A/HRC/24/25
mention age discrimination explicitly, but it provides for the possibility of determining
additional grounds of discrimination, such as age. ILO social security standards, most
particularly the Social Security (Minimum Standards) Convention, 1952 (No. 102), and the
recent Social Protection Floors Recommendation, 2012 (No. 202) provide an international
reference framework for the range and levels of social security benefits that are necessary
and adequate for ensuring income maintenance and income security, as well as access to
health care throughout the life cycle. A number of other conventions are also important to
promote and protect the rights of older persons.
44.
The transition between an active life and retirement needed to be progressive,
allowing for voluntary retirement and coupled with provisions for making the pensionable
age flexible, thereby giving greater freedom to persons to decide on the age at which they
wish to stop working. In addition, the other important social policy challenge was the need
to secure an adequate level of income for all persons in old age without overstretching the
capacities of younger generations.
45.
The recent ILO Recommendation No. 202 completed this framework by calling for
the guarantee of basic income security for all persons in old age for countries at all levels of
development. It also made a significant contribution to the realization of the minimum core
content of the right to social security. It was particularly relevant for low- and middleincome countries where a large part of the workforce was concentrated in the informal
sector, but also for high-income countries where the recent financial crisis had shown that
there was still a need to ensure a minimum of income security for older generations in some
form of State guarantee of a minimum pension level.
46.
Ms. Araujo de Carvalho argued that realizing the right to health implied that
policymaking and programming should be guided by human rights standards and principles
in tandem with the development of the capacities of duty bearers to meet their obligations
and of the capacity of rights holders to claim their rights. This translated into building a
knowledge base that would allow policymakers to develop and implement policies and
programmes that addressed the health needs of older persons.
47.
Ageing was frequently not prioritized in health plans and strategies, data were not
age-disaggregated in health situation analysis, and age was not considered a category for
analysis in monitoring, evaluation and accountability mechanisms in health planning and
programming.
48.
The health of older persons needed to be specifically addressed in initiatives to
strengthen health systems and in primary health-care reform frameworks. Policy guidance
to achieve universal coverage was particularly relevant because older persons were usually
excluded, particularly when coverage depended on previous contributions. Targeted
interventions could be an alternative to complementing universal mechanisms, for example
to tackle dementia and hypertension as health priorities.
49.
It was also necessary to increase visibility of unequal access to health care.
Disability and disease affected more people in developing countries, and States should
adopt measures to improve the situation of the population, and specifically older persons.
Health services should be targeted at the major causes of poor health in older persons, such
as non-communicable diseases. Primary health-care centres had to better meet the needs of
their older patients. They could serve as an entry point for referrals for specialised care,
long-term care, mental health and social services.
50.
According to Ms. Araujo, the main challenges for States were (a) to put in place
information systems to strengthen the knowledge base and to facilitate the use of evidence
in policy development; (b) to build a critical mass of capacity for change, as capacitybuilding of rights holders and duty bearers was critical, especially on health equity analysis
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