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AGING and HEALTH LATIN-AMERICA and the CARIBBEAN

. AGING and HEALTH LATIN-AMERICA and the CARIBBEAN. Dr. Enrique Vega Regional Advisor on Aging and Health Pan American Health Organization/ World Health Organization vegaenri@paho.org. THE DEMOGRAPHIC TRANSITION A FAST PROCESS.

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AGING and HEALTH LATIN-AMERICA and the CARIBBEAN

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  1. . . AGING and HEALTH LATIN-AMERICA and the CARIBBEAN Dr. Enrique Vega Regional Advisor on Aging and Health Pan American Health Organization/ World Health Organization vegaenri@paho.org

  2. THE DEMOGRAPHIC TRANSITION A FAST PROCESS • In 2006, just over 50 million of Latin America’s population was 60 or older, in less than 20 years the amount will be more than 100 million. In 2050, 24% of the population—some 200 million people—will be older adults • In 2006, the life expectancy of people 60 years old was an additional 19 years for men and 23 years for women

  3. THE DEMOGRAPHIC TRANSITION A FAST PROCESS France and Mexico, over time. Population 65 years and over

  4. THE DEMOGRAPHIC TRANSITION A DIVERSE PROCESS

  5. AGED POPULATION GROWTH IN LATIN AMERICAStill the window of opportunity Millions Source: United Nation Population Projections, 2006 http://new.paho.org/hq/index.php?option=com_content&task=view&id=2796&Itemid=1914

  6. Our information about Seniors Health in the Region is limited, SABE gave us this data: 50% did not have the financial means to meet their daily needs Less than 50% describe their health as good 20% have limitations in basic functional capacity 75% have limited physical activity on a regular basis 61% have risk factors for malnutrition HEALTH CONDITION OF OLDER PERSONS IN LATIN AMERICA AND THE CARIBBEAN Source: PAHO SABE Study, 2002

  7. Only 40% of older people with hypertension received a primary care consultation in the previous year In the previous 2 years, just 27% of women had had a mammogram 69% did not have influenza vaccine and 90% must pay out of pocket for essential medicines (full or partial) 60% caregivers say “it’s too much” and over 80% report having trouble covering cost of the care Health systems lack indicators to monitoring and analysis impact of health measures PERSISTENT BARRIERS AND GROWING NEEDS Source: PAHO SABE Study, 2002

  8. HAVANA CITY SCENARIOS 2010 BASIC HEALTH TEAM. POPULATION OF 600 HABITANTS • Demographic Situation • 96 children (0-14 years) • - 7 births in the year • 7 children less than 1 year • - 35 children less than 5 years • 118 elders (60 years and over) • - 32 with more than 75 years • - 9 living along Health Situation (using SABE data) 12 Cognitive Disturbance 22 with ADL limitations 10 with incontinence 29 with falls in a last year 23 with hearing problems 43 with vision problems

  9. BULDING A VISION OF HEALTH OF OLDER PERSONS • Resolution CSP26.R20 on Health and Aging in the 26th Pan American Sanitary Conference (2002) • International Plan of Action on Aging. World Aging Health Assembly (2002) • Regional Strategy for Implementation for Latin America and the Caribbean (2003) • II Regional Intergovernmental Conference on Aging in Latin America and the Caribbean (2007) • Primary Health Care Declaration (2006) • Health Agenda for the Americas 2008-2017 (2007)

  10. STRATEGIC APPROACH AND PLAN OF ACTION Health sector’s response to the health needs of older persons • Guided by the values of the UN Principles for Older Persons • Country driven needs and appropriate responses • Calling for a shift by the international community to tackle the new challenges • Success of the Plan of Action depends on a sound internal strategy Approved

  11. STRATEGIC APPROACH AND PLAN OF ACTION Four Priority Strategic Areas: • Health of older person in public policy and its adaptation to international agreements & strategies • Adapt health systems to population aging challenges and the health needs of older persons • Train human resources necessary to meet the health needs of older persons • Strengthen the capacity to generate the necessary information for executing and evaluating activities to improve the health of the elderly population

  12. STRATEGIC APPROACH AND PLAN OF ACTIONPriority Actions • Formulate strategies that include healthy environments and personal behaviors throughout the life cycle to ensure active aging. • Improve prevention and management of chronic diseases • Establish quality services for older persons while strengthening health systems rooted in primary care • Develop the competencies of personnel for the delivery of health services to this population

  13. STRATEGIC APPROACH AND PLAN OF ACTION Priority Actions • Train personnel involved in the health of older persons emphasizing self-care. • Strengthen the technical capacity of the health authority to monitor and evaluate health care for the older population. • Promote acquisition and dissemination of the scientific evidence necessary for adapting health interventions to different national circumstances.

  14. Building a Technical Capacity in Aging and Health in the Region • Aging Research in Latin America and the Caribbean • The ALMA network experience • The Specialization Program for Managers of Health Programs for Older Persons • The University Consortium in Public Health and Aging

  15. Could we develop and implement a Americas-wide Healthy Aging Network?

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