Last year, the Global AgeWatch Index published a report on the quality of life for elders in 91 nations. The report included several factors such as income security, health and well-being, employment and education. African nations did not fare well. South Africa was the highest ranked African nation at number 65 while Ghana, Morocco, Nigeria, Malawi, Rwanda and Tanzania came in at numbers 69, 81, 85, 86, 87 and 90 respectively. Other African nations were not included in the report because there was not sufficient data. With South Africa leading the pack in elderly well-being, it helps to decipher the various ways South Africa deals with its senior citizens.
South Africa has the second largest and most developed economy in Africa with the old age pension reaching 72% of the older population. The pension system is the second most distributed of the African countries that are in the Index. Namibia is the first at a whopping 167.3% although there was not enough data in other areas to include the nation in the report. While South Africa performed moderately well in income security, the nation ranked low in elderly health status. There are only eight registered geriatric doctors to serve an older population of 4 million in South Africa. Since 1994, dramatic changes have taken place in the structure of health services. The government prioritized maternal and child healthcare because of the HIV/AIDS pandemic in the 90’s.
Although South Africa was ranked at number 65, Bolivia, one of the poorest countries on the list was ranked at number 46. This shows that higher-income does not always correlate with better quality of life. In fact, some lower-income countries that invested in aging saw positive impacts. Bolivia, for instance, implemented a national plan on aging and free health care for older people, which vastly improved quality of life.
The rankings illustrate that limited resources need not be a barrier to countries providing for their older citizens, that a history of progressive social welfare policies makes a difference, and that it is never too soon to prepare for population aging. This is important for African nations because the elderly are a significant boon. African nations can do better by learning from each other as well as non-African nations. The outcomes may vary but the collective goal is to improve the elders’ quality of life for present and future generations.
Sophie Okolo is the Founder of Global Health Aging.
As we all know, in today’s world, people have longer life expectancies. In fact, 75% of the world’s population is older than 60 years of age (WHO). We live longer but the fact is the fact is that we are not aging very well. Once we reach a certain age, chronic diseases occur and hinder us from living a healthy long life; two out of three global deaths are due to chronic diseases such as heart disease or stroke. Due to the aging population, these chronic diseases and necessary expensive treatments put a financial burden on nations’ healthcare systems. As Dr. Lim states in the video, “the healthcare system in Singapore has worked well the last few decades, but was not built for such an aging population and a population that struggles with chronic diseases.”
Singapore has responded to the trend and puts emphasis on preventative health strategies rather than on just treating or curing the diseases. In Singapore, many fitness parks with workout stations have been built, which not only help the elderly to get active and stay physically healthy, but also to meet and get to know one another. With the increasing aging population possibly living alone, the social aspect of these fitness parks is important and improves the mental state of the elderly.
Public Health professionals can only hope that such preventative initiatives towards healthy living situations for the elderly, or better yet all age groups, will be continued not only in Asia. If we can persuade the entire family to get involved in these types of physical activities, we will have healthier children, adults, and elderly and can lessen the financial burden on the healthcare system. Other community organizations may get involved by offering exercise classes and promoting fitness among seniors.
In addition, local governments need to be convinced that building fitness parks has a positive impact not only on the elderly, but all residents’ physical and mental health. Governments overall need to rethink and focus on disease prevention, and not only treatment and cure.
What else can WE do to improve the health of our community members?
Martina Lesperance is a Health Educator and Screening Technician in El Paso, Texas.
June is Alzheimer’s and Brain Awareness Month. Worldwide, there are at least 44.4 million people living with Alzheimer’s disease and other dementia’s. Dementia is a non-communicable disease and one of the main health challenges for the elderly in continents such as Africa and Asia. The current health systems of these continents are not designed to meet such chronic care needs, hence dementia is set to become a major problem in the long run.
The World Alzheimer report 2013, from Alzheimer’s Disease International, estimated that by 2050 the number of people living with dementia would rise from 44.4 million to 135.5 million. The proportion living in low- and middle-income countries would rise from 62% to 71% therefore much of the increase will be in developing countries. If current population trends continue, the number of people with Alzheimer’s disease will increase significantly unless the disease can be effectively treated or prevented. The increase in population aging is also linked to Alzheimer’s since the risk of Alzheimer’s increases with age. China, India, and their south Asian and western Pacific neighbors are the fastest growth in the elderly population.
Alzheimer’s disease is the most common cause of dementia and may contribute to 60–70% of cases and dementia is one of the most common diseases among elderly people. It is a leading cause of disability, institutionalization, and mortality; therefore it has a tremendous impact on both the individual and society. This month, there are many ways to help raise awareness and inspire action. These include:
Talk about Alzheimer’s each time you meet other people
Post, tweet and share the facts about Alzheimer’s disease and other dementia’s
Show your commitment to the cause by wearing purple, the official color of the Alzheimer’s movement
According to World Health Organization, health systems around the world, especially in Africa and Asia need to adapt to meet the chronic care needs of the elderly as the shift to aging populations gathers pace in low- and middle-income countries in the world. As populations age rapidly, infrastructure must be put in place to address the needs of elderly with dementia. The United Kingdom is a great example because they are leading the way in tackling the global crisis of dementia. These are not limited to websites about dementia, books that raise awareness of dementia among young people, or hosting the 2013 G8 Dementia Summit in London. The 2013 G8 Dementia Summit launched the World Dementia Council that exists to stimulate innovation, development and commercialization of life enhancing drugs, treatments and care for people with dementia, or at risk of dementia, within a generation.
This June, let’s observe Alzheimer’s and Brain Awareness Month. Everyone who has a brain is at risk to develop Alzheimer’s – but everyone can help to fight it, according to the Alzheimer’s Association. The goal is for the public to get involved and hopefully end Alzheimer’s disease.
Sophie Okolo is the Founder of Global Health Aging.