Francis Jones by 045F3982

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									   Review and Evaluation of
     Progress Towards the
 Implementation of the Brasilia
  Declaration in the Caribbean



Subregional Headquarters for the Caribbean   15th Monitoring Committee   <AGENDA NUMBER AND TITLE>
                               The Caribbean
For the purposes hereof, the Caribbean
comprises Antigua and Barbuda, The
Bahamas, Barbados, Belize, Dominica,
Grenada, Guyana, Jamaica, Saint Kitts and
Nevis, Saint Lucia, Saint Vincent and the
Grenadines, Suriname, Trinidad and Tobago,
as well as number of associate members of
ECLAC and other territories.


Subregional Headquarters for the Caribbean Headquarters for the Caribbean
       20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   2
                Methodology for review
• ECLAC commissioned consultants to produce
  national reports for 11 countries.
• The government of Trinidad and Tobago
  produced a national report.
• Each national report contains an inventory of
  government actions aimed at older persons
  and identifies priorities for future action.
• This subregional review of progress is based
  on these 12 national reports.
   Subregional Headquarters for the Caribbean Headquarters for the Caribbean
          20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   3
Progress towards implementation,
           2007 - 2012
• Action in a wide range of areas in Antigua and
  Barbuda, Barbados, Jamaica, Trinidad and
  Tobago.
• Actions in response to approximately half the
  main recommendations: Bahamas, Dominica,
  Grenada, St. Kitts and Nevis, and Saint Lucia.
• Fewer actions were reported in Guyana, Saint
  Vincent and the Grenadines, and Suriname.

   Subregional Headquarters for the Caribbean Headquarters for the Caribbean
          20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   4
                Policy areas where there
                   was most progress
•   Social security
•   Equitable access to health services
•   Promotion of healthy lifestyles
•   Training for health workers
•   Social support and care
•   Support for carers
•   Promoting a positive image of old age

    Subregional Headquarters for the Caribbean Headquarters for the Caribbean
           20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   5
               Policy areas where there
                  was least progress
• Human rights protection and elimination of
  discrimination, abuse, and violence
• Monitoring of long-stay institutions
• Access to health care for older persons with
  disabilities or living with HIV
• Palliative care
• Access to credit


   Subregional Headquarters for the Caribbean Headquarters for the Caribbean
          20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   6
                           Economic security
• Access to decent work: increases to retirement
  ages in three countries, with increases
  planned in at least two others.
• Social security: index linking of benefits (The
  Bahamas, also Barbados), and new benefits
  (Antigua and Barbuda, Saint V. & G., Guyana);
  further improvements needed.
• Access to credit opportunities: little action
  except in Trinidad and Tobago.
   Subregional Headquarters for the Caribbean Headquarters for the Caribbean
          20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   7
                                 Health services
• Equitable access: Significant extensions to
  availability of free care and/or medication in
  The Bahamas, Dominica, and Jamaica.
• Creation of palliative care services: little action
  taken.
• Care of older persons with disabilities or living
  with HIV: little action focused specifically on
  older persons.

   Subregional Headquarters for the Caribbean Headquarters for the Caribbean
          20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   8
                                 Health services
• Monitoring the health of the older population:
  Occasional surveys in some countries.
• Promoting healthy lifestyles: Many good
  health education and promotion initiatives.
• Human resource training in Geriatrics and
  Gerontology: The University of The West
  Indies provides some training but more is
  needed. Many countries have training
  programmes for care workers.
   Subregional Headquarters for the Caribbean Headquarters for the Caribbean
          20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   9
                                     Care services
• Monitoring long-stay institutions: Some action
  in T.&T. and Barbados; a majority of national
  reports identified this as a future priority.
• Social support: There is some provision of
  home care services in all countries except
  Guyana, Saint Lucia, and Suriname.
• Support for carers: In over half of reporting
  countries there are day care centres and/or
  activity centres for older people.
   Subregional Headquarters for the Caribbean Headquarters for the Caribbean
          20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   10
                  Enabling Environments
• Promoting participation: Innovative schemes
  in T.&T. and Jamaica; active associations of
  retired persons in Barbados, Jamaica, and
  Antigua and Barbuda; more participation
  needs to be encouraged in other countries.
• Accessibility of public space and adaption of
  housing: Several initiatives in Barbados;
  smaller scale actions elsewhere; a priority for
  future action in many countries.
   Subregional Headquarters for the Caribbean Headquarters for the Caribbean
          20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   11
                  Enabling Environments
• Human rights protection and elimination of
  abuse: Little progress towards legislation on
  the human rights of older people; a priority
  for future action.
• Promoting a positive image of old age: Many
  countries celebrate International Day of Older
  Persons (1st October). A range of positive
  actions by associations of older people,
  particularly in Barbados and Jamaica.
   Subregional Headquarters for the Caribbean Headquarters for the Caribbean
          20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   12
          Future Priorities for Action
• Legislation to protect the human rights of
  older people including protection from
  discrimination, abuse, and violence
• Strengthening social security protection for
  older people including improved pensions and
  assistance
• Improved care services: home care services;
  home nursing; and day care centres.

  Subregional Headquarters for the Caribbean Headquarters for the Caribbean
         20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   13
           Future Priorities for Action
• Providing older people with choices about
  their living arrangements: support to continue
  living in their own homes; assisted living
  facilities; and long-stay institutions.
• Providing equitable access to health services
  for an ageing population including for older
  persons with disabilities; people living with
  HIV; and people in need of palliative care.

   Subregional Headquarters for the Caribbean Headquarters for the Caribbean
          20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   14
            Future Priorities for Action
    Priorities for future action for some countries
    also included:
•   access to decent work;
•   accessibility of public space;
•   transport for older persons;
•   housing;
•   provision of continuing education.


    Subregional Headquarters for the Caribbean Headquarters for the Caribbean
           20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   15
              Examples of Best Practice
•   The National Prescription Drug Plan, Bahamas
•   Community Nursing Project, Barbados
•   Senior Citizens Parliament, T. & T.
•   Yes We Care, Dominica
•   Older Citizens Monitoring Project, Jamaica
•   Community Technology Project, Barbados
•   Intergenerational Discussions, T. & T.

    Subregional Headquarters for the Caribbean Headquarters for the Caribbean
           20 June 2012            Subregional    15th Monitoring Committee     <AGENDA NUMBER AND TITLE>   16

								
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