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REGIONAL SURVEY ON AGEING FOR THIRD MIPAA REVIEW 2017
The third global review and appraisal of the Madrid International Plan of Action on
Ageing (MIPAA) will be conducted in 2018. ECOSOC resolution 2015/5 mandated regional
commissions to provide assistance to Member States in organizing their third MIPAA
national review and appraisal exercises; organizing regional review meetings using an
inclusive and coordinated approach in relation to the participation of civil society in the
process; promoting networking and the sharing of information; and providing an analysis of
the main findings and identifying priority areas and policy responses by 2017.
The present regional survey is an integral part of the preparatory process for the
global review in 2018. It is a follow-up to the regional survey conducted in 2013 and
provides an opportunity to inform of new policy developments and data collection, as well
as to highlight examples and practices from the region.
The regional analysis will feed into the Regional Preparatory Meeting for the AsiaPacific Intergovernmental Meeting on the Third Review and Appraisal of MIPAA, which
will be held in early 2017 as well as the Asia-Pacific Intergovernmental Meeting on the Third
Regional Review and Appraisal of the Madrid International Plan of Action on Ageing in late
2017. The outcome of the Intergovernmental Meeting will be submitted to the global review
of MIPAA.
It would be appreciated if you could kindly complete the questionnaire and return
the response together with relevant attachments by 1 December 2016, preferably by email,
to:
Social Development Division, ESCAP
United Nations Building
Rajadamnern Nok Avenue
Bangkok 10200, Thailand
Fax: (66-2) 288-1030
Email: escap-sdd@un.org
The electronic version of the questionnaire can be downloaded from the following
website: http://www.unescap.org/resources/survey-questionnaire-third-review-madridinternational-plan-action-ageing
Please do not hesitate to contact us should you have any questions.
Thank you.
I. NATIONAL POLICY & MIPAA IMPLEMENTATION
1. Does your country have a national coordinating body/committee/agency on
ageing?
Yes
No
If “yes”, please provide information on the following:
Name of the coordinating
body
Description, including the
year of establishment,
level (ministerial or other)
and main functions
Contact information,
including mailing
address, telephone, fax
number, email and
website
2. National framework on ageing
2a. Does your country have legislation to promote and protect the rights of older
persons?1
Yes
No
If “yes”, please provide information on the following:
Name
Description including
year of enactment. Please
include information on
updates or revisions, if
applicable
1
As per the United Nations definition, older persons are understood as persons aged 60 and above.
2
Please attach a copy of the document or provide the link.
2b. If you answered “yes” to Q 2a., what are the resources allocated to implement the
legislation/policies and which ministries hold the resources?
2c. Does your country have a national policy or plan of action on ageing?
Yes
No
If “yes”, please provide information on the following:
Name
Description including
year of establishment.
Please include
information on updates
or revisions, if applicable
Please attach a copy of the document or provide the link.
2d. If you answered “yes” to Q 2a and/or Q 2b, have gender and disability concerns
been explicitly addressed in the legislation, national policy or plan of action?
Yes
No
If “yes”, please elaborate.
3
2e. If you answered “no” to Q 2a and Q 2b, please elaborate on any effort towards the
preparation and adoption of such a national policy or plan of action and/or
legislation.
[If your answer to Question 2 was “no” please go to Question 5 directly]
3. Is there a monitoring framework for the implementation of the above-mentioned
legislation, national policy or plan of action?
Yes
No
If “yes”, please specify the mechanisms of the framework and whether these include
older people and their organisations (bottom up review and appraisal process)
If “no”, please provide information on the obstacles and challenges faced.
4
4. Has there been any specific survey or research on ageing or older persons in your
country since 2012?
Yes
No
If “yes”, please provide information on the following:
Focus and coverage
Year of survey/research
By which
Ministry/Agency
(government, NGO,
university, international
agencies, etc.).
Please attach a copy of the document or provide the link.
5. Budget allocation
5a. What percentage/proportion of the Government budget is allocated to your
Ministry/Agency? (If different Ministries or Agencies responsible for ageing policies
are completing the questionnaire, state budget for each of them in questions 5a. and
5b. Of the above amount, what share is allocated to the implementation of policies
and programmes on ageing and older persons?
5c. Has this budget allocation changed since 2012?
Yes - How has the percentage of
government budget allocated changed
compared to 2012?
No
5
5d. Out of your budget for programmes for older persons, which areas receive the
highest share of budgetary allocation? Please rank the areas below in order of budget
allocation (each option must be assigned a different number from 1 to 11)
[1 = highest amount, 11 = lowest amount]
Provision of old age pension
schemes
Access to affordable health care2
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10 11
Development and strengthening of
geriatric services
Provision of long-term care
services for older persons
1
2
3
4
5
6
7
8
9
10 11
1
2
3
4
5
6
7
8
9
10 11
Training and support for
caregivers
1
2
3
4
5
6
7
8
9
10 11
Provision of affordable and agefriendly housing for older persons
Research on ageing
1
2
3
4
5
6
7
8
9
10 11
1
2
3
4
5
6
7
8
9
10 11
Support to older persons in
emergency and conflict situations
1
2
3
4
5
6
7
8
9
10 11
Preventing neglect, violence and
abuse of older persons
1
2
3
4
5
6
7
8
9
10 11
Fostering mechanisms to
strengthen the participation of
older people in policy and
programme processes
Other, please specify:
1
2
3
4
5
6
7
8
9
10 11
1
2
3
4
5
6
7
8
9
10 11
6. Please describe what measures your country has undertaken or is planning to
undertake with regard to the third review and appraisal of the implementation of
MIPAA3, or in the implementation of the Sustainable Development Goals (SDGs)
related to older persons.
Please elaborate on the approach(es) used (such as bottom-up participatory approach,
surveys) as well as the involvement of civil society including associations of older
persons.
This includes measures such as providing subsidies and fee exemptions.
As mandated by Economic and Social Council resolution 2015/5 3 of July 2015 on the Modalities for
the third review and appraisal of the MIPAA, 2002.
2
3
6
11
7. In the implementation of the MIPAA, has your Government experienced any of the
following challenges?
[1 = never, 2 = sometimes, 3 = always]
Need for greater capacity on policy development
1
2
3
Need to accord higher priority to the issue
1
2
3
Need for greater budgetary resources
1
2
3
Need for increased personnel (human resources) dedicated
to ageing issues
1
2
3
Need for focal points on ageing within ministries
Need to strengthen inter-ministerial or inter-departmental
coordination
1
2
3
1
2
3
1
2
3
1
2
3
Need for greater support from international agencies
Need to support older people and organizations of older
people to engage with the bottom up review and appraisal
approach
Other challenges, please elaborate:
7
II. OLDER PERSONS AND DEVELOPMENT
8. Has your Government undertaken any measures4 to promote the participation of
older persons in policy-making and/or decision making?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
9. Has your government engaged in actions to demonstrate and support the
contributions of older persons as specified in MIPAA?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
4
Measures refer to any actions taken to address the specific issue or objective. Measures may include policies
and/or programmes. For instance, there may be a policy that leads to the adoption of a programme which then
covers a number of activities. Please provide brief information on each of the measures undertaken.
8
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
10. Has your Government undertaken any of the following measures with regard to
social protection for older persons?
10a. Old age contributory pension scheme (universal coverage or targeted at some
segment of older persons)
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
(Such as details of meanstested or universal
pension, budgets share
allocated and size of the
monthly social pension or
old age allowance.
Please provide any
monetary amounts in
USD, for ease of
comparison).
Time frame (start date
and duration)
Any additional
information, including an
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
9
10b. Old-age non-contributory (or social) pension (universal coverage or targeted at
some segment of older persons)
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
(Such as details of meanstested or universal
pension, budgets share
allocated and size of the
monthly social pension or
old age allowance.
Please provide any
monetary amounts in
USD, for ease of
comparison).
Time frame (start date
and duration)
Any additional
information, including an
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
10c. Social protection/social security programmes for older people working in the
informal sector
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
10
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
10d. Provision of other income-support schemes for older persons
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
11. Has your Government undertaken any measures to support employment potential
and increase employment opportunities for older persons who wish to work and are
able to do so?
Yes
No
If “yes”, please specify the nature of support in both informal and formal sector for both
older women and older men and provide information on the following:
Name of policies/
programmes
11
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
12. Has your Government undertaken any measures to include the specific needs of
older persons in all phases (preparedness, relief and reconstruction) of humanitarian
and disaster relief programmes?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data, and
whether older persons
have participated at
different stages of relief
and rehabilitation.
12
Please attach a copy of the relevant documents related to the policies/programmes.
13. Has your Government undertaken any measures to alleviate poverty of older
persons living in rural areas?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
14. Has your Government established a statutory retirement age?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
(Please indicate whether
any changes in statutory
retirement age have
occurred since 2002).
Time frame (start date
and duration)
13
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
15. Does your Government have data relating to the following indicators? If yes,
please indicate the figure, year and source:
15a. Number and proportion of older persons entitled to benefits and covered by a
contributory income security programme, if possible disaggregated by sex, age
and poverty status.
Yes
No
Country/area –level data year
(number entitled)
(proportion entitled)
Country/area –level data year
(number covered)
(proportion covered)
source
source
15b. Number and proportion of older persons entitled to benefits and covered by a
non-contributory income security programme, if possible disaggregated by sex,
age and poverty status.
Yes
No
Country/area –level data year
(number entitled)
(proportion entitled)
Country/area –level data year
(number covered)
(proportion covered)
source
source
15c. If your Government has figures on entitlement and coverage only for both
contributory and non-contributory schemes combined, please provide the total
figure below
Country/area –level data year
(number entitled)
(proportion entitled)
Country/area –level data year
(number covered)
(proportion covered)
source
source
14
15d. Number and proportion of older persons entitled to benefits and covered by
any income security programme, if possible disaggregated by sex, age and poverty
status.
Country/area –level data year
(number entitled)
(proportion entitled)
Country/area –level data year
(number covered)
(proportion covered)
source
source
15e. Number and proportion of older persons, by sex, reported voting in
last elections benchmarked against proportion of general population.
Yes
No
Country/area –level data
year
source
15f. Does your government have data on the number and proportion of
older persons employed in both the formal and informal sector,
disaggregated by sex and age?
Yes
No
Country/area –level data
year
source
15g. What is the statutory retirement age, if available, for men and women as
stipulated by your Government?
Country/area –level data
year
source
Female:
Male:
15
III. ADVANCING HEALTH AND WELL-BEING INTO OLD AGE
16. Has your Government developed any policies or programmes to promote healthy
and active ageing?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
17. Has your Government undertaken any of the following measures to provide
universal and equal access to health care services for older persons?
17a. Provision of health insurance scheme (universal coverage or targeted at some
segment of older persons)
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
16
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
17b. Policies on equal and affordable access to primary and secondary health care
services, including affordable access to essential medications, other therapeutic
measures and needed medical devices for older persons
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
17c. Measures to improve the coordination of primary health care, long term care,
social services and community based services for older persons in order to ensure a
continuum of care
17
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
17d. Geriatric and gerontological training for health care providers
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data, and
information on palliation
18
training
Please attach a copy of the relevant documents related to the policies/programmes.
17e. Promotion of self-care in older persons and participation of older persons in the
development of social and health care programmes
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
17f. Other measures, please specify
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
19
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
18. Has your Government undertaken any actions to record and prevent
discrimination (health service rationing) on the basis of age in access to health
services, including access to providers and medicines?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
19. Has your Government undertaken measures with regard to long term care of older
persons?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
20
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
20. Has your Government undertaken measures with regard to older persons who are
living with HIV and for those who are caregivers for HIV-positive family members?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
21
21. Has your Government undertaken measures to enhance mental health services for
older persons, such as programmes to help older persons with dementia and other
psycho-social disabilities?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
22. Has your Government undertaken measures to support older persons with
disabilities, such as the provision of rehabilitation services as well as appropriate care
and assistive technologies?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
22
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
23. Are there systems in place to ensure the participation of older persons with
disabilities in policy formulation and implementation, according to the provisions of
both MIPAA and the CRPD?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
24. Does your Government have data relating to the following indicators? If yes,
please indicate the figure, year and source:
24a. Number and proportion of physicians, by sex, with specialized training in
geriatric care or health care of older persons.
Yes
No
Country/area –level data
year
source
23
24b. Disability-adjusted life expectancy, by sex
Yes
No
Country/area –level data
year
source
24c. Number and proportion of older persons, by sex and age, covered by
health insurance
Yes
No
Country/area –level data
year
source
24d. Number and proportion of public/private health care facilities with geriatric care
Yes
No
Country/area –level data
year
source
24e. Prevalence of mental ill-health5 among older persons by age/sex
Yes
No
Country/area –level data
year
source
24f. Disability6 rate by age/sex benchmarked against the disability rate for persons
aged 15-59.
Yes
No
Country/area –level data
year
source
Mental health is defined by the WHO as a state of well-being in which every individual realizes his
or her own potential, can cope with the normal stresses of life, can work productively and fruitfully,
and is able to make a contribution to her or his community. Mental disorders include depression,
bipolar affective disorder, schizophrenia and other psychoses, dementia, intellectual disabilities and
developmental disorders including autism.
6
Although there is no internationally accepted definition of disability, it should be understood as
stated in the Convention on the Rights of Persons with Disabilities, an evolving concept which results
from the interaction between people with different functional abilities and societal obstacles, such as
physical barriers and attitudes. Under the CRPD, persons with disabilities include but are not limited
to those who have long-term physical, mental, intellectual, or sensory impairments such as blindness,
deafness, impaired mobility, and developmental impairments.
5
24
IV. ENSURING ENABLING AND SUPPORTIVE ENVIRONMENTS
25. Has your Government undertaken any of the following measures with regard to
the housing and living environment for older persons and their families?
25a. Promotion of “ageing in place” in the community, such as the promotion of
affordable public housing with age-friendly and accessible housing design
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
25b. Improved availability of accessible and affordable transportation to improve
older persons’ mobility
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
25
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
26. Has your Government undertaken any measures to develop training programmes
for formal and informal caregivers for older people, including an accreditation
system?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
27. Has your Government undertaken any measures to establish standards and
monitoring mechanisms to ensure the quality of older persons’ care services?
Yes
No
If “yes”, please provide information on the following:
26
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
28. Has your Government undertaken measures to support families, especially older
women, in taking care of older persons?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
27
29. Has your Government undertaken measures to address neglect, abuse and
violence against older persons?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
30. Has your Government undertaken measures to enhance the public recognition of
older persons as regards their human rights, their authority, wisdom, productivity and
other important contributions to society?
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Time frame (start date
and duration)
28
Any additional
information, including
assessment of
results/impact or
relevant data
Please attach a copy of the relevant documents related to the policies/programmes.
31. Does your Government have data relating to the following indicators? If yes,
please indicate the figure, year and source:
31a. Number and proportion of older persons living in households with safe
water, improved sanitation and access to electricity, disaggregated by age/sex
Yes
No
Country/area –level data
year
source
31b. Number and proportion of older persons living alone who need assistance
with activities of daily living and are receiving support by age/sex
Yes
No
Country/area –level data
year
source
31c. Number and proportion of older persons reporting7 neglect, abuse or violence
by age/sex
Yes
No
Country/area –level data
year
source
31d. Number and proportion of older persons suffering from malnutrition by
age/sex.
Yes
No
Country/area –level data
year
source
‘Reporting’ of abuse and neglect is understood here in the official sense, such as cases of reporting found in
police records, hospital records, social services records, the Ministry of Justice or NGO.
7
29
This survey was completed by:
(Please indicate details of the focal point and the name of all other Ministries/agencies
involved in the completion of the questionnaire).
Signature: ________________________________________________
Name: ___________________________________________________
Title/designation: _________________________________________
Ministry/Agency: _________________________________________
Country:__________________________________________________
Date: _____________________________________________________
30
SAMPLE RESPONSES
1. Has your Government undertaken any of the following measures with regard to
social protection for older persons?
1a. Health insurance scheme (contributory or non-contributory, universal coverage or
targeted at some segment of older persons)
Yes
No
If “yes”, please provide information on the following:
Name of policies/
programmes
Description
Long term care insurance for the elderly
The objective of the scheme is to provide public services to
older persons to improve their living standards and reduce the
burden on the family. Services provided under the scheme
include home-based nursing and assistance in daily life such
as house chores as well as institutionalized care.
It is a social insurance programme funded by the contributions
from beneficiaries and the Government through tax revenues.
In addition there is also a scheme for cash grants for family
care and services provided at unregistered facilities.
Time frame (start
date and duration)
The insurance scheme was established in 2012 to implement
the ‘Act on Long Term care insurance for the elderly’ (adopted
in 2011). There is currently an operational plan that covers
implementation for the period 2012–2017.
Any
additional Number of recipients of the long term care insurance:
information,
including assessment 2014: 208,000 persons (Female: 128,000, Male: 80,000),
of results/impact or
represents 4% of the population aged 60 and above
relevant data
2015: 320,000 persons (Female: 180,000, Male: 140,000),
represents 6% of the population aged 60 and above
2016: 430,000 persons (Female: 250,000, Male: 180,000),
represents 7.5 % the population aged 60 and above
i.
ii.
iii.
Number of service/nursing facilities:
2014: 2,245;
2015: 3,450;
2016: 3,780
An assessment of the scheme is planned for 2014.
Please find attached a copy of the ‘Act on Long Term care insurance for the elderly’ and
the ‘operational plan for five years: 2009–2014’.
31
20a. Number and proportion of physicians with specialized training in geriatric care or
health care of older persons.
Yes
No
Country/area –level data
Year
Number of physicians with 2010
geriatric training in the
country: 150,000
Source
Ministry of Health Statistical Bulletin, 2010
Female: 75.000
Male: 75.000
Country/area –level data
Year
Proportion of physicians 2010
with geriatric training in
the country: 30%
Source
Ministry of Health Statistical Bulletin, 2010
50% male
50% female
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