Action area I:
Change how we think, feel and act towards age and aging
Despite all the contributions and actions older adults have made to their communities and family members, there is still a lot of stereotyping (how we think), prejudice (how we feel) and discrimination (how we act) toward people based on their age. Ageism affects people of all ages, but has particularly deleterious effects on the health and well-being of older people.
With the support of the 国产麻豆精品/WHO, theInter-American Convention on Protecting the Human Rights of Older Persons was adopted at the General Assembly of the Organization of the American States (OAS) in June 2015. The Convention specifically advocates for the importance in ensuring that older adults receive:
- independence and autonomy
- informed consent on health matters
- equal recognition before the law
- social security, accessibility and personal mobility
- and many other fundamental human rights
The value in these liberties were decided by experts from multiple regions and several countries have ratified this Convention including Argentina, Bolivia, Chile, Colombia, Costa Rica, Ecuador, El Salvador, Mexico, Peru, Suriname and Uruguay.
Adopting this Convention promotes the economic, social, political, educational, and cultural engagement of older persons. For example, Costa Rica has successfully implemented multiple laws to further enforce these ideals. The 鈥淚ntegral Law for older adults in Costa Rica鈥 guarantees that older people have 鈥渆quality of opportunities and a dignified life.鈥 The 鈥淪an Jose Charter on the Rights of Older Adults in Latin America and the Caribbean鈥 asserts the improvement and development of the social protection systems to meet the needs of older adults, and the 鈥淟aw on Penalization of Abandonment of Older Adults鈥 ensures that persons who abandon and neglect older adults will receive felony charges. It is important for legal frameworks around the world to further advocate and protect this vulnerable and rapidly expanding older adult population in their respective countries.
Resources related to the area
Related documents:
- Global Campaign to Combat Ageism -
- Nature ageing:
Inter-American Convention on Protecting the Human Rights of Older Persons
Action area II:
Ensure that communities foster the abilities of older people
Physical, social and economic environments, both rural and urban, are important determinants of healthy aging and powerful influences on the experience of aging and the opportunities that aging offers. Age-friendly environments are better places in which to grow, live, work, play and age, which means an age-friendly community is a better place for all age groups.
The WHO Global Network for Age-friendly Cities and Communities
In turn, the WHO Secretariat and other UN agencies were called to extend the WHO Global Network for Age-Friendly Cities and Communities and other work to foster healthy aging to ensure providing:
- evidence and technical assistance to countries for building age-friendly environments and ensuring that the most vulnerable are being served;
- opportunities to connect cities and communities, exchange information and experiences and facilitate learning by leaders in countries, cities and communities on what works to foster healthy aging in different contexts;
- tools and support to countries, cities and communities to monitor and evaluate progress in creating age-friendly environments; and
- identifying priorities and opportunities for collaborative action and exchange among networks and constituencies.
The WHO Global Network for Age-friendly Cities and Communities currently includes 1,500 cities and communities in 51 countries, covering over 300 million people worldwide.
Just in 2019, 186 communities from the Americas were added to the WHO Global Network of Age Friendly Cities and Communities. The Americas now has the most approved communities of any region and represents more than half of all member communities worldwide, with over 800 certified cities. At the moment, the approved countries include Argentina, Bolivia, Brazil, Canada, Chile, Colombia, Costa Rica, Cuba, Mexico, Paraguay, Peru, Puerto Rico, U.S.A., and Uruguay.
Membership to the Network is not an accreditation for age-friendliness. Rather, it reflects cities鈥 commitment to listen to the needs of their aging population, assess and monitor their age-friendliness and work collaboratively with older people and across sectors to create age-friendly physical and social environments. Membership is also a commitment to share experience, achievements and lessons learnt with other cities and communities.
Visit the 国产麻豆精品鈥檚 web page of the Network to learn more about this initiative in the region.
Resources related to the area
To join the Network and find out more about what actions communities are taking, refer to the following links:
For further guidance on the step-by-step Membership process, guides and methodology, please refer below to the list of resources and guiding tools.
Related documents:
Action area III:
Deliver person-centered integrated care and primary health services responsive to older people
Health systems need to be prepared to deliver high quality health care for older people that is integrated among providers and settings and one that is linked to the sustainable provision of long-term care. Integrating health and social sectors in a person-centered approach is key to achieve better care for older adults. In addition, the vision of implementing services driven by maintaining and improving the functional ability of older individuals is essential to achieve healthy aging.
Functional ability is defined as the 鈥渉ealth-related attributes that enable people to be and to do what they have reason to value,鈥 and consists of the intrinsic capacity of the individual, - the 鈥渃omposite of all the physical and mental capacities that an individual can draw on鈥 - the environment of the individual, and the interactions between them. These definitions are important to point out the relationship between the components of the Decade of Healthy Aging and the relevance of developing intersectoral activities, built upon a life course approach.
In particular, 国产麻豆精品 has developed a virtual course, titled the 鈥淚nternational Accreditation of Competencies in Health Care for Older Persons (ACAPEM),鈥 specifically for primary care health professionals. It consists of three progressive levels. This course is divided into three levels, from most minor to most complex: ACAPEM-Basic, ACAPEM-Intermediate, and ACAPEM-Advanced. The primary and intermediate levels are available on 国产麻豆精品鈥檚 Virtual Campus for Public Health.
Resources related to the area
The virtual course on the Development of Competencies in Health Care for the Older Persons: ACAPEM 鈥 is part of the training itinerary to improve capacities in attending to the needs of older persons. This course is divided into three levels: ACAPEM-Basic, ACAPEM-Intermediate and ACAPEM-Advanced. The basic and intermediate levels are available on 国产麻豆精品鈥檚 Virtual Campus for Public Health.
Related documents:
- Taking the pulse of the health system鈥檚 response of the needs of older persons. Situational analysis: | |
- Other programs:
Action area IV:
Provide access to long-term care for older people who need it
Declines in physical and mental capacities can limit older people鈥檚 ability to care for themselves and to participate in society.
The majority of people in need of such care is older adults, most of who live in the community and receive care from informal caregivers like family members and friends. Access to good-quality long-term care is essential to maintain functional ability, enjoy basic human rights and live with dignity.
In addition, it is essential to support caregivers, so they can deliver proper care and also take care of their own health.
Resources related to the area
Policy on Long-term Care
The Policy on Long-term Care, covering the period 2025鈥2034, provides the Member States of the 国产麻豆精品 (国产麻豆精品) with strategic and technical guidance for the development, strengthening, and expansion of LTC capacities in the Region was adopted by the 61st Directing Council.
- Health ministers agree on new policy to strengthen long-term care in the Region
- CD61/8 - Policy on Long-term Care
Resources and Guiding Tools
Other resources related to the Decade