ageing and life course 11 th world congress of public health global ageing: implications for public...
TRANSCRIPT
![Page 1: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/1.jpg)
Ageing and Life Course
11TH WORLD CONGRESS OF PUBLIC HEALTH
GLOBAL AGEING:
IMPLICATIONS FOR PUBLIC HEALTH
Alexandre Kalache
WHO, Ageing and Life Course
![Page 2: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/2.jpg)
Ageing and Life Course
Global Ageing
Ageing and development
Active Ageing Policy Framework
ALC activities
![Page 3: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/3.jpg)
Ageing and Life Course
The world population is ageingPopulation Pyramid in
1995 and 2025
00-04
10-14
20-24
30-34
40-44
50-54
60-64
70-74
80+
Millions
Age
MALEMALE FEMALEFEMALE
300 300200 100 100 200
UN Population Division, 1998 Revision
![Page 4: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/4.jpg)
Ageing and Life Course
The population in developing countries is fast increasing - particularly the
agedPopulation 2000 2025 2050(in billion)Total 6.0 7.8 8.9
More developed countries 1.2 1.2 1.2
Lessdeveloped countries 4.7 6.6 7.860+ 0.6 1.2 2.0
More developed countries 0.2 0.3 0.3
Lessdeveloped countries 0.4 0.9 1.7
![Page 5: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/5.jpg)
Ageing and Life Course
Population 60 years and over as Percentage of total Population in selected Developing
Countries
% of total population
0
5
10
15
20
1975 2000 2025 Source: UN, 2000
Nigeria
Thailand
SouthAfricaIndonesia
Mexico
Brazil
India
China
![Page 6: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/6.jpg)
Ageing and Life Course
Life expectancy at birth isincreasing in all regions
Source: UN Population Division, 1998 Revision
30
40
50
60
70
80
90
1950-55 1970-75 1990-95 2010-15 2030-35
Ye
ars
Africa Asia Europe Latin America and Caribbean Northern America
Japan
Sierra Leone
![Page 7: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/7.jpg)
Ageing and Life Course
Women live longer than men - life expectancy at birth 2000-05
0 20 40 60 80 100
Nigeria
Russian Fed.
Bangladesh
Pakistan
India
Indonesia
Brazil
China
Mexico
USA
Japan
Men Women
![Page 8: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/8.jpg)
Ageing and Life Course
Life Expectancy at the Age of 60 in Selected Countries
Source: UN, Population Data-Base, up-date 2001
COUNTRY
2000-05 Women
2025-30 Women
2000-05 Men
2025-30 Men
France 30.0 31.9 20.0 22.1 Japan 27.0 31.1 21.4 23.9 USA 23.9 26.1 19.5 21.7 UK 23.3 25.9 19.4 21.6 Cuba 22.5 24.1 20.3 21.3 Mexico 22.0 23.9 19.6 20.8 China 20.1 22.7 16.3 18.6 Russ. Fed. 18.7 21.4 13.5 16.2
![Page 9: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/9.jpg)
Ageing and Life Course
Inequalities – global extremes
Japan Sierra Leone
Total 81.9 34.0
Male 78.4 32.4
Female 85.3 35.7
LE
B
![Page 10: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/10.jpg)
Ageing and Life Course
Inequalities – global extremes
Japan Sierra Leone
Total 81.9 34.0
Male 78.4 32.4
Female 85.3 35.7
Japan Sierra Leone
Total 75.0 28.6
Male 72.3 27.2
Female 77.7 29.9
LE
BH
AL
E
![Page 11: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/11.jpg)
Ageing and Life Course
Years of LEB lost to ill-health
Total 6.9 8.4% 5.4 16.0%
Male 6.1 7.8% 5.2 15.9%
Female 7.6 8.9% 5.8 16.3%
Japan Sierra Leone
Lo
st t
o
ill h
ealt
h
![Page 12: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/12.jpg)
Ageing and Life Course
Social inequalities
São Paulo, Brazil
![Page 13: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/13.jpg)
Ageing and Life Course
![Page 14: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/14.jpg)
Ageing and Life Course
Total fertility rates are decreasing
0
1
2
3
4
5
6
7
1950-55 1970-75 1990-95 2010-15 2030-35
Africa AsiaEurope Latin America and CaribbeanNorthern America Source: UN, 1998
![Page 15: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/15.jpg)
Ageing and Life Course
More and more countries have total fertility rates below replacement level
Source: UN , 1998
1970 2000 2020
22
68
121
![Page 16: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/16.jpg)
Ageing and Life Course
Ageing in the development agenda
“Ageing is a development issue.
Healthy older persons are a
resource for their families, their communities and the economy.”
WHO Brasilia Declaration on Ageing, July, 1996
![Page 17: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/17.jpg)
Ageing and Life Course
Older people are theprinciple carers for AIDS patients and AIDS orphans in Africa
Photo:UNICEF
![Page 18: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/18.jpg)
Ageing and Life Course
The role of non-contributory pensions in Brazil and South Africa
![Page 19: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/19.jpg)
Ageing and Life Course
The Burden of DiseaseSpain, 2002
Health care professionals 588(12%)
Community 4300(88%)
Total number of hours (in millions)/year spent on providing care
![Page 20: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/20.jpg)
Ageing and Life Course
Total number of hours (in millions)/year spent on providing non-paid health care,
Spain 2002
Men Women
Caring for others 52199
Self-care 140 108
Total 192 307
![Page 21: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/21.jpg)
Ageing and Life Course
Average number of minutes/day spent by the head of the household in providing health-related care,
Spain 2002
Age Group Household with a sick person
18 - 29
30 - 49
50 - 64
64 - 74
75- 84
85 +
Total
23
50
154
201
318
61
122
![Page 22: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/22.jpg)
Ageing and Life Course
The population dividend
![Page 23: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/23.jpg)
Ageing and Life Course
1970
South Korea: Population PyramidsSource: United Nations World Population Prospects, 2000 Rev.
2000
20502025
Male
Female
![Page 24: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/24.jpg)
Ageing and Life Course
1970
China: Population PyramidsSource: United Nations World Population Prospects, 2000 Rev.
2000
2025 2050
Male
Female
![Page 25: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/25.jpg)
Ageing and Life Course
Brazil: Population PyramidsSource: United Nations World Population Prospects, 2000 Rev.
1970 2000
2025 2050
Male
Female
![Page 26: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/26.jpg)
Ageing and Life Course
Ageing world-wide: contrasting realities
![Page 27: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/27.jpg)
Ageing and Life Course
The reality in the developed world
• Cohorts of future older persons quite different – the ‘baby boomers’ effect
• Contributions of biotechnology and new pharmaceuticals affordable by most
• Awareness• Disability rates declining• Dependency ratios inappropriately
calculated
![Page 28: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/28.jpg)
Ageing and Life Course
4
5
6
7
8
9
10
1982 1989 1994 1996 1999
in M
illi
on
s
Projected numbers Actual numbers
4
5
6
7
8
9
10
1982 1989 1994 1996 1999
in M
illi
on
s
Projected numbers Actual numbers
Source: US National LTC Survey, NY Times, May 2001
Chronically disabled Americans 65 years and older
Evidence from the US: disability rates are declining
27 million 33 million 35 million
![Page 29: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/29.jpg)
Ageing and Life Course
The reality in the developing world
• “poor raw material”
• prevailing poverty
• fast ageing in parallel with rapid social changes
– urban vs. rural ageing
– changes in family structure
– AIDS epidemic in Africa
![Page 30: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/30.jpg)
Ageing and Life Course
In a nutshell:
The developed world became The developed world became rich before it became old.rich before it became old.
Developing countries are Developing countries are becoming old becoming old
before they become rich.before they become rich.
![Page 31: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/31.jpg)
Ageing and Life Course
High Specificity of ageing from a public health perspective
•Increased NCD risk
•Multiple pathology
•Iatrogenic factors
•Drug interactions & dosage
•Socio-economic factors
•Emphasis on quality of life
•Community based health approaches
![Page 32: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/32.jpg)
Ageing and Life Course
WHO’s response
The WHO
Ageing and Life
Course
Programme
![Page 33: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/33.jpg)
Ageing and Life Course
Ageing and Life Course - programme components
Information dissemination
Capacity building
(research and training)
Policy development Advocacy
Global Strategy for Active Ageing
![Page 34: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/34.jpg)
Ageing and Life Course
WHO’s approaches and perspectives on Ageing
• life - course • development • gender• cultural • cohort• intergenerational• primary health care/ community based
![Page 35: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/35.jpg)
Ageing and Life Course
Life Course
![Page 36: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/36.jpg)
Ageing and Life Course
Life Course Perspective
“A life course approach offers an interdisciplinary framework for guiding research and policy on health, human
development and ageing ”
![Page 37: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/37.jpg)
Ageing and Life Course
A Life Course Approach to Active Ageing
Range of functionin individuals
Age
Fu
ncti
on
al
cap
acit
y
Early Life
Growth and developmen
t
Adult Life
Maintaining highest possible level of function
Older Age
Maintaining independence and
preventing disability
Rehabilitation and ensuring the quality
of life
Disability threshold
Source:Kalache and Kickbusch, 1997
![Page 38: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/38.jpg)
Ageing and Life Course
Scope for NCD Prevention
Age
Develo
pm
en
t of
NC
D FetalLife
Adult Life Adolescence Infancy andChildhood
SEPdiseasesgrowth rate
obesitylack of PAsmoking
SEP; birth weight,maternal nutrition status
Source: Aboderin and Kalache. WHO,2002
PA: physical activity SEP: socio-economic position
Accumulated
Risk(Range)
high
low
SEP, established adult behavioural/biologicalrisk factors
![Page 39: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/39.jpg)
Ageing and Life Course
2 billion older people in 2050
For those already aged 20+ an exclusive focus on children and the youth is already too late: by 2050
they will be 65+
![Page 40: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/40.jpg)
Ageing and Life Course
It is time for a new paradigm, one that views older people as active participants in an age-integrated society and as active contributors aswell as beneficiaries of
development.
![Page 41: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/41.jpg)
Ageing and Life Course
Active Ageing:
A Policy Framework
![Page 42: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/42.jpg)
Ageing and Life Course
“Active Ageing” – WHO definition:
Active ageing is the process ofoptimizing opportunities for health, participation and security in order to enhance quality of life as people age.
![Page 43: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/43.jpg)
Ageing and Life Course
Determinants of Active Ageing
![Page 44: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/44.jpg)
Ageing and Life Course
Three pillars of a policy framework for Active Ageing
![Page 45: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/45.jpg)
Ageing and Life Course
The time to plan and to act is now
In all countries, and in developing
countries in particular, measures to help older people remain healthy and active are a necessity, not a luxury.
![Page 46: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/46.jpg)
Ageing and Life Course
A culture of ageing is a culture of solidarity
![Page 47: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/47.jpg)
Ageing and Life Course
Solidarity between•Rich and poor
•Public and private•North and South
But, above all,
![Page 48: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/48.jpg)
Ageing and Life Course
Solidarity between...
Young and old
![Page 49: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/49.jpg)
Ageing and Life Course
ALC MainActivities
![Page 50: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/50.jpg)
Ageing and Life Course
1. The INTRA project:
Integrated Health Systems in rapidly ageing developing countries –
![Page 51: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/51.jpg)
Ageing and Life Course
INTRA's ultimate aimStrengthening family and community care through the PHC sector
![Page 52: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/52.jpg)
Ageing and Life Course
INTRA I: quantitativeINTRA II: qualitative (PHC users)INTRA III: qualitative
(non-users)
![Page 53: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/53.jpg)
Ageing and Life Course
INTRA I INTRA II INTRA IIIChile Peru BoliviaJamaica T & T SurinameBotswana Ghana KenyaLebanon Syria PakistanThailand Sri Lanka IndiaKorea China Malaysia
![Page 54: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/54.jpg)
Ageing and Life Course
INTRA IChile: national teams
country profilecoordinators
steering committee
methodologyfield work report
![Page 55: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/55.jpg)
Ageing and Life Course
INTRA IIChile Peru
national teams;coordinators;country profile
steering committee
methodologyfield work report
![Page 56: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/56.jpg)
Ageing and Life Course
INTRA IIIChile Peru Bolivia
national teams;coordinators;country profile
steering committee
methodologyfield work report
![Page 57: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/57.jpg)
Ageing and Life Course
INTRA FeaturesCapacity buildingBottom upExchange of
knowledge/Experiences/modelsSouth to SouthRegional hubsSustainability
![Page 58: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/58.jpg)
Ageing and Life Course
2. Age-friendly PHC Centres
![Page 59: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/59.jpg)
Ageing and Life Course
WHO main staircase
![Page 60: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/60.jpg)
Ageing and Life Course
![Page 61: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/61.jpg)
Ageing and Life Course
![Page 62: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/62.jpg)
Ageing and Life Course
![Page 63: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/63.jpg)
Ageing and Life Course
3. A gender perspectiveto ageing:
Women, ageing andhealth
![Page 64: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/64.jpg)
Ageing and Life Course
4. Prevention of elder abuse through the PHC sector
![Page 65: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/65.jpg)
Ageing and Life Course
5. Older persons in emergency situations - their needs and strengths
![Page 66: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/66.jpg)
Ageing and Life Course
6. Preventing falls in older age at community level
![Page 67: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/67.jpg)
Ageing and Life Course
7. AIDS and Ageing in Africa - older persons as carers
![Page 68: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/68.jpg)
Ageing and Life Course
8. Age-friendly urban settings
![Page 69: Ageing and Life Course 11 TH WORLD CONGRESS OF PUBLIC HEALTH GLOBAL AGEING: IMPLICATIONS FOR PUBLIC HEALTH Alexandre Kalache WHO, Ageing and Life Course](https://reader035.vdocument.in/reader035/viewer/2022081603/56649f225503460f94c3b0e3/html5/thumbnails/69.jpg)
Ageing and Life Course
photo by: Stefan Anderssonphoto by: Stefan Andersson