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Greater longevity is an indicator of human progress in general. Increased life expectancy and lower fertility rates are changing the population structure worldwide in a major way: the proportion of older persons is rapidly increasing, a process known as population ageing. The process is inevitable and is already advanced in developed countries and progressing quite rapidly in developing ones. The 2007 Survey analyses the implications of population ageing for social and economic development around the world, while recognising that it offers both challenges and opportunities. Among the most pressing issues is that arising from the prospect of a smaller labour force having to support an increasingly larger older population. Paralleling increased longevity are the changes in intergenerational relationships that may affect the provision of care and income security for older persons, particularly in developing countries where family transfers play a major role. At the same time, it is also necessary for societies to fully recognise and better harness the productive and social contributions that older persons can make but are in many instances prevented from making. The Survey argues that the challenges are not insurmountable, but that societies everywhere need to put in place the policies required to confront those challenges effectively and to ensure an adequate standard of living for each of their members, while respecting and promoting the contribution and participation of all.
The WHO World report on ageing and health is not for the book shelf it is a living breathing testament to all older people who have fought for their voice to be heard at all levels of government across disciplines and sectors. - Mr Bjarne Hastrup President International Federation on Ageing and CEO DaneAge This report outlines a framework for action to foster Healthy Ageing built around the new concept of functional ability. This will require a transformation of health systems away from disease based curative models and towards the provision of older-person-centred and integrated care. It will require the development sometimes from nothing of comprehensive systems of long term care. It will require a coordinated response from many other sectors and multiple levels of government. And it will need to draw on better ways of measuring and monitoring the health and functioning of older populations. These actions are likely to be a sound investment in society's future. A future that gives older people the freedom to live lives that previous generations might never have imagined. The World report on ageing and health responds to these challenges by recommending equally profound changes in the way health policies for ageing populations are formulated and services are provided. As the foundation for its recommendations the report looks at what the latest evidence has to say about the ageing process noting that many common perceptions and assumptions about older people are based on outdated stereotypes. The report's recommendations are anchored in the evidence comprehensive and forward-looking yet eminently practical. Throughout examples of experiences from different countries are used to illustrate how specific problems can be addressed through innovation solutions. Topics explored range from strategies to deliver comprehensive and person-centred services to older populations to policies that enable older people to live in comfort and safety to ways to correct the problems and injustices inherent in current systems for long-term care.
The United Nations Madrid International Plan of Action on Ageing (MIPAA) offers a bold new agenda for handling the issue of ageing in the 21st century. It focuses on three priority areas: older persons and development; advancing health and well-being into old age; and ensuring enabling and supportive environments. This book brings together global perspectives on the MIPAA and focusses on and assesses the success and failures of governments to implement its recommendations. Despite its pivotal importance in international ageing policy, the MIPAA has been relatively neglected by academics in their writings and studies. This book mitigates this analytical and empirical cavity. Each chapter focuses on one specific geographical region and addresses five key themes: national ageing situation; twenty years of MIPAA; ensuring ageing with dignity; healthy and active ageing in a sustainable world; and priorities for the future. It presents an overall summary of the findings, future challenges and opportunities related to ageing, recommendations for future actions to be taken, and policy adjustments needed. The authors also present lessons that were learnt from managing the impact of COVID-19 on older people, together with an outlook on the most immediate priorities for the future so that the recommendations in the MIPAA are achieved in post-COVID-19 and sustainable ethical scenarios. An important contribution towards the advancement of ageing policy, the book will be indispensable to students and researchers of gerontology, ageing, and health. It will also be of interest to policy makers, geriatricians, dementia care specialists, social policy makers responsible for ensuring active and healthy ageing, and all public sector departments which have specific responsibilities towards improving the quality of life of older adults.
The Madrid International Plan of Action on Ageing (MIPAA), adopted at the Second World Assembly on Ageing, is the first international agreement that specifically recognises the potential of older people to contribute to the development of their societies. In monitoring its implementation two key approaches are evident: a qualitative bottom-up participatory approach and an approach that uses quantitative indicators to monitor sustainable progress and policies. With the European Centre for Social Welfare Policy and Research, playing a pivotal role in the monitoring of the implementation process, one of its key tasks has been to develop a list of 'indicators of achievement'. This book contains extended and revised versions of policy briefs and background papers that support the implementation monitoring process. The analyses included in these chapters make concrete suggestions towards quantitative indicators, with the aim of assisting national governments in mainstreaming ageing in their policies. The contributors provide an overview of the current situation with respect to population ageing and its consequences and also provide projections for the future. The book also includes the final list of quantitative indicators that arose out of consultations with international experts, related to the four main topics addressed: demography, income and wealth, labour market participation, and social protection and financial sustainability.
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That we all live longer is perhaps one of the greatest achievements of human progress. Yet increased life expectancy and lower fertility rates across the globe are having a huge impact on the structure of populations, offering both challenges and opportunities for the future. Ageing and Development is an authoritative analysis of the social and economic implications of this trend. Can we provide enough pensions for old people to live comfortably? How can old people be empowered to play a more positive role in society? What will the role of grandparents be in the emerging new social structures? What are the implications for health services? How can the very old be cared for? Providing a wealth of statistical and quantitative evidence and compiled by leading economists working at the forefront of this area, the authors argue that these challenges are not insurmountable, but societies everywhere need to put in place the required policies to confront these challenges effectively, providing a timely and definitive guide to the impact of ageing populations.
In the coming decades, challenges and risks associated with rapid population ageing will be paramount in Asia-Pacific. Examining key trends, dilemmas and developments with reference to specific nations, the book draws conclusions and policy recommendations that apply to Asia-Pacific as a whole. Individual chapters focus on the impact of population ageing, along with urbanization and industrialization, on the lives of people in the region. The book shows how leaders in Asia-Pacific – political, community and others – need to respond to changes in family and social structures, disease pathology, gender roles, income security, the care of older citizens and the provision of social and health welfare.
The question of communication and understanding between different generations is emerging as a key issue for the twenty-first century. The advent of ageing populations may lead to increased conflict or solidarity in society, and provokes a profound ambivalence both in public and in the private sphere. In a new approach, Biggs and Lowenstein offer a critical examination of Generational Intelligence as one way of addressing these issues. How easy is it to put yourself in the shoes of someone of a different age group? What are the personal, interpersonal and social factors that affect our perceptions of the ‘age other’? What are the key issues facing families, workplaces and communities in an ageing society? This book sets out a way of thinking about interpersonal relations based on age, and the question of communication between people of different ages and generations. The book challenges existing orthodoxies for relations between adults of different ages and draws out steps that can be taken to increase understanding between generational groups. The authors outline a series of steps that can be taken to enhance Generational Intelligence, examine existing theories and social issues, and suggest new directions for sustainable relations between generational groups.
The guide is aimed primarily at urban planners, but older citizens can use it to monitor progress towards more age-friendly cities. At its heart is a checklist of age-friendly features. For example, an age-friendly city has sufficient public benches that are well-situated, well-maintained and safe, as well as sufficient public toilets that are clean, secure, accessible by people with disabilities and well-indicated. Other key features of an age-friendly city include: well-maintained and well-lit sidewalks; public buildings that are fully accessible to people with disabilities; city bus drivers who wait until older people are seated before starting off and priority seating on buses; enough reserved parking spots for people with disabilities; housing integrated in the community that accommodates changing needs and abilities as people grow older; friendly, personalized service and information instead of automated answering services; easy-to-read written information in plain language; public and commercial services and stores in neighbourhoods close to where people live, rather than concentrated outside the city; and a civic culture that respects and includes older persons.
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.