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This book examines common themes related to gender and ageing in countries in Southeast Asia. Derived from quantitative or qualitative methods of data collection and analysis, the chapters reveal how ageing has become tempered by globalization, cultural values, family structures, women’s emancipation and empowerment, social networks, government policies, and religion. The chapters are concerned primarily with the following questions related to gender and ageing: (a) how do women and men experience old age? (b) do women and men have different means of coping financially and socially in their old age? (c) does having engaged in wage work for longer periods of time serve as an advantage to older men in contrast to older women? (d) does a woman’s primary role as caregiver serve to disadvantage her in old age? (e) what kinds of identities have older women and men constructed for themselves? (f) do women and men prepare for ageing differently and has this preparation been mediated by educational levels? (g) does having a higher level of education make a difference to how one experiences ageing? (h) how does class shape the way women and men cope in old age? and (i) what does it mean to be a ‘single’ older person who has either lost a spouse through death or has never been married? Because the book employs a cross-country analysis, readers gain an understanding of contemporary emergent trends not only in each of the countries but also in Southeast Asia as a whole. Wherever relevant, some chapters have also identified similarities in trends on gender and ageing between countries in the Western hemisphere and those in Southeast Asia to highlight broader patterns across the world. "The share of the elderly in Southeast Asia’s population is steadily rising, and it is increasingly important to understand and plan for the implications of this trend. While in some aspects, the situation of older women and men in the region is similar, their life experiences of education, marriage, child-raising, work, and social networks differ, and this makes for different issues as they grow older. Moreover, a much higher proportion of elderly women than men face old age without a spouse. This book makes a major contribution to understanding the issues arising from ageing trends in Southeast Asia. Individual chapters in the book deal authoritatively with almost every country in the region, and are written by noted experts on the subject. The book will be an essential reading for anyone wishing to understand ageing issues in Southeast Asia, particularly from the perspective of gender." - Gavin Jones, Director, JY Pillay Comparative Asia Research Centre, National University of Singapore
The rising number of older persons in Asia has accentuated the importance of strengthening the systems of social protection in the region. This book examines the effectiveness and relevance of noncontributory or social pensions in supporting older persons in Asia. It discusses the political economy and financial sustainability of social pension reform, implications for gender equity and social rights, and design and implementation challenges. Case studies from Bangladesh, Nepal, Thailand, Viet Nam, and South Caucasus and Central Asia provide key lessons for informing development policy and practice in Asia and the Pacific.
Examines national ageing policies and programs, the sustainability of existing pension systems, housing and living arrangements, inter-generational transfer, and aspects of quality of life of the elderly population.
Old age income support will be one of the biggest social and economic challenges facing Asia in the twenty-first century. The growing spotlight on old age income support is largely due to exceptionally rapid population aging which is fundamentally reshaping Asia’s demographic profile. A young continent reaping the demographic dividend of a large youthful workforce is giving way to a greying continent where the ratio of retirees to workers is on the rise. In contrast to industrialized countries, most Asian countries do not yet have mature, well-functioning pension systems. As a result, they are ill prepared to provide economic security for the large number of retirees who loom on the region’s horizon. This book takes a close look at the pension systems of eight countries in East and Southeast Asia – namely, China, Indonesia, Korea, Malaysia, Philippines, Singapore, Thailand and Vietnam – which encompass a wide range of income and development levels. The book provides a comprehensive overview of pension systems in the eight countries, including an in-depth diagnosis to identify their major weaknesses and shortcomings. On the basis of the diagnosis, the book sets forth concrete and specific policy options for reforming Asia’s pension systems. Many policy options for reform are country-specific. For example, a top priority in China is to extend the pension system to rural areas. At the same time, a number of reforms – such as the need to extend coverage – resonate across the entire region. Appropriate reform will enable the region’s pension systems to deliver affordable, adequate and sustainable old-age economic security.
Elder Abuse and Its Prevention is the summary of a workshop convened in April 2013 by the Institute of Medicine's Forum on Global Violence Prevention. Using an ecological framework, this workshop explored the burden of elder abuse around the world, focusing on its impacts on individuals, families, communities, and societies. Additionally, the workshop addressed occurrences and co-occurrences of different types of abuse, including physical, sexual, emotional, and financial, as well as neglect. The ultimate objective was to illuminate promising global and multisectoral evidence-based approaches to the prevention of elder maltreatment. While the workshop covered scope and prevalence and unique characteristics of abuse, the intention was to move beyond what is known about elder abuse to foster discussions about how to improve prevention, intervention, and mitigation of the victims' needs, particularly through collaborative efforts. The workshop discussions included innovative intervention models and opportunities for prevention across sectors and settings. Violence and related forms of abuse against elders is a global public health and human rights problem with far-reaching consequences, resulting in increased death, disability, and exploitation with collateral effects on well-being. Data suggest that at least 10 percent of elders in the United States are victims of elder maltreatment every year. In low- and middle-income countries, where the burden of violence is the greatest, the figure is likely even higher. In addition, elders experiencing risk factors such as diminishing cognitive function, caregiver dependence, and social isolation are more vulnerable to maltreatment and underreporting. As the world population of adults aged 65 and older continues to grow, the implications of elder maltreatment for health care, social welfare, justice, and financial systems are great. However, despite the magnitude of global elder maltreatment, it has been an underappreciated public health problem. Elder Abuse and Its Prevention discusses the prevalence and characteristics of elder abuse around the world, risk factors for abuse and potential adverse health outcomes, and contextually specific factors, such as culture and the role of the community.
The book examines the health rights of older persons who are more likely potentially to face various disadvantages in terms of healthcare access and affordability, thereby impacting on health outcomes. The point of departure in the analyses is that the health security of older persons is guaranteed only if a country approaches the health of its citizens out of moral obligation, viewing health and well-being as a right rather than an entitlement. Data from five countries in the ASEAN region are analysed with the intent of highlighting the health inequalities and barriers at the societal and individual levels, on the one hand, as well as the gaps at the health and healthcare policy and programmatic levels within each country, on the other. It is also intended that the analyses of the data from the selected countries which represent different stages of development, and thus income levels, provide a useful comparative framework for policymakers in the ASEAN region.
Demographers, economists, sociologists and anthropologists analyse the implications of population ageing for family and community welfare and public policy.
In the broadest sense, The Well-Being of the Elderly in Asia is a study of social change and of anticipating future social change. It examines the effects on the current and future elderly of the rapid demographic transition that has occurred over much of Asia, accompanied in many countries by equally dramatic social and economic transformations. Policymakers in Asia have been aware of these trends and their potentially deleterious consequences for a decade or more, and have sought to fashion appropriate policies and programs that anticipate and mitigate their effects. Accordingly, any study of the sociodemographic trends and their impact must be examined in the light of policies put in place and under development.
Health patterns in Southeast Asia have changed profoundly over the past century. In that period, epidemic and chronic diseases, environmental transformations, and international health institutions have created new connections within the region and the increased interdependence of Southeast Asia with China and India. In this volume leading scholars provide a new approach to the history of health in Southeast Asia. Framed by a series of synoptic pieces on the "Landscapes of Health" in Southeast Asia in 1914, 1950, and 2014 the essays interweave local, national, and regional perspectives. They range from studies of long-term processes such as changing epidemics, mortality and aging, and environmental history to detailed accounts of particular episodes: the global cholera epidemic and the hajj, the influenza epidemic of 1918, WWII, and natural disasters. The writers also examine state policy on healthcare and the influence of organizations, from NGOs such as the China Medical Board and the Rockefeller Foundation to grassroots organizations in Thailand, Indonesia, and the Philippines.
Population aging poses two major challenges for Asian policy makers: (i) sustaining rapid economic growth in the face of less favorable demographic conditions; and (ii) providing affordable, adequate, sustainable old-age income support for a large and growing elderly population. This book explores the second issue by examining the pension systems of eight countries in East and Southeast Asia: the People's Republic of China, Indonesia, the Republic of Korea, Malaysia, the Philippines, Singapore, Thailand, and Viet Nam. It also puts forward both country-specific and region-wide reforms to address two critical areas of pension reform, namely, fairness and sustainability.