A/HRC/26/46 term care based on principles for improved quality of service and priority areas for action set out in the WeDO project. 45. In the interactive dialogue, representatives of Care Rights, INPEA and the Older Women’s Network, Europe discussed long-term care and end-of-life decisions. Speakers raised the implications of migration for long-term care, the lack of adequate protections of older persons’ rights, including legal protections of their independence and autonomy, inadequate or unaffordable long-term care solutions, and the absence of an explicit right to long-term care. They called for the establishment of a new instrument on the rights of older persons. One speaker noted that progress was also necessary at the national level, citing the example of stalled legislative reform to protect persons living in long-term private residential care homes in the United Kingdom under the national human rights act. 46. In her concluding remarks, Ms. Dhar emphasized the complexity of long-term care and called upon governments to increase financing. Ms. Mahler explained that, while the German Institute for Human Rights was aware of the need for culturally sensitive long-term care for migrants, the capacity to address those needs, particularly in the palliative care sector, was lacking. She emphasized that private care institutions were also subject to human rights responsibilities. Ms. Luherne claimed that end-of-life care was part of palliative care and referenced current work at the European level to integrate palliative care into all health-care systems. On quality of care concerns, she recommended that the European quality framework become the standard in all care settings, public and private. H. Experiences and opportunities for bilateral cooperation on the rights of older persons 47. Ms. Bashtovenko, president of the Resource Centre for the Elderly, described the organization’s work to promote continuing independence and autonomy for older persons through cooperation with other organizations. The Resource Centre provided legal support, training, and information, and organized self-help groups to give medical and social support to older persons in Kyrgyzstan. It also lobbied at the local, national and international levels for policy changes, and participated in government working groups on policy issues affecting older persons. It was a member of a number of coalitions of NGOs, including the Age Net International network, which was active in 10 countries in the region. Age Net International held monthly coordination meetings, lobbied with State agencies, developed a culture of philanthropy, and provided humanitarian assistance to members. Among other successes, the network had successfully lobbied for a bill on social protection in Kyrgyzstan, which was currently being implemented. 48. Mr. Jessurun, representing ADI/CLATJUPAM/CORV, recounted 25 years of experience working on older persons’ issues through grass-roots organizations in Latin America, first at the national level, and then in an international coalition. Following the Madrid Action Plan, the coalition aimed to realize all human rights of older persons by 2012. All organizations and national federations were autonomous, but coordination meetings allowed for sharing information and adopting common action plans. Through participation in intergovernmental meetings, the coalition successfully lobbied for a commitment from regional governments to protect the rights of older persons. It had developed a digital bulletin to reduce the costs of cooperation, and online forums to share experiences. Since 2012, the coalition had increasingly focused on international cooperation to share the experience of the Latin America and Caribbean region and provide input to United Nations processes that might lead to the development of a binding instrument on the rights of older persons. The coalition had also developed a regional strategy on dementia and planned to continue its advocacy in relevant forums. 13

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