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Older Persons with Disability:
The Development an Ageing
Resilience
23rd RI World Congress, October 25-27, Edinburg
Dr Lilis Heri Mis Cicih
Indonesia
Introduction
 Disability regarding to the
ageing group of which
caused by the reducing
health and functioning
physical of body can be
included into persons with
disability conceptually.
 The important factor of the
healthy, active and
productive ageing is
resiliency, and it was
indirectly associated with
successful ageing.
 Related to some factors
stated that resilience of
ageing concept links to
ability and/or disability are
more important than
vulnerability
Most of country in the world
have faced ageing population
is an emerging issues to
development.
Lilis Heri Mis Cicih, 2016
205 million
606 million
2 Billion1950
2000
2050
Contributions
 Therefore this
concept can be used
by the government
to prepare the
resilience of the
population in order
to achieve healthy,
active, and
productive ageing.
 To enhance the
prevention
programs rather
than treatment and
strengthen the
people for resiliency
Lilis Heri Mis Cicih, 2016
 It was developed a new
concept related to resilience of
ageing, based on 3 concepts:
active ageing, national
resilience, and sustainable
development
 Dimensions: economic, health,
environment, and social.
 It has direct indicators
measurable, it could be used
as a tool of elderly’s problem
detection among countries.
Objectives
Methods
Lilis Heri Mis Cicih, 2016
Cross Sectional Data sources:
 Publication: UN, UNDESA,
WHO, UNESCAP, UNFPA,
UNDP, ILO, World Bank
Analysis:
 Unit analysis: country
 Literatur Review
 Descriptive analysis
 Multivariate analysis
Importance: an index  as a
complement of existing index
a new concept (health
indicators) as an alternative
picture of the older population
quality of life (especially in
health indicators)
To the develop an Ageing
Resilience Index (AgRI),
To present the relative ranks of
171 countries in the world.
The result of study can be used:
 Science:
• Resilience framework
• Methodology: global data
management, developing index
of ageing resilience
 Policy:
• Population policy at global level
• Encouraging older population
data availability at global level
• Motivate human resource
investment at an early age
Conceptual Framework
Development
National
Resilience
Ageing
Ageing Resilience
Definition:
There is no one universal definition
about resilience (White, 2008),
still debated and considered
ambiguous, often defined in
different ways (Parker, 2012)
Ageing
Resilience
Health
Social
Environmental
Economics
Domain of Ageing Resilience Index
Lilis Heri Mis Cicih, 2016
Results
1. Relative Rank of ageing
Resilience Index
correlated with relative
rank HDI, also with GAWI
Lilis Heri Mis Cicih, 2016
Domain Indikator Factor
Loading
Weight
Health Disability, mental
health, diseases,
health risk
behaviour
0,47 0,24
Social Education,
living arrangement,
life satisfaction
0,46 0,23
Economic Labour force
participation,
income security,
health government
expenditure
0,56 0,28
Environment Urban area, carbon
emission, clean
water, and
sanitation
0,51 0,25
Index
r Sig. (2-tailed)
ARI-IPM 0,930 0,000
ARI-GAWI 0,783 0,000
Indonesia Japan
Pop 60+ 9% 32%
Pop 80+ 22% 10%
HDI 108 10
AgRI 109 27
Low health social
Ageing Resilience Index and HDI
1.000.800.600.40
hdi
0.80
0.60
0.40
0.20
ikpl
Zimbabwe
Zambia
Yemen
Viet Nam
Venezuel
Vanuatu
United S
United R
United K
United A
Ukraine
Turkmeni
Turkey
Tunisia
Tonga
Togo
Timor-Le
Syrian A
Switzerl
Sweden
Swazilan
Suriname
Sudan
St, Vinc
Spain
South Af
Solomon
Slovenia
Slovakia
Singapor
Sierra L
Serbia
Senegal
Saint Lu
Rwanda
Republic Republic
Qatar
Portugal
Poland
Peru
Oman
Norway
Niger
Nicaragu
New Zeal
Namibia
Myanmar
Mozambiq
Morocco
Mexico
Mali
Lithuani
Kyrgyzst
Kazakhst
Italy Ireland
Iraq
India
Hungary
Honduras
Haiti
Guinea
Grenada
Greece
Ghana
France
Ethiopia
Eritrea
Dem, Peo
Cuba
Côte d'I
Costa Ri
Congo
Chile
Chad
Central
Canada
Cambodia
Burundi
Bolivia
Belize
Belgium
Afghanis
Indonesia
AgRI=109
HDI=108
Lilis Heri Mis Cicih, 2016
Disability Status of 60 Years of Age and Over
in Indonesia
0.10
0.60
1.10
1.60
2.10
2.60
60-64 65-69 70-74 75+ 60-64 65-69 70-74 75+
Male Female
Difficulty in Seeing (severe)
Urban Rural
0.00
0.20
0.40
0.60
0.80
1.00
1.20
60-64 65-69 70-74 75+ 60-64 65-69 70-74 75+
Male Female
Urban Rural
Difficulty in
Hearing (severe)
0.00
1.00
2.00
3.00
4.00
5.00
60-64 65-69 70-74 75+ 60-64 65-69 70-74 75+
Male Female
Difficulty in Taking Care One-self (severe)
Urban Rural
0.00
2.00
4.00
6.00
8.00
10.00
60-64 65-69 70-74 75+ 60-64 65-69 70-74 75+
Male Female
Difficulty in Walking/Climbing the Stairs (fully need
assisstance)
Urban Rural
Conclusion Recommendation
1. The AgRI indeks could be
implemented to measure the
quality of life
2. As a complement to the HDI index
3. Developed from various data
sources (global and national)
4. Standardized for 171 countries
5. Presenting the relative rank of
countries
6. More comprehensive aspects, using
direct health indicators
7. Developed from national defense,
ageing, and sustainable
development
8. Could be applied to the national
data.
9. Presenting indicators of problems
in specific countries/regions, the
application of national, provincial,
district/cities level
1. Continued research to encourage
and replicate these findings is
needed so as to be able to
recognize ageing resilience and
implement in each country level.
2. Global data management;
 Software of AgRI calculation;
 Book Map of Ageing Resilience
Condition by Provinces and Districts
/Cities in Indonesia;
 Book: Index Calculation Method The
Ageing Resilience
 Book: The concept of the Ageing
Resilience and Healthy, Active, and
Productive Ageing.
 Resilience and Successful Ageing in
Indonesia, based on Panel Data
IFLS, 1993, 2000, and 2007
Output
Thank you very much
We will do anything to make better future
Ageing with healthy, active, and productive
Start from the earlier
Dr. Lilis Heri Mis Cicih
Indonesia
lilisherimc@gmail.com
Special thanks to my best friend
Sri Hartini Rachmad

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RIWC_PARA_A130 Ageing Resilience in Indonesia

  • 1. Older Persons with Disability: The Development an Ageing Resilience 23rd RI World Congress, October 25-27, Edinburg Dr Lilis Heri Mis Cicih Indonesia
  • 2. Introduction  Disability regarding to the ageing group of which caused by the reducing health and functioning physical of body can be included into persons with disability conceptually.  The important factor of the healthy, active and productive ageing is resiliency, and it was indirectly associated with successful ageing.  Related to some factors stated that resilience of ageing concept links to ability and/or disability are more important than vulnerability Most of country in the world have faced ageing population is an emerging issues to development. Lilis Heri Mis Cicih, 2016 205 million 606 million 2 Billion1950 2000 2050
  • 3. Contributions  Therefore this concept can be used by the government to prepare the resilience of the population in order to achieve healthy, active, and productive ageing.  To enhance the prevention programs rather than treatment and strengthen the people for resiliency Lilis Heri Mis Cicih, 2016  It was developed a new concept related to resilience of ageing, based on 3 concepts: active ageing, national resilience, and sustainable development  Dimensions: economic, health, environment, and social.  It has direct indicators measurable, it could be used as a tool of elderly’s problem detection among countries.
  • 4. Objectives Methods Lilis Heri Mis Cicih, 2016 Cross Sectional Data sources:  Publication: UN, UNDESA, WHO, UNESCAP, UNFPA, UNDP, ILO, World Bank Analysis:  Unit analysis: country  Literatur Review  Descriptive analysis  Multivariate analysis Importance: an index  as a complement of existing index a new concept (health indicators) as an alternative picture of the older population quality of life (especially in health indicators) To the develop an Ageing Resilience Index (AgRI), To present the relative ranks of 171 countries in the world. The result of study can be used:  Science: • Resilience framework • Methodology: global data management, developing index of ageing resilience  Policy: • Population policy at global level • Encouraging older population data availability at global level • Motivate human resource investment at an early age
  • 5. Conceptual Framework Development National Resilience Ageing Ageing Resilience Definition: There is no one universal definition about resilience (White, 2008), still debated and considered ambiguous, often defined in different ways (Parker, 2012) Ageing Resilience Health Social Environmental Economics Domain of Ageing Resilience Index Lilis Heri Mis Cicih, 2016
  • 6. Results 1. Relative Rank of ageing Resilience Index correlated with relative rank HDI, also with GAWI Lilis Heri Mis Cicih, 2016 Domain Indikator Factor Loading Weight Health Disability, mental health, diseases, health risk behaviour 0,47 0,24 Social Education, living arrangement, life satisfaction 0,46 0,23 Economic Labour force participation, income security, health government expenditure 0,56 0,28 Environment Urban area, carbon emission, clean water, and sanitation 0,51 0,25 Index r Sig. (2-tailed) ARI-IPM 0,930 0,000 ARI-GAWI 0,783 0,000 Indonesia Japan Pop 60+ 9% 32% Pop 80+ 22% 10% HDI 108 10 AgRI 109 27 Low health social
  • 7. Ageing Resilience Index and HDI 1.000.800.600.40 hdi 0.80 0.60 0.40 0.20 ikpl Zimbabwe Zambia Yemen Viet Nam Venezuel Vanuatu United S United R United K United A Ukraine Turkmeni Turkey Tunisia Tonga Togo Timor-Le Syrian A Switzerl Sweden Swazilan Suriname Sudan St, Vinc Spain South Af Solomon Slovenia Slovakia Singapor Sierra L Serbia Senegal Saint Lu Rwanda Republic Republic Qatar Portugal Poland Peru Oman Norway Niger Nicaragu New Zeal Namibia Myanmar Mozambiq Morocco Mexico Mali Lithuani Kyrgyzst Kazakhst Italy Ireland Iraq India Hungary Honduras Haiti Guinea Grenada Greece Ghana France Ethiopia Eritrea Dem, Peo Cuba Côte d'I Costa Ri Congo Chile Chad Central Canada Cambodia Burundi Bolivia Belize Belgium Afghanis Indonesia AgRI=109 HDI=108 Lilis Heri Mis Cicih, 2016
  • 8. Disability Status of 60 Years of Age and Over in Indonesia 0.10 0.60 1.10 1.60 2.10 2.60 60-64 65-69 70-74 75+ 60-64 65-69 70-74 75+ Male Female Difficulty in Seeing (severe) Urban Rural 0.00 0.20 0.40 0.60 0.80 1.00 1.20 60-64 65-69 70-74 75+ 60-64 65-69 70-74 75+ Male Female Urban Rural Difficulty in Hearing (severe) 0.00 1.00 2.00 3.00 4.00 5.00 60-64 65-69 70-74 75+ 60-64 65-69 70-74 75+ Male Female Difficulty in Taking Care One-self (severe) Urban Rural 0.00 2.00 4.00 6.00 8.00 10.00 60-64 65-69 70-74 75+ 60-64 65-69 70-74 75+ Male Female Difficulty in Walking/Climbing the Stairs (fully need assisstance) Urban Rural
  • 9. Conclusion Recommendation 1. The AgRI indeks could be implemented to measure the quality of life 2. As a complement to the HDI index 3. Developed from various data sources (global and national) 4. Standardized for 171 countries 5. Presenting the relative rank of countries 6. More comprehensive aspects, using direct health indicators 7. Developed from national defense, ageing, and sustainable development 8. Could be applied to the national data. 9. Presenting indicators of problems in specific countries/regions, the application of national, provincial, district/cities level 1. Continued research to encourage and replicate these findings is needed so as to be able to recognize ageing resilience and implement in each country level. 2. Global data management;  Software of AgRI calculation;  Book Map of Ageing Resilience Condition by Provinces and Districts /Cities in Indonesia;  Book: Index Calculation Method The Ageing Resilience  Book: The concept of the Ageing Resilience and Healthy, Active, and Productive Ageing.  Resilience and Successful Ageing in Indonesia, based on Panel Data IFLS, 1993, 2000, and 2007 Output
  • 10. Thank you very much We will do anything to make better future Ageing with healthy, active, and productive Start from the earlier Dr. Lilis Heri Mis Cicih Indonesia lilisherimc@gmail.com Special thanks to my best friend Sri Hartini Rachmad