the response of the international community: madrid international plan of action on ageing (mipaa)...

The Response of the International Community: Madrid International Plan of

Action on Ageing (MIPAA)

Presentation byAsghar Zaidi

European Centre Vienna

Also on behalf ofAlexandre 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.

UN PROGRAMME ON AGEING

Political Declaration Political Declaration andand

Madrid International Madrid International Plan of Action on AgeingPlan of Action on Ageing

Second World Assembly on Ageing, Second World Assembly on Ageing, Madrid, Spain 8-12 April 2002Madrid, Spain 8-12 April 2002

COMMITMENTS OF COMMITMENTS OF GOVERNMENTS IN THE GOVERNMENTS IN THE POLITICAL DECLARATION:POLITICAL DECLARATION:

• Incorporate ageing within social and economic strategies…

• Eliminate age discrimination…

• Protect older persons in armed conflict and foreign occupation…

• Provide older persons with universal and equal excess to health care and services…





Overall GOAL:Overall GOAL:

Reaching a society for all agesReaching a society for all ages

CONTENT:CONTENT:

Adjustment to an ageing worldAdjustment to an ageing world


Priority Directions for Policy ActionsPriority Directions for Policy Actions

I. Older Persons and Development

II. Advancing Health and Wellbeing into Old Age

III. Ensuring Enabling and Supportive Environments

I. Older Persons and I. Older Persons and DevelopmentDevelopment

II. Advancing Health and II. Advancing Health and Wellbeing into Old AgeWellbeing into Old Age

III. Ensuring Enabling and III. Ensuring Enabling and Supportive EnvironmentsSupportive Environments

Adjustment to an ageing world is measured in terms of:Adjustment to an ageing world is measured in terms of:

Social development

Improving ‘QOL’ of older persons

Sustainability of support systems


Region Overall (social/economic) priority

Ageing mainstreaming component (focus)

Africa PovertyHIV/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 social welfare to market based schemes

Older persons as active members of transitional society

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

““TARGETED” MAINSTREAMINGTARGETED” MAINSTREAMING

2. Implementation of the Madrid Plan




The essential element of its implementation is The essential element of its implementation is to help extend national capacity on ageingto 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: Example on national capacity on ageing: research, data collection and analysisresearch, 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

1.1. Review and appraisal will be undertaken every Review and appraisal will be undertaken every fivefive years; years;

2.2. Each review and appraisal cycle will focus on the Each review and appraisal cycle will focus on the

theme based on the priority directions of MIPAA;theme based on the priority directions of MIPAA;

3.3. Review and appraisal will include two Review and appraisal will include two dimensions: ageing-specific policies and ageing-dimensions: ageing-specific policies and ageing-mainstreaming efforts; andmainstreaming efforts; and

4.4. Bottom-up and flexible approach will be the Bottom-up and flexible approach will be the major format of the review and appraisal major format of the review and appraisal exercise.exercise.

Key Modalities of National Review & Appraisal:Key Modalities of National Review & Appraisal:

The first global cycle of the review and The first global cycle of the review and appraisal of the Madrid Plan of Action -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 LifePart 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 MIPAAReferences 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 QoLMULTI-DIMENSIONAL NATURE OF QoL

PsychologicalPhysical

SpatialSocial/Economic

Source: Walker (2007)

MODELS OF QUALITY OF LIFEMODELS OF QUALITY OF LIFE

• Objective social indicators

• Satisfaction of human needs

• Subjective social indicators

• Health and functioning

Older People’s own perspectives on Older People’s own perspectives on QoLQoL

• 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

FOUNDATIONS OF A GOOD QoL IN OLD AGE

Source: Bowling et al (2002)

Challenges and OpportunitiesChallenges 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):

– 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

the response of the international community: madrid international plan of action on ageing (mipaa)...

Documents

ageing world slide

opportunities of ageing

ageing mipaa presentation

ageing political declaration

madrid plan of action

ageingmainstreaming

ageing priority directions

ageing eraage