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

HelpAge International
Citizen views of MIPAA implementation 5
years on
Sylvia Beales
HelpAge International
12th February 2007
www.helpage.org
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
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
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
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
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
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
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
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
Social pension provision
Moldova
Kenya
Serbia
Uganda
Viet Nam
% over 60 receiving a social
pension
12.4 %
Zero
n/a
Zero
2%
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
Older people’s recommendations
Health



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

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
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
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 poverty
Women
Men
336,918
323,705 64 %
38%
34 %
29 %
Moldova
Total in
poverty
35 %
% of total
population
29 %
Kenya
Serbia
Uganda
Viet Nam
Sources: various