Promoting Healthy Ageing in Urban Settings:

Sustainable Cities, Human Mobility and International Migration: Opportunity for South-South Cooperation and

Intervention Needs

MALIKI

Director of Population Planning and Social Protection

Yogyakarta, 28 November 2017

OUTLINE

Ageing 1

Vulnerability 2

South-South Oppotunities

4 National Strategy

3

Indonesia is growing old -

255,1 119,2

Sumber: BPS, Sensus dan Supas

• In the nearest future, population is becoming ageing. Indonesia will reach 10% of 60+ elderly in 2021

• In 2015, number of elderly is around 21,6 million, in which more than half lives in the urban.

• Number of elderly who lives in the metropolitan areas is about 5,3 million.

Population (million)

Life Expectancy (million)

55,1 70,8

Number of Elderly (juta)

5,3 21,6

1971 2015

Population in Urban

14,5% 53,1%

321

72,8

62,9

2045

67,1%

0

200

400

600

800

1.000

1.200

1.400

1.600

1.800

Th

ou

san

ds

Number of elderly lives in Metropolitan areas

Vulnerability of the Elderly

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• Level of consumption indicates welfare or access to welfare

• The elderly in the middle and lower income countries experience a declining welfare

• On the contrary, with comprehensive pension program, elderly in the developed countries are less prone to poverty

• Pension coverage in Indonesia is still much less than 40%

• Women elderly is also the most vulnerable Consumption per capita of the elderly (60+)

(relative to prime age consumption (30-49) per single age, by countries’ economic group

INDONESIA

Elderly in the developing countries are more vulnerable

Sumber : National Transfer Accounts data base

Age

5

At least ONE in TEN older adults (60+) lives in poverty

Source: BPS: Susenas 2013-2016, estimated by Bappenas.

8,23% 7,81%

11,21% 10,95%

2013 2014 2015 2016

Lack of Health Insurance

Lack of Financial Support

Food Insecurity

Insufficient Housing

Isolation

Ranked 74, Indonesian elderly is insecured

Sumber: Global AgeWatch Index Report:2015

19,9

37,8

61

8 0

100

LingkunganYang

Mendukung

Kemampuan

Kesehatan

JaminanFinansial

Nilai Indonesia dalam GAWI

Pension coverage only 8,1%

Elderly citizens feel safe (89%), protected (78%) and strong social cohesion

Only 16.2% elderly has high school diploma or higher (in average 30,3% in Asia)

Life expectancy at 60 is only 14,3 years

7

We are still in ranked 74

Enabling environment

Income security

Capability

Health (Score in Global Watch Index)

National Strategy

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National Strategy on Ageing Framework

1. Right-based approach

– Ensuring the elderly receive their rights

– Ensuring the elderly understand and perform their obligation

2. Life Cycle Approach: Empowering the elderly starts from the very early stage of life

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Universality and Inalienability – Indivisibility - Equality and Non-Discrimination - Participation and Inclusion – Accountability - Rule of Law

health

education

Social development

Family values Community values

Legal aspects

=

Skil

l Dev

elo

pm

ent HUMAN CAPITAL INVESTMENT Mother’s

health

Life in the womb P

RO

DU

CT

IVIT

Y

National Strategy on for Prosperous, Indepedent, and Dignified Society Translating 3 Main Pillar of Madrid International Plan of Action on Ageing (2002)

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1

2

3

4

5

Rights of the elderly

Social Protection and Productivity

Awareness building

Healthty Society

Institutional Building

Prosperous, Independent and Dignified

Government

Private

Community

Family

South South Opportunities

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Partnerships with the community to build eldery friendly society

Age in Place

At risk, frail, and living alone older Persons

Recovering elderly Terminally ill Living debilitating

disease

Basic support services

Providing care and follow-up through referral system

Empowering the elderly

To live comfortably in their own homes

Integration of informal and formal health system

Reduce unnecessary re-visits to health facilities

Empowered elderly

Community

Caregiver

Government Elderly

BENEFICIARIES BENEFITS OBJECTIVES

Capacity Building

District health facilities

INSTITUTIONAL ARRANGEMENT One Stop Window Services • To provide physical, social, emotional, economic

and spiritual services to elderly by the community • Adopted nationally in 2006

THANK YOU 13