGEHaving good social relationships with family, friends and neighboursHaving good health and functional abilityLiving in a good home and neighbourhoodHaving a positive outlook and psychological well-beingHaving adequate incomeMaintaining independence and control over one's lifeSource: Bowling et al (2002)
20Challenges and Opportunities Challenges: they vary between regions and countries; UN regional commissions and national stakeholders have an important role; MIPAA to ensure effective intergovernmental cooperation.Opportunity: A comprehensive strategy is adopted by national authorities (necessary to understand the sources of and promotion of quality of life):by combining preventative and remedial actionsby adopting a ‘Society for All Ages’ approachby integrating economic and social policiesby joining up all of relevant actorsby ingraining the principle of participation under conditions which enhance older people’s well-being