Healthy City for Elderly

Yunisa Astiarani, MD, MPH

Department of Public Health and Nutrition, School of Medicine and Health Sciences
Atma Jaya Catholic University of Indonesia
Sub-topics

World Population Ageing

Barrier to Healthy Aging

Priority Areas of Action

Age-Friendly City (a
framework)
World report on ageing and health

Outlines a framework
Summarizes the best for action around a
available evidence new concept of
functional ability
 Populations are getting older

2015 2050
The number of people aged 60 years or older will rise from 900 million to 2 billion between 2015 and 2050 (moving
from 12% to 22% of the total global population)
Population ageing is happening much more quickly than
in the past
Time for percentage of population
older than age 60 to double
Old-Age Dependency
Ratio
 Old-Age
Dependency Ratio
 People are
living longer
Overall life expectancy for a baby
born today is 71 years.
But a person who is currently 60
years of age can expect to live 20
years more, on average
 How these extra 20 years can be spent…

• Additional years provide

the chance to pursue new
activities such as further
education, a new career
or pursuing a long-

?
neglected passion.
• Older people also
contribute in many ways
to their families and
communities.

… It all depends on HEALTH

Health in older age is not random
 There is no “typical”
older person

•
Barrier to
Healthy Aging
Barriers to Healthy Ageing

Outdated and
ageist stereotypes

Lack of
Inadequate
consultation and
policies
involvement

Inadequate or Lack of
absent services accessibility
Healthy Ageing is an investment,
not a cost
The goal:

Maximize
functional
ability
Priority
areas for
action
Priority areas for
action
Align health systems

Place Shift Develop

Place older people Shift the care focus Develop the health
at the centre of from managing workforce
health care diseases to
optimizing what
people can do
 Develop long-term care systems

ESTABLISH THE FOUNDATION DEVELOP THE LONG-TERM ENSURE THE QUALITY OF

FOR A FUNCTIONING SYSTEM CARE WORKFORCE LONG-TERM CARE
Create age-friendly
environments

Combat • Combat ageism

Enable • Enable autonomy

• Support Healthy
Support Ageing in all policies
Improve measurement, monitoring, and
understanding

01 02 03
Agree on metrics, Improve Increase
measures and understanding of the understanding of
analytical health status and ageing trajectories
approaches needs of older and what can be
populations done to improve
them
Age Friendly City
https://www.who.int/
news/item/19-04-2023-
who-releases-new-
guide-on-developing-
national-programmes-
for-age-friendly-cities-
and-communities
What does it mean to be part of the Age-
Friendly network?
• The City is committed to work towards having policies,
services, settings, and structures that support and
enable people to age well
• The WHO Global Network for Age-friendly Cities and
Communities was established in 2010 to connect
cities, communities and organizations worldwide with
the common vision of making their community a great
place to grow old in
• The WHO Global Network for Age-friendly Cities and
Communities currently includes 1363 cities and
communities in 47 countries, covering over 298
million people worldwide.
Domains
Age-Friendly
City Indicator
Focusing on ageing
society is not always the
best option for a country
• Lesson learned
• Do not be too late
• Acknowledging the
shortcomings
• Improve the whole
generations
• Life-cycle approach
Investing in
Healthy Ageing
means creating a
future that gives
older people the
freedom to live
lives that
previous
generations
could never have
imagined.
Thank You