1. HelpAge International Citizen views of MIPAA implementation 5 years on Sylvia Beales HelpAge International 12 th February 2007 www.helpage.org

2. What MIPAA calls for  ageing to be incorporated into global development agendas  the right of older people to an equal share of development resources  halving of old age poverty and hunger by 2015 in line with MDG 1  governments to include older people in national-development and social policy processes  specific actions on issues of concern for older people and their families – including health, social protection, HIV/AIDS, violence and abuse, emergencies  collaboration between governments, civil society, international agencies and the private sector

3. A bottom up, participatory review process  Promotes the active involvement of older persons who have often been overlooked  Encourages development of social capital, as people begin to organize and develop essential networks to promote their interests and their well being  Provides a tool for better decision making, for improving policies and programmes, and for improving governance

4. HAI MIPAA review - methodology  Collect basic information  Interviews with national ministries and local government representatives  Interviews with older people  Comment and analysis from older people’s organisations  Presentation of findings at national level  Joint planning on next steps with Ministries, ageing focal points and civil society

5. Preliminary findings Five countries: Kenya, Moldova, Serbia, Uganda, Vietnam Problems with data collection  no data available  general data on older people not disaggregated by sex or age  Poverty data amongst older people not generally available

6. Low awareness of MIPAA Amongst  Older people  Local government structures  National government structures Some countries engaged in awareness raising through workshops – eg Kenya, Vietnam, Senegal – more in pipeline

7. Older people in national policies Poverty Reduction Strategies  Uganda: OP issues in 5 year health sector plan but not specifically in the PEAP/PRS  Serbia: OP issues recognised in 2002 PRS as group for poverty alleviation  Moldova: 2004 PRS provides for social insurance for older persons National Plan on Ageing  Serbia: National Strategy on Ageing, 2006  Uganda: draft policy before Parliament  Kenya: draft policy being submitted to cabinet Levels of older people’s participation vary

8. Resources allocated to older people  National budgets do not allocate resources for older people  Allocated resources for poverty reduction do not target older people’s poverty, nor acknowledge rate of population ageing  Limited resourcing for public assistance programmes which include older people - but they have to compete with other groups Development partners not yet sensitive to older age issues

9. Health provision  Moldova: medical insurance for pensioners; primary, outpatient services and hospitalised treatment  Uganda: basic health care is limited by distances to health facilities and cost of drugs  Vietnam: free health insurance for all those over 90; 6% of all older people have free health insurance; 13% of older people benefit from healthcare fee remittances at provincial health centres  Kenya: all ages eligible for National Insurance Health Fund

10. Social pension provision % over 60 receiving a social pension Moldova12.4 % KenyaZero Serbian/a UgandaZero Viet Nam2 %

11. Older people’s experience “Encouraging older people to take part in healthcare activities, through regular medical check-ups and consultations has contributed to older people living a healthy useful and happy life” Bui Van Con, 71, Vietnam “One more problem is that the older people do not know of their rights, our Constitution does not provide for a separate article which would stipulate that older people have the right to participate in social life, not to be excluded from society” Tatiana Reabov, 77, Moldova “…when I went to the district hospital the young man there with a white coat told me that I was not sick, that I was just too old and my problem was aging for which they had no medicine… and when I asked him to at least get some drugs for my back pain he said that we old people just waste drugs…he went ahead and called the next patient without listening to my plea….” 76 year-old male, Kenya

12. Health  Free health care  Improvement in health services  Free transport  Improved attitudes of health care providers  Decent housing and living environment  Food security and nutrition Income and economic security  Social pensions  Increased levels of social pension (Moldova, Vietnam)  Lower age of eligibility for social pensions (eg Vietnam is 90)  Recognise and act on older carers needs (HIV/AIDS, migration) Overall better provision of linked social protection (health, social care, social pensions) Older people’s recommendations

13. Participation In family, community and society In development activities In dialogue with authorities Leading to an environment where they are not stigmatized and treated as second rate citizens Older people’s recommendations

14. Rights Sensitisation and civic education on rights of older persons Legal representation Property rights especially of older woman Personal security Need for affirmative action ie Convention on rights of older persons Older people’s recommendations

16. Older people’s poverty WomenMenTotal in poverty % of total population Moldova35 %29 % Kenya Serbia Uganda336,918323,70564 %38% Viet Nam34 %29 % Sources: various