A/HRC/30/43
37.
The Committee also noted that national policies should help older people to continue
to live in their own homes as long as possible, through the restoration, development and
improvement of homes and their adaptation to the ability of those persons to gain access to
and use them.6
38.
In addition, the Convention on the Rights of Persons with Disabilities includes the
concept of “universal design”, which may be of benefit to older persons. It is defined, in
article 2, as the design of products, environments, programmes and services to be usable by
all people, to the greatest extent possible, without the need for adaptation or specialized
design and develops State obligations regarding the promotion of the availability and use of
universally designed goods, services, equipment and facilities.
39.
The Madrid International Plan of Action on Ageing recommends the establishment
of preventive and curative care, including rehabilitation and sexual health care, recognizing
that health-promotion and disease-prevention activities throughout life need to focus on
maintaining independence, on prevention, and on avoidance of delay in disease treatment,
as well as on improving the health and quality of life of older persons who already have a
disability.
40.
Particular actions are encouraged to provide counsel and guide persons on healthy
lifestyles and self-care.7 Detailed actions are designed to further encourage the adoption of
care measures that take into account age and the diversity of older persons, including
primary care, acute care, rehabilitation, long-term and palliative care, self-care and
gerontological services, provided both by formal and informal caregivers. Special attention
is given to the importance of developing housing options for older persons that encourage
and reduce barriers to independence, including in public spaces, transportation and other
services.8
41.
At the regional level, the African Charter on Human and Peoples’ Rights recognizes
the right to health and the role played by the family in society, and the right of older
persons to special measures of protection in keeping with their physical or moral needs
(arts. 16 and 18). The draft protocol to the Charter on the rights of older persons in Africa
makes clear mention of care and support and access to health services, including in conflict
and disaster situations. For instance, according to article 12, States should identify, promote
and strengthen traditional support systems, including medical home based care, to enhance
the ability of families and communities to care for older family members and adopt policies
and legislation that provide incentives to all stakeholders including adult children, to
support older persons in their communities, ensuring that they remain at home for as long
as possible.
42.
In the Americas, the Additional Protocol to the American Convention on Human
Rights in the Area of Economic, Social and Cultural Rights recognizes the right to social
security and the right to health (arts. 9 and 10). Moreover, the Inter-American Convention
on Protecting the Human Rights of Older Persons dedicates an article to the right of older
persons to receive long-term care, while maintaining their independence and autonomy. A
comprehensive approach to the right to health has been adopted in article 19, by including
health promotion, prevention and care of disease at all stages, including rehabilitation and
palliative care.
43.
In Europe, the Council of Europe recommendation on the promotion of human
rights of older persons dedicates a specific title to care, in which it recommends that States
promote a multidimensional approach to health and social care for older persons and
encourage cooperation among the competent services. It mentions several measures,
6
7
8
8
Ibid., para. 33.
Madrid International Plan of Action on Ageing, paras. 67 (d) and 105.
Madrid International Plan of Action on Ageing, paras. 90 (f) and 98-100.
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