A/HRC/41/32
implementation of the New Urban Agenda, in particular the adoption of age-responsive
approaches to urban and territorial development, UN-Habitat has been increasingly
engaging with partners working with older persons and persons with disabilities, among
others.
49.
Since 2010, WHO has been promoting a global network of age-friendly cities and
communities to stimulate and enable cities, communities and other subnational levels of
government around the world to become increasingly age-friendly. Through the network,
WHO seeks to support members in becoming more age-friendly by: (a) inspiring change,
through showing what can be done and how it can be done; (b) connecting cities and
communities worldwide to facilitate the exchange of information, knowledge and
experiences; and (c) supporting cities and communities to find appropriate innovative and
evidence-based solutions. Within the framework of the network, WHO has been organizing
several capacity-building programmes and activities, including the age-friendly
environments mentorship programme, which was launched in 2018 to develop leaders for
the next decade of efforts towards age-friendly cities and communities and to build skills
that are important for developing age-friendly environments, such as building strategic
partnerships, advocating for older persons, facilitating participatory processes,
understanding and addressing inequalities, conducting monitoring and evaluation activities
and analysis and developing policies. Furthermore, in partnership with the International
Federation on Ageing, WHO hosts workshops and webinars on age-friendly environments
and key emerging topics in that regard, such as indicators for age-friendliness, reducing
inequities and age-friendly environments in rural and remote contexts.
I.
Access to care, health and support services
50.
As populations continue to age and experience increasing longevity, the number of
older persons in need of long-term care and other support services is expected to grow
significantly. During the third review and appraisal of the Madrid International Plan of
Action on Ageing, Member States identified the improvement of health and care services as
a priority in all regions (E/CN.5/2018/4, para. 59). Access to long-term care and other
services is an essential element of the right of older persons to the highest attainable
standard of physical and mental health, the right to social security and the right to an
adequate standard of living, among others. However, currently there are significant gaps
and challenges in terms of legal and policy frameworks and the availability and quality of
care services, and there is a critical shortage of trained personnel.11 Many countries rely on
informal care that is often provided in the home, without adequate support, by caregivers
who are usually unpaid female family members or friends and whose care work may limit
their ability to engage in paid work.
51.
WHO has identified three approaches that will be crucial in establishing effective
long-term and palliative care to meet the needs of older persons: (a) establishing the
foundations necessary for a system of long-term care; (b) building and maintaining a
sustainable and appropriately trained workforce; and (c) ensuring the quality of long-term
care. With support from 30 experts in geriatric medicine, WHO developed evidence-based
guidelines on integrated care for older persons,12 with a particular focus on less resourced
settings. Targeted at non-specialist health workers, the guidelines provide guidance on
home-based interventions for older persons to prevent, reverse or slow declines in intrinsic
capacity. Since 2018, WHO has been providing technical support and advice to countries
for the adoption and implementation of the guidelines.
52.
From 2015 to 2017, the European Network of National Human Rights Institutions
conducted a project to improve the human rights of older persons in long-term care, with
11
12
See, for example, Xenia Scheil-Adlung, Long-term Care Protection for Older Persons: A Review of
Coverage Deficits in 46 Countries, Extension of social security: working paper No. 50 (ILO, Geneva,
2015).
WHO, Integrated Care for Older People: Guidelines on Community-level Interventions to Manage
Declines in Intrinsic Capacity (Geneva, 2017).
13
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