1. OVERVIEW ON POPULATION AGEING IN VIETNAM:
Session 1/2c
OVERVIEW ON POPULATION AGEING IN VIETNAM:
CURRENT STATUS, TRENDS AND IMPACTS
Nguyen Van Tan
Deputy General Director in -charge,
General Office for Population- Family Planning

2. CONTENT
Current status
Trends
Impacts

3. 1. CURRENT STATUS Overview on Population Ageing in Vietnam:
Current status, Trends and Impacts
1. CURRENT STATUS

4. VIETNAM IS IN THE PROCESS OF POPULATION AGEING
Year
Total population (million)
60+ (million)
Ratio (%)
65+ ratio
(%)
1979
53.74
3.71
6.9
4.7
1989
64.38
4.64
7.2
1999
76.33
6.19
8.1
5.8
2009
85.84
7.45
8.68
6.4
2010
86.75
8.15
9.4
6.8
2011
87.61
8,.65
9.9
7.0
In the three decades ( ) there was an increase of points per year (65+)
During there was an increase of points/year
In 2011: Vietnam officially entered the stage of population aging
Source: GSO, Census & Housing Survey 1979, , and the Survey on Population-Family Planning Changes, 2011

5. 65+ proportion/ total population
Session 1/2c
The elderly mainly living in rural areas, as famers, and engaged in agricultural activities
Regions
65+ proportion/ total population
(%)
Northern midlands & mountainous areas
6,0
Red River delta
8,3
Northern central zone & central coastal zone
7,8
Tay Nguyen Highlands
4,0
Southeastern zone
4,7
Cuu Long River delta
6,1
> 70% tự lao động kiếm sống
> 25.5% have pension/social allowance
The area of ​​agricultural land is shrinking, coupled with natural disasters; low income.
Source: GSO,General Census & Housing Survey 2009 , Elderly Census Survey 2011

6. Session 1/2c
The elderly in Vietnam mainly living with their children and grand children
The elderly in Vietnam mainly living with their children and grand children while the trend is of a changing family structure
72,3% living with children and grand children,
High population of the elderly living alone
Lonely elderly females are 5.44 times as many as lonely elderly males
Living alone is a big disadvantage for the elderly, because the family is always the basic support for each member in old age.
Source:Viet Nam National Committee on Ageing (VNCA), National Elderly Survey, Ten Years’ Madrid Report, 2012.

7. FEMINIZATION OF THE ELDERLY POPULATION
Session 1/2c
Females accounting for a high percentage of the elderly population
60-69: 1 male: 1.3 females
70-79: 1 male: 1.5 females
80+: 1 male: 2 females
This has led to the phenomenon of "feminization of the elderly population" in Vietnam (the life expectancy of women is always higher than that of men).
Age group
Number of elderly women per 100 elderly men
60-69
131
70-79
149
80+
200
However, older women are often more at risk than older men in terms of income, health status, and access to health care services and health insurance.
Source: GSO, General Census & Housing Survey 2009

8. POOR HEALTH STATUS
Session 1/2c
Despite the high average life expectancy (73 years), the burden of disease of the Vietnamese people is also high (15.3 years WHO, 2009)
The dual burden of diseases (95% of the elderly suffer from diseases, mainly chronic non-communicable diseases)
27%: Meet with difficulties in daily activities
60% of elderly women support older men and the other way round is 30%
67.2%: poor , very poor health condition; 5%: good
The percentage of females having poor health is higher than that of males, higher in rural areas than in urban areas
35%: Feeling (at least several times) sad, disappointed
22%: Feeling lonely
33%: Do not share with anyone happiness or sadness
Source: Viet Nam National Committee on Ageing (VNCA), National Elderly Survey, Ten Years’ Madrid Report, 2012.

9. STILL LIVING A DIFFICULT LIFE 18% living in poor households
Session 1/2c
STILL LIVING A DIFFICULT LIFE
18% living in poor households
The older the age the poorer they become
Women are poorer than men
Rural residents are poorer than urban residents
70% of the elderly have no material accumulation or savings
62,3%: Needy with difficulties (Rural: 68%, Urban: 50%)
27,6%: Think that the economy is getting worse
More than 30% live in solid houses
Nearly 10% live in temporary houses
Source:Viet Nam National Committee on Ageing (VNCA), National Elderly Survey, Ten Years’ Madrid Report, 2012.

10. TRENDS Overview on Population Ageing in Vietnam:
Current status, Trends and Impacts
TRENDS

11. REDUCED FERTILITY RATE
Total fertility rate, Viet Nam,
Source: GSO, Census & Housing Survey 1979, , and the Annual Surveys on Population-Family Planning Changes.

12. REDUCED MORTALITY RATE
Session 1/2c
REDUCED MORTALITY RATE
Infant mortality rates (of children under 1 year old) (%o)
Mortality rate: Reduced: CDR, IMR, MMR all reduced
IMR reduced quickly
Advances in Medicine, Hygiene, Nutrition …
The socio-economic conditions of the country are improved
Nguồn: TCTK, Tổng Điều tra DS & Nhà ở 1979, 1989, 1999, 2009

13. LIFE EXPECTANCY OF THE 60+ POPULATION
Session 1/2c
LIFE EXPECTANCY OF THE 60+ POPULATION
Life expectancy of the 60+population
Of Viet Nam and some countries, regions, 2010
Life expectancy of the population is very high and keeps growing
Viet Nam: 21.5; equivalent to that of developed countries
Japan
Australia
France
Canada
South Korea UK
USA
Developed countries
Europe
Vietnam
The world
China
Russia
Developing countries
Source: UN, Population Ageing and Development 2012

14. VIETNAM IS IN THE PROCESS
OF AGEING POPULATION
Forecast of population proportion by age group, Vietnam
0-14: Gradually reduced
“Golden population”
65+: Keep growing
Source: GSO, Population Projections ; Population and Family Planning Survey 1 April 2012

15. VIETNAM IS IN THE PROCESS
OF AGEING POPULATION
Forecast of the 65+ population, Viet Nam,
Source: GSO, Vietnam Population Forecast

16. Session 1/2c
THE PERIOD OF TRANSITIONING FROM “AGEING POPULATION” TO “AGED POPULATION” IS SHORT
The period of transitioning from “ageing population” to “aged population” of Vietnam and some countries
Proportion of the population is fast growing
The aging index increased sharply
Vietnamese people's life expectancy is increasing
The transition from the "ageing population" to the “aged population" of Vietnam takes 15 to 18 years, much shorter than that of many countries, including the more developed countries.
Source: Kinsella and Gist, 1995; Census Bureau, 2005; Vietnam GSO, 2010

17. The elderly population increased rapidly in the oldest age group
Session 1/2c
The elderly population increased rapidly in the oldest age group
The elderly population in Vietnam (proportion % of total population)
Age group
1979
1989
1999
2009
2019
2029
2039
2049
60-64
2.28
2.40
2.31
2.26
4.29
5.28
5.80
7.04
65-69
1.90
2.20
1.81
2.78
4.56
5.21
6.14
70-74
1.34
1.40
1.58
1.65
1.67
3.36
4.30
4.89
75-79
0.90
0.80
1.09
1.16
1.91
3.28
3.87
80+
0.54
0.70
0.93
1.47
1.48
1.55
4.16
South Korea's averaged life expectancy is 80.5 years, the proportion of the elderly (65+) is 11% of total population, but the number of people over 100 years old is only 1,836 (0.0037% of total population).
The averaged life expectancy of Vietnam is 72.8 (2009); the proportion of the elderly population (65+) is 6.6% of the total population, but the population over 100 years is 7,200 (accounting for % of the total population).
Thus, although the proportion of the elderly population and averaged life expectancy in Vietnam is lower than that of South Korea, the proportion of the elderly of 100 years and older in Vietnam is times that of South Korea.

18. IMPACTS Overview on Population Ageing in Vietnam:
Current status, Trends and Impacts
IMPACTS

19. Session 1/2c
IMPACTS
The social security system does not meet the needs of the elderly
The health care system has not met the growing needs of the elderly
Changes in the age distribution will affect the economy through significant changes in the size and composition of the working-age population and the composition of individual consumption.
Challenges in the work of planning, policy making
There are no programs, solutions in place to adapt to aging population
There is no fund for care of the elderly people
There is no system of concentrated long-term care facilities
30% of the elderly do not have any kind of health insurance.
54.6% of the elderly need treatment. Rural residents need more than urban residents.
70% of the elderly have to pay for health care services, medicines (among those treated)
Main treatment at district, provincial and central hospitals
50% can not afford treatment => No treatment
More than 16% are not satisfied

20. and hospitals under the line ministries
IMPACTS .
The medical-geriatric system is still inadequate and poorly equipped failing to meet the needs for addressing chronic diseases which are characteristic of the elderly
At present, there are 49 departments of geriatric medicine in provincial hospitals, centrally-administered city hospitals
and hospitals under the line ministries

21. NUMBER OF HEALTH CARE FACILITIES THAY HAVE GEATRIC DEPARTMENTS
Number of hospitals that have geriatric departments: 49
Number of hospital departments that have separate wards or separate treatment areas for the elderly: 270
Number of beds for patients who are the elderly : 5.568
Number of village/ hamlet health workers trained in geriatric medicine: 957
The number of elderly patients receiving regular health check-ups: 1,057,750
Number of the elderly people with health records : 894,004
Number of the elderly people provided with knowledge on health care for the elderly people : 1,909,403
Source: Ministry of Health. Reports of 30/63 provincial /city health departments, 14 central hospitals and hospitals of other sectors. (Report on Orientation of the Health System to Meet the Needs of the Elderly: Vietnam Situation Analysis by WHO and National Institute for Health Policy and Policy, October 2015.

22. THANK YOU SO MUCH!