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Wednesday, 30 September 2015

Senior citizens and the present generation

..By D.Gopalakrishnan  29-9-2015  Mail: dgopu@yahoo.co.in

Senior citizens and the present generation

Limited Resources is not a barrier

Ageing is a general and natural phenomenon.  On account of increase in life expectancy and decrease in birth rates ageing population is increasing throughout the world.  According to Global Age Watch Index 2013, there are 80.9 crore people above the age of 60 in the world and it may soar to 200 crore by 2050.  Italy, Greece, Sweden, Spain & Japan has more old people in that order.  Global Age Watch Index 2013 released the rankings, based on data from WHO.  According to that, Sweden is the best place to grow old followed by Norway & Germany.  Tanzania, Pakistan and Afganistan are in the bottom three.  China is in 35th rank and India is in 73rd rank.  Surprisingly lower-income countries like Sri Lanka & Bolivia had put in place policies that significantly improved the quality of life for their elderly.  The report states “Limited resources need not be a barrier to countries providing for their older citizens”.  

Repercussion on a Nation

Old age imposes several limitations on the elderly, biologically, socially and economically.  Often elderly people are taken as a liability, incapable of contributing anything to the society.  They become socially marginalized or disadvantaged. Young people consider old age as a handicap or an incurable disease.  Such myths often make ageing and the aged a subject of pity.  If a huge section of population of elderly is considered marginalized and spent-force, it would have serious repercussions for the growth and development of a Nation.  

Necessity and not a luxury

Senior citizens make an important contribution to the fabric of our society.  The first significant attempt at the international front was in the form of the World Assembly on Ageing in 1982 at Vienna by the UN as a forum to launch an International Action Programme for the aged.  It sponsored the idea of “active ageing” as an important strategy for the adjustment of the aged in the society.  The Assembly said ‘the need is to make the old age meaningful, contended and happy’.  The point of attraction among the geriatric professionals and gerontologists are “rights of the elderly, eliminating exploitation in the form of abuse, stereotypes and ageism remarks, independence, dignity, care fulfillment & active ageing”.  The World Health Organisation (WHO) in 1999 stated that countries can afford to get old if governments, international organizations and civil society don’t adopt “active ageing” policies and programmes that enhance the health, participation and security of older citizens.  The word ‘Active’ refers to continuing participation in social, economic, cultural, spiritual and civic affairs, not just the ability to be physically active or to participate in the labour force.  Health refers to physical, mental and social well being as expressed in WHO definition of health.  The second World Assembly on Ageing, in 2002 at Madrid stated that ‘A society for all ages encompasses the goal of providing older persons with the opportunity to continue contributing to society’.  Measures to help older people remain active and healthy are a necessity and not a luxury.  

Neglected/frustrated

The aged maintain their status and interpersonal relationship, if (i) their spouse is alive, (ii) they are physically fit, (iii) they have valuable material and property under their control, (iv) they adjust to changing family environment.  There exists some tension, in many families, where daughter-in-law and son are not able to give enough time to their elderly due to their job commitments.  The aged females, in turn, feel neglected, unwanted and frustrated.  Urban characteristics like impersonality, fast pace of the challenge the adjustment of the aged in family, community and society.  

International commitment

UN Secretary General in 2007 said that ‘older-persons now have many more opportunities to keep contributing to society beyond any set retirement age.  Older persons were sometimes seen as a burden on society, they are now increasingly recognized as an asset that can and should be tapped’.  On the eve of International Day of Older Persons on 1st October 2009 he said that “over the past decade, we intensified our efforts to build a society for all ages and to promote international commitment to the UN principles for older persons which is founded on the need to build an inclusive society that emphasizes participation, self-fulfillment, independence, care and dignity for all”.  

Indian situation

In India 5.5% of population was above 60 years of age in 1951 which rose to 8.2% in 2011.  Art. 41 of our constitution talks about ‘well-being of senior citizens’.  National policy on older persons (NPOP) was evolved in 1999.  Maintenance and Welfare of Parents and Senior Citizens Act, 2007 was enacted in December 2007.  Old-age dependency ratio was 10.9% in 1961 and it rose to 13.1% in 2001.  As per Census 2011, Nuclear families in India is 70.1% and in Tamilnadu (74.4%) it is above national average.  As per the report by UN population Fund & Helpage India, in our country there were 9 crore people above the age of 60 in 2011 and it is likely to go upto 17.3 crore by 2026.  Out of this 9 crore, 3 crore people are living alone and 90% work for their livelihood.  Nearly 85% do not have any retirement benefits.  Our Govt. spends only 0.032% of GDP for senior citizens.  Neglect, Poverty and Isolation are the major issues.

Old-age a commodity

Helpage India conducted a sample study of 1,200 elders from six Tier I cities and six Tier II cities in 2014.  The study revealed that over half the elderly interviewed reported to experiencing abuse within the family.  Among the Tier I cities, Bangalore tops the list with 75% and among the Tier II cities Nagpur is in the top with 85%.  The study also brought out three kinds of abuse (i) Verbal-41%, (ii) Disrespect – 33% and (iii) Neglect – 26%.  Analyzing the roots of their abuse to emotional dependence, economic dependence and the changing ethos of values.  The report shows that the vulnerability of old age is created out of the political economy of dependency.  They point out quietly that old age has become a commodity.  The younger generation commodifies old age by seeing the old as sources of pension, property, income.  The old are like the goose that must lay the golden eggs and move on.  Old age is now an iron cage from which there is no exit.   Old age, once a sign of status, a rite of passage to dignity, is now redundant.  With Modernization, Consumerism, Individualism, the values of old age are no longer part of our society, atleast  as reflected in the survey sample.   

Importance gone down – Why?

Certain social systems and processes like agricultural economy, joint family system, strong community ties, religious teachings, in the past ensured safety and well-being of the elderly.  Story-telling by grandmothers to grandchildren was an important instrument of inculcating manners and values among them (television and computers have replaced grandmothers).  In view of social, economic and technological changes, their contributions in the family have gone down, so is the case with their importance and roles in the family.

Governments spending on health

For Senior Citizens Health is most important than any other problem.  As age advances many deseases come.  We are giving some statistics (based on World Health Organisation) of some countries, how much the Government spends on health, how many doctors & nurses are available.

Country                Govt.               Doctors                       Nurses
                              Spending        per                              and
                              On health       10,000                         Midwives
                              As %age          population                 per
                              Of all                                                   10,000
                              Spending                                            population

Bolivia                   7.3%                12.2                             21.3
Brazil                     7.1                   17.64                           64.19
China                     12.1                 14.15                           13.8
Germany               18.7                 36.01                           110.98
India                      3.6                   6.49                             Not Available
Malaysia               9.2                   9.41                             27.3
Nepal                     7.9                   2.1                               4.6
Norway                  17.4                 41.59                           319.32
Pakistan                 3.6                   8.13                             5.6
Russia                    8.0                   43.089                         85.2
South Africa          11.9                 7.7                               40.8
Sweden                  14.8                 37.7                             118.61
Out of the above 12 countries India & Pakistan are only spending 3.6% whereas all other countries are spending more on health.  We have to pressurize the Government to spend more on health.  These figures pertains to 2010.


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