A/HRC/45/14
choice, information is needed about whether legal entitlements to long-term care exist, and
if so, what they actually cover. If public funding support, for instance, is only available for
long-term care in institutional settings, this may affect the right to receive care at home.
Further restrictions may simply result from the unavailability of services, such as the lack
of care providers in rural areas, which de facto prevents older persons from exercising their
freedom of choice when it comes to the type of care services.
75.
The significant role of informal caregivers is not reflected effectively in existing
surveys. Also, indicators do not measure the level of support, if any, available to informal
caregivers, such as financial compensation, respite care, or accumulation of social
protection rights. These aspects need to be further developed.
76.
As regards aspects of health, surveys using age cut-offs in data collection lead to
incomplete information and analysis on the situation of older persons, regarding health risks
and other barriers to their right to health. This could also lead to discriminatory health
spending. A separate module of demographic and health surveys for older persons would be
required in this regard.
77.
Another topic that has received limited attention is palliative care. There is no global
standard definition of palliative care, and it is unclear whether relevant statistics in this area
are being collected systematically.59 The adverse effect of mental health conditions, such as
depression, in the growing suicide rates among persons aged 75 and over also needs to be
further substantiated.60
78.
Another area of concern is the lack of data on the effect of medicines on older
persons, as they are often excluded from clinical research and studies, 61 potentially leading
to inappropriate medication and drug prescription, which is a major risk factor for geriatric
patients.62 Systematic collection of data is essential given that older persons have different
patterns of disease presentation than younger adults, respond to treatments and therapies in
different ways, and frequently have complex social needs that are related to their chronic
medical conditions.
IV. Conclusions and recommendations
79.
Currently, there is a serious gap in the data available to capture the lived
realities of older persons, including in terms of enjoyment of human rights. This lack
of significant data and information on older persons is, in itself, an alarming sign of
exclusion and renders meaningful policymaking and normative action practically
impossible. Overcoming these impediments to the realization of the rights of older
persons requires a fundamental conceptual shift in method and process that takes into
account the entanglement of digital and analogue realities, or the so-called digitality.
80.
Data is significant for the realization of human rights. It is necessary in order to
provide evidence of the extent of the challenges faced by older persons and of the
policy and legislative needs. Data collection is crucial to create visibility and build an
evidence base about human rights impediments for older persons and potential
responses, to dispel stereotypes that feed ageism, stigma and discrimination, and to
aid policymakers and advocates in the formulation of measures regarding antidiscrimination action, socioeconomic inclusion, and access to health and care.
81.
There is a need to set standards and reporting requirements for data gathering,
in order to improve the existing data ecosystem and as an important impetus for
statistical offices to gather more data on older persons.
59
60
61
62
Economic Commission for Europe, Recommendations on Ageing-related Statistics, prepared by the
Task Force on Ageing-related Statistics.
A/67/188, para. 33.
See www.age-platform.eu/sites/default/files/AGE_letter_to_world_data_forum_Jan2016.pdf.
A/HRC/30/43/Add.2, para. 78.
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