What the United Nations should be about our ageing world.

• Position: Opinion - UN Second World Assembly on Ageing - Development, health, supportive environments

The UN Second World Assembly on Ageing concluded on 12 April 2002 as we go to press, with the adoption of an International Plan of Action, containing over 120 recommendations, and an accompanying Political Declaration. Both stress the "crucial" importance of incorporating ageing issues into all development plans, and focus on three main priorities: older persons and development; advancing health and well-being into old age; and ensuring enabling and supportive environments.

Addressing Exclusion and Denial of Equal Rights

By Pamela Mboya

Rapid population ageing in the developing world presents a special challenge to the United Nations and the international community. Older people in resource-poor countries have the same rights as other sectors of the population, yet violation of their rights due to chronic poverty still has to be addressed. All UN Member States need to make a commitment to address population ageing and its consequences, in the same spirit that they have acted to promote the rights of the child and protection of the environment.

As the world ages, poverty and isolation of those who live into older age frequently undermine the benefits of a long life. Population ageing is a critical issue in the twenty-first century. It is imperative that the implications of global population ageing for poverty reduction and for development be acknowledged and acted upon.

Due attention needs to be paid to the different situations faced by older people in the developing and developed world, as well as countries in transition. Although population ageing has become a well-publicized phenomenon in the industrialized nations of Europe and North America, by 2050 the largest number of older people will be in developing countries. In the period July 1999-July 2000 alone, 77 per cent of the world's net increase in the numbers of older people occurred in developing countries [Kinsella, K. & Velkoff, V.A., US Census Bureau, An Aging World: 2001]. The older population in Africa, estimated to be just above 38 million, will shoot to 212 million in 2050, according to the United Nations Population Division. Furthermore, the rate of population ageing is most rapid in countries least equipped to deal with its impacts. Populations are already relatively old, and recent State collapse and the transition to a capitalist society have left older people particularly vulnerable without the State suppo rt and safety net mechanisms.

As a member of the Board of HelpAge International, I have seen first-hand how poverty has profound and long-term impact on older people. The capacity of people to meet their basic needs is increasingly compromised by age. Many older people lack the most basic requirements--food, water, shelter and health care--and are chronically poor. In preparation for the Second World Assembly on Ageing, we consulted with older people in a range of developing and transition countries. These consultations show the severity of poverty in old age [HelpAge International, State of the world's older people 2002]. For example, in Bosnia and Herzegovina, older people reported that "food is our most pressing need", while in Indonesia an older woman said "the good life is when I can find food". Consultations in many countries of Africa produced the same results.

Adequate, safe and secure shelter is also beyond the reach of many older people, particularly the increasing numbers living alone. In Kenya, it was noted that "it is easy to identify the house of an older person since it is often dilapidated and of poor quality". In Moldova, older people living in a rural area reported that the State-run water supply system had fallen into disrepair, and that they were physically unable to use the wells that provided water locally. In the drive to understand and tackle poverty, which now dominates development thinking and action, the experience by large numbers of older people in developing countries has been a persistent blind spot.

Development analysts and policy makers have largely excluded older people from poverty debates, regarding them as economically unproductive. This undermines poverty alleviation strategies by failing to recognize older people's actual and potential contributions to the well-being and survival of families and communities, especially the tremendous task older people are assuming in caring for people living with HIV/AIDS and their orphaned grandchildren. It also represents a failure to give equal status to their basic human rights. The Millennium Development Goals for global poverty reduction cannot be achieved unless older people's poverty and access to health, social security and basic needs are addressed as a component of comprehensive and inclusive poverty reduction strategies and interventions. The challenge is to incorporate their needs and contributions into mainstream development agendas and interventions.

The United Nations and associated bodies, therefore, need to make equal commitment to confront the implications of population ageing. Sufficient resources need to be allocated and links made with the range of existing UN agreements, in particular the Millennium Development Goals, and...