Transcript Slide 1

The Response of the International
Community: Madrid International Plan of
Action on Ageing (MIPAA)
Presentation by
Asghar Zaidi
European Centre Vienna
Also on behalf of
Alexandre Sidorenko,
UN Programme on Ageing
UN PROGRAMME ON AGEING AS 2007
European Centre for Social Welfare
Policy and Research
Outline of my two-part presentation:
1. The Madrid International Plan of Action on
Ageing (15 mins)
• What is MIPAA?
•
Implementation strategy of MIPAA
•
Implementation efforts
•
Review & appraisal: what modalities and
procedures
2. MIPAA and the Improvement of the Quality of
Life (5 mins)
UN PROGRAMME ON AGEING AS 2007
European Centre for Social Welfare
Policy and Research
What is MIPAA?
1. Madrid, April 2002: The 2nd World Assembly on
Ageing adopted the Madrid International Plan of
Action on Ageing (MIPAA) – a major international
coordination initiative;
2. 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);
3. 2007/08 is the 5th anniversary of MIPAA – thus, a
review and appraisal of the activities undertaken
under the MIPAA.
COMMITMENTS OF
GOVERNMENTS IN THE
POLITICAL DECLARATION:
• Eliminate age discrimination…
• Incorporate ageing within social
and economic strategies…
Second World Assembly on Ageing,
Madrid, Spain 8-12 April 2002
Political Declaration
and
Madrid International
Plan of Action on Ageing
• 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
Overall GOAL:
Reaching a society for all ages
CONTENT:
Adjustment to an ageing world
Second World Assembly on Ageing,
Madrid, Spain 8-12 April 2002
Political Declaration
and
Madrid International
Plan of Action on Ageing
UN PROGRAMME ON AGEING
Priority Directions for Policy Actions
I. Older Persons and Development
II. Advancing Health and Wellbeing into Old Age
III. Ensuring Enabling and Supportive
Environments
UN PROGRAMME ON AGEING
Adjustment to an ageing world is measured in terms of:
Social development
Improving ‘QOL’ of older
persons
Sustainability of support
systems
I. Older Persons and
Development
II. Advancing Health and
Wellbeing into Old Age
III. Ensuring Enabling and
Supportive Environments
“TARGETED” MAINSTREAMING
Region
Overall (social/economic)
priority
Ageing mainstreaming
component (focus)
Africa
Poverty
HIV/AIDS, incl. orphan
children
Older persons as caregivers
and household leaders
Latin America
(Out)migration
Older persons left behind
in rural areas. Older
persons adjusting to urban
environment
Asia
Adjustment to fast societal
change
Transition from informal
(family, e.g. filial piety, etc.)
to mix (formal + informal)
support systems
Eurasian countries
Transition from all-inclusive Older persons as active
members of transitional
social welfare to market
society
based schemes
UNECE countries
Reform of social security
and health care systems;
Labour force participation
Older persons as
beneficiary of social
security system and
contributors to
development
UN
PROGRAMME ON AGEING
2. Implementation of the
Madrid Plan
Second World Assembly on Ageing,
Madrid, Spain 8-12 April 2002
Political Declaration
and
Madrid International
Plan of Action on Ageing
The essential element of its implementation is
to help extend national capacity on ageing
institutional framework
 human resources (governmental/ non-govt)
 mobilization of financial resources
 research, data collection and analysis
 policy processes, including the use of mainstreaming
Example 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.
3. First cycle of the review
and appraisal of the
Madrid Plan of Action
Second World Assembly on Ageing,
Madrid, Spain 8-12 April 2002
Political Declaration
and
Madrid International
Plan of Action on Ageing
Key Modalities of National Review & Appraisal:
1. Review and appraisal will be undertaken every five years;
2. Each review and appraisal cycle will focus on the theme
based on the priority directions of MIPAA;
3. Review and appraisal will include two dimensions: ageingspecific policies and ageing-mainstreaming efforts; and
4. Bottom-up and flexible approach will be the major format of
the review and appraisal exercise.
The 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.
Part II: Quality of Life
• What does it generally mean?
– multi-dimensional and complex concept
– Health often used as a proxy
– Major focus of scientific research in Europe and North
America, BUT with limited benefits to policymaking and
to actual people quality of life
– It 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.
References 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?
MULTI-DIMENSIONAL NATURE OF QoL
Physical
Social/Economic
Psychological
Spatial
Source: Walker (2007)
MODELS OF QUALITY OF LIFE
•
Objective social indicators
•
Satisfaction of human needs
•
Subjective social indicators
•
Health and functioning
Older People’s own perspectives on
QoL
FOUNDATIONS OF A GOOD QoL IN OLD AGE
• Having good social relationships with family,
friends and neighbours
• Having good health and functional ability
• Living in a good home and neighbourhood
• Having a positive outlook and psychological
well-being
• Having adequate income
• Maintaining independence and control over
one's life
Source: Bowling et al (2002)
Challenges 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):
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–
–
–
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by combining preventative and remedial actions
by adopting a ‘Society for All Ages’ approach
by integrating economic and social policies
by joining up all of relevant actors
by ingraining the principle of participation under
conditions which enhance older people’s well-being