Globally, including in the Asia Pacific regions,there are two persons entering the age of 60 in one second. It means that there are nearly 58 million people at the age of 60+ each year. On average, there are one in nine people who will be 60+ years old, and this ratio will be 5: 1 by 2050. If in the world, in 1950 there were 205 million people at 60+, 901 million in 2015, accounting for 12.3% population in the world, that will be more than 2 billion people, accounting for 22% by 2050. Although aging population is the positive result of social progress, economic development, health care improvement, it makes challenges to the growth of economies as the shortage of labor resource, rising health cost, social security, impact on savings, investment, consumption, shifting migration flows.
Asian populations have continued to grow; the region including South East Asia(SEA) Countries now has over 60 percent of theworld’s population and six of the 10 largest nations. There are health consequences related to large, expanding populations, although theconnections are often complex and mediated by social, economic, and technologicalfactors, and considerably influenced by governmental policies in health care and healthy ageing strategies. Healthcare demand in SEA is increasing rapidly, driven by population growth rates that are expected to outstrip those of other geographies, and an epidemiological shift from infectious diseases to a chronic disease pattern matching western markets.Most of SEA’s spending on healthcare comes from the public sector (sometimes augmented by staterun insurance funds and personal expenditures).
Meanwhile, the elderly population in Indonesia has grown at an unprecedented rate during the period 1990 - 2020, and has experienced an increase in life expectancy from 66.7 years to 70.5 years. The number of elderly (over 60 years) in Indonesia is expected to increase to 28.8 million (11% of the total population) in 2020, and 80 million (28.68%) in 2050. The longer a person's life, the more experienced physical, mental, spiritual, economic and social problems. Based on RISKESDAS (Basic Health Research 2013), diseases found among the elderly in Indonesia include hypertension, osteoarthritis, dental-mouth problems, chronic obstructive pulmonary disease (COPD) and diabetes mellitus (DM) (Ministry of Health of the Republic of Indonesia, 2014), and frailty 25.10% (Siti Setiati, 2017). According to Basic Health Survey 2018, diseases among older persons which contribute to disability are , stroke, falls, heart disease, DM , and arthritis. The emergence of various diseases and disorders can cause functional disabilities in the elderly, with conditions that are more severe in the elderly, of course, need the help of others, so they need long-term care (Long-term care/LTC) including oral care.
To cope with improving health status of older persons, healthy and active ageing practices in Asia – Pacific and SEA have similarity in term of traditional pattern of community solidaritysuch as practices of family support, policy reforms that encourage older persons who are still capable to remain in the work place, and the ones who are not fully capable of selfcare and need long term care and end of life care. On the other hand there are a gap between develop countries and developing countries in the development of technology such as information technology, transportation, and various high technology in delivery services for the elderly.
Based on the above mentioned background, Indonesia Society of Gerontology cooperation with Active Aging Consortium Asia Pacific (ACAP) would conduct Active Aging Conference & Expo 2019 with the theme: “Aging with Quality & Dignity”