Older Persons with Disability: The Development an Ageing

Resilience

23rd RI World Congress, October 25-27, Edinburg

Dr Lilis Heri Mis Cicih

Indonesia

Introduction

Disability regarding to the ageing group of which caused by the reducing health and functioning physical of body can be included into persons with disability conceptually.

The important factor of the healthy, active and productive ageing is resiliency, and it was indirectly associated with successful ageing.

Related to some factors stated that resilience of ageing concept links to ability and/or disability are more important than vulnerability

Most of country in the world have faced ageing population is an emerging issues to

development.

Lilis Heri Mis Cicih, 2016

205 million

606 million2 Billion1950

2000

2050

Contributions

Therefore this concept can be used by the government to prepare the resilience of the population in order to achieve healthy, active, and productive ageing.

To enhance the prevention programs rather than treatment and strengthen the people for resiliency

Lilis Heri Mis Cicih, 2016

It was developed a new concept related to resilience of ageing, based on 3 concepts:active ageing, national resilience, and sustainable development

Dimensions: economic, health, environment, and social.

It has direct indicators measurable, it could be used as a tool of elderly’s problem detection among countries.

Objectives

Methods

Lilis Heri Mis Cicih, 2016

Cross Sectional Data sources:

Publication: UN, UNDESA,

WHO, UNESCAP, UNFPA,

UNDP, ILO, World Bank

Analysis:

Unit analysis: country

Literatur Review

Descriptive analysis

Multivariate analysis

Importance: an index as a complement of existing indexa new concept (health indicators) as an alternative picture of the older population quality of life (especially inhealth indicators)

To the develop an AgeingResilience Index (AgRI),To present the relative ranks of171 countries in the world.

The result of study can be used:

Science:

• Resilience framework

• Methodology: global data

management, developing index

of ageing resilience

Policy:

• Population policy at global level

• Encouraging older population

data availability at global level

• Motivate human resource

investment at an early age

Conceptual Framework

Development

National Resilience

Ageing

Ageing Resilience

Definition:

There is no one universal definition

about resilience (White, 2008),

still debated and considered

ambiguous, often defined in

different ways (Parker, 2012)

Ageing

Resilience

Health

Social

Environmental

Economics

Domain of Ageing Resilience Index

Lilis Heri Mis Cicih, 2016

Results

1. Relative Rank of ageing Resilience Index correlated with relative rank HDI, also with GAWI

Lilis Heri Mis Cicih, 2016

Domain Indikator Factor

Loading

Weight

Health Disability, mental

health, diseases,

health risk

behaviour

0,47 0,24

Social Education,

living arrangement,

life satisfaction

0,46 0,23

Economic Labour force

participation,

income security,

health government

expenditure

0,56 0,28

Environment Urban area, carbon

emission, clean

water, and

sanitation

0,51 0,25

Indexr Sig. (2-tailed)

ARI-IPM 0,930 0,000

ARI-GAWI 0,783 0,000

Indonesia Japan

Pop 60+ 9% 32%

Pop 80+ 22% 10%

HDI 108 10

AgRI 109 27

Low health social

Ageing Resilience Index and HDI

1.000.800.600.40

hdi

0.80

0.60

0.40

0.20

ikpl

Zimbabwe

Zambia

Yemen

Viet Nam

Venezuel

Vanuatu

United S

United R

United K

United A

Ukraine

Turkmeni

Turkey

Tunisia

Tonga

Togo

Timor-Le

Syrian A

SwitzerlSweden

Swazilan

Suriname

Sudan

St, Vinc

Spain

South Af

Solomon

Slovenia

Slovakia

Singapor

Sierra L

Serbia

Senegal

Saint Lu

Rwanda

Republic Republic

Qatar

Portugal

Poland

Peru

Oman

Norway

Niger

Nicaragu

New Zeal

Namibia

Myanmar

Mozambiq

Morocco

Mexico

Mali

Lithuani

Kyrgyzst

Kazakhst

Italy Ireland

Iraq

India

Hungary

Honduras

Haiti

Guinea

Grenada

Greece

Ghana

France

Ethiopia

Eritrea

Dem, Peo

Cuba

Côte d'I

Costa Ri

Congo

Chile

Chad

Central

Canada

Cambodia

Burundi

Bolivia

Belize

Belgium

Afghanis

Indonesia AgRI=109 HDI=108

Lilis Heri Mis Cicih, 2016

Disability Status of 60 Years of Age and Over

in Indonesia

0.10

0.60

1.10

1.60

2.10

2.60

60-64 65-69 70-74 75+ 60-64 65-69 70-74 75+

Male Female

Difficulty in Seeing (severe)

Urban Rural

0.00

0.20

0.40

0.60

0.80

1.00

1.20

60-64 65-69 70-74 75+ 60-64 65-69 70-74 75+

Male Female

Urban RuralDifficulty in Hearing (severe)

0.00

1.00

2.00

3.00

4.00

5.00

60-64 65-69 70-74 75+ 60-64 65-69 70-74 75+

Male Female

Difficulty in Taking Care One-self (severe)

Urban Rural

0.00

2.00

4.00

6.00

8.00

10.00

60-64 65-69 70-74 75+ 60-64 65-69 70-74 75+

Male Female

Difficulty in Walking/Climbing the Stairs (fully need

assisstance)

Urban Rural

Conclusion Recommendation

1. The AgRI indeks could be implemented to measure the quality of life

2. As a complement to the HDI index

3. Developed from various data sources (global and national)

4. Standardized for 171 countries

5. Presenting the relative rank of countries

6. More comprehensive aspects, using direct health indicators

7. Developed from national defense, ageing, and sustainable development

8. Could be applied to the national data.

9. Presenting indicators of problems in specific countries/regions, the application of national, provincial, district/cities level

1. Continued research to encourageand replicate these findings is needed so as to be able to recognize ageing resilience and implement in each country level.

2. Global data management;

Software of AgRI calculation;

Book Map of Ageing Resilience Condition by Provinces and Districts/Cities in Indonesia;

Book: Index Calculation Method The Ageing Resilience

Book: The concept of the Ageing Resilience and Healthy, Active, and Productive Ageing.

Resilience and Successful Ageing in Indonesia, based on Panel Data IFLS, 1993, 2000, and 2007

Output

Thank you very much

We will do anything to make better future

Ageing with healthy, active, and productive

Start from the earlier

Dr. Lilis Heri Mis CicihIndonesia

lilisherimc@gmail.com

Special thanks to my best friend Sri Hartini Rachmad