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AUICK Second 2008 Workshop


AUICK held its Second Workshop of 2008 in Kobe, Japan, from 26 October to 3 November, with the support of Kobe City Government and the United Nations Population Fund (UNFPA). The theme of the workshop was “Population Aging and Appropriate Measures for the Aged”. Eight participants attended from AUICK Associate Cities, as well as three interpreters, a resource person, two academic collaborators and members of AUICK’s International Advisory Committee (IAC).


Craft Teaching in Khon Kaen

‘Many societies view older people and older women in particular as a drain on society... policy makers and practitioners need to envisage them not only as recipients of protection and assistance, but also as agents of change and development who can help identify solutions for the problems affecting them.’

(Women, Ageing and Health: A Framework for Action, UNFPA/WHO, 2007)

                                                                                                                                                                                                                    An elder passing down traditional crafts in Khon Kaen



CONTENTS

1.        BACKGROUND
2.        AIM
3.        PARTICIPANTS
4.        PROGRAM
4.1.    Opening Remarks
4.2.    Presentations
4.2.1. Global, Regional and National Population Perspectives
4.2.2. Measures against Population Aging and the Role of Local Government in Japan
4.2.3. Population Transition and Elderly Care Policies in Kobe City
4.2.4. Measures on Maintaining Physical and Mental Health /  Physical Health Services for the Aged of Kobe City
4.2.5. Best Practice Report: Measures for the Aged in Khon Kaen
4.2.6. Management of the Aged through a Community Base
4.2.7. Population Aging in Asian Cities – UNFPA's Viewpoint and Activities
4.3.    Site Visits
4.3.1. Facilities Related to Mental and Physical Health Services for the Aged
4.3.2. Organizations Supporting Active Elders
4.4.    Courtesy Call on Mayor of Kobe City
4.5.    City Reports and Action Plans
4.5.1. Action Plan Guidelines
4.5.2. City Reports and Action Plans
4.6.    Second 2008 Workshop Closing Remarks

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1. BACKGROUND

World Population is growing rapidly, but it is aging even more rapidly. In the last half century the world’s population more than doubled, from 2.5 to 6.7 billion. This figure is likely to increase by 2.5 billion over the next 42 years, reaching 9.2 billion in 2050. Over that time, half of the increase will be accounted for by people over the age of 60, whose numbers will almost triple, to reach over one billion. 

This accelerated aging process is even more dramatic in Asia, whose total population is predicted to grow from 3.7 billion in 2000 to 6.4 billion by 2050. In the same period, those over 60 may grow to reach 1.2 billion, a four-fold increase of present numbers. In countries where AUICK Associate Cities (AACs) are located, the proportion of the aged (over 60s) is predicted to range from about 9 per cent to 21.5 per cent by 2050. 

Population aging brings a shrinking of the workforce, an increasing social security burden, and major changes in family structure and health service systems – but elders increasingly have more time and longer life to contribute to society through their rich experience of life, and their technical skills and knowledge. 

Recent rapid urbanization and an increasing proportion of elderly citizens in urban areas will challenge national and local government capacities to provide not only economic security and access to good transportation, but also strong community-based support systems. 

UNFPA, one of AUICK’s sponsors, has developed Policy Guidelines on Aging to provide measures which can effectively respond to the needs, expectations and rights of older persons. They recommend the following: 

• Focus on the older poor, in development and poverty-reduction strategies; 
• Examine the economic, social and cultural implications of population and demographic changes, and how they     relate to development concerns; 
• Promote the implementation of adequate policies and programs for active aging, including life-long education     and training, and the full participation of older persons in community life; 
• Recognize and support the care-giving services provided by grandparents, especially women, to grandchildren    orphaned by AIDS; 
• Eliminate discrimination; financial, psychological and physical abuse; and other crimes against older persons,     especially women, including intergenerational violence; 
• Promote intergenerational solidarity with the goal of maintaining and improving social cohesion. 

The right and appropriate approaches are needed, in order to maximize the development benefits of urbanization for older persons, while minimizing its negative impacts.

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2. AIM

The aim of the AUICK Second 2008 Workshop was to increase the capacities of senior officials of AACs in charge of policies and programs for the aged. In view of the UNFPA Policy Guidelines on Aging, the workshop was designed to improve participants’ knowledge about the urban policy implications of population aging. It aimed to increase understanding and know-how of administrative measures for the aged, through presentations by Kobe City and AAC officials, best practice case studies and site visits related to the theme. Special emphasis was placed on the active participation of the aged in society, and self-reliance oriented NGO activities. At the end of the Workshop, the participants each developed concrete Action Plans for appropriate administrative measures for the aged, to implement upon returning to their respective cities.

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3.PARTICIPANTS

AUICK invited senior officials of government planning, health and social welfare departments from the AACs: Weihai (China), Chennai (India), Surabaya (Indonesia), Kuantan (Malaysia), Faisalabad (Pakistan), Olongapo (Philippines), Khon Kaen (Thailand), and Danang (Vietnam).

The participants included the following (in alphabetical order by country):

Dr. Sun Kailian
Vice-Director, Department of Human resources, Weihai Municipal Government, China
Mr. Ashish Chatterjee
Joint Commissioner (Works), Corporation of Chennai, India
Dr. Sri Setiyani
Head of Community Health, Surabaya Health Department, Surabaya City Government, Indonesia
Ms. Hamiza Binti Hamzah
Director, Planning and Development Department, Kuantan Municipal Council, Malaysia
Dr. Mian Zahid Malik
District Tuberculosis Control Officer, Department of Health, City District Government Faisalabad, Pakistan
Ms. Genia Reyes Eclarino
Department Head (City Social Welfare Officer), City Social Welfare and Development Office, Olongapo City Government, Philippines
Ms. Surang Panoi
Director, Social Welfare Department, Municipal Clerk, Social Welfare Division, Khon Kaen Municipality, Thailand
Dr. Nguyen Thi Kim Hong
Vice Director, Department of Labour, Invalids, Social Affairs, Social Affairs and Protecting and Caring for Children, Danang City, Vietnam

<Accompanying Interpreters>
Mr. Sun Chenggong
Chief, Foreign Affairs Office, Weihai Municipal Government, China
Dr. Kuntoro
Professor of Biostatistics and Population Study, Airlangga University School of Public Health, Surabaya, Indonesia
Ms. Puttatida Choeisai
English Lecturer, Khon Kaen University Language Institute, Thailand

<Best Practice Resource Person>
Dr. Kasom Chanawongse

President, College of Asian Scholars, Thailand

<Academic Collaborators>
Dr. Sunarjo
Head, Department of Public Health and Preventive Medicine, Airlangga University School of Medicine, Indonesia
Dr. Pudjo Rahardjo
Deputy Executive Director of DAMANDIRI Foundation (in charge of Program Development, Education and Training), Indonesia

Second 2008 Workshop participants

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4. PROGRAM

4.1.Opening Remarks

In his opening remarks to the Second 2008 Workshop, Dr. Hirofumi Ando welcomed participants on behalf of Mr. Tatsuo Yada, AUICK Chairman and Mayor of Kobe City, Mr. Toshihiko Ono, Executive Director, and Mr. Nobuyuki Morimoto, Deputy Executive Director. Dr. Ando explained AUICK’s role as the facilitator of North-South and South-South dialogue among Kobe and the AUICK Associate Cities (AACs), whose sharing of experience in dealing with the issues affecting aged populations would enable lessons to be learned from the workshop and translated into policy implementation, through the Action Plan program. ted to population, development and the environment in Asian cities, in collaboration with UNFPA. 

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4.2. Presentations

4.2.1. Global,Regional and National Population Perspectives

Dr. Hirofumi Ando

Dr. Hirofumi Ando, President of AUICK
Dr. Hirofumi Ando explained the phenomena of population aging, and its significance in the AUICK Associate Cities (AACs). »»More

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4.2.2. Measures against Population Aging and the Role of Local Government in Japan

Dr. Jun MatsunamiDr. Jun Matsunami, Professor, Graduate School of International Cooperation Studies, Kobe University
Dr. Jun Matsunami explained the financial transfers between central and local government for service provision, as a context of local government providing welfare to the aged. »»More

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4.2.3. Population Transition and Elderly Care Policies in Kobe City

Mr. Takeshi YamamotoMr. Takeshi Yamamoto, Manager, Senior Citizens’ Welfare Division, Public Health and Welfare Bureau, Kobe City Government
Mr. Takeshi Yamamoto explained local government welfare and nursing care policies for the elderly in Kobe, where one in five of the population is now over 65. »»More

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4.2.4. Measures on Maintaining Physical and Mental Health and Physical Health Services for the Aged of Kobe City

Yasuto Kawakami, M.D.Yasuto Kawakami, M.D., Director of Public Health Center, Kobe City
In the context of rising health care provision costs, and high instances of lifestyle related diseases and health-related suicides, Yasuto Kawakami, M.D. outlined preventive measures to improve the health of citizens in Kobe. »»More

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4.2.5. Best Practice Report: Measures for the Aged in Khon Kaen

Dr. Kasom ChanawongseDr. Kasom Chanawongse, President, College of Asian Scholars, Thailand
Dr. Kasom Chanawongse explained how in the midst of an aging population of Thailand, initiatives in Khon Kaen Municipality maintain not only the health and wellbeing of the elderly, but also their local customs and traditions, employment and active involvement in society. »»More

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4.2.6. Management of the Aged through a Community Base

Dr. Haryono SuyonoDr. Haryono Suyono, Member of AUICK International Advisory Committee (IAC)
Dr. Haryono Suyono reminded the participants of the Second 2008 Workshop of the importance of encouraging the aged to be active in the community, in the context of their increasing numbers and life expectancy. »»More



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4.2.7. Population Aging in Asian Cities – UNFPA's Viewpoint and Activities

Dr. Mari SimonenDr. Mari Simonen, Deputy Executive Director (External Relations, United Nations Affairs and Management), United Nations Population Fund (UNFPA)
Dr. Mari Simonen spoke to the Second 2008 Workshop participants on the trends of population ageing, the role of UNFPA concerning the issue and possible policy responses. »»More



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4.3. Site Visits

4.3.1. Facilities Related to Mental and Physical Health Services for the Aged

On 28 October, the AUICK Second 2008 Workshop participants visited centers providing health care to the aged, Kobe Comprehensive Care Center for the Aged and Sun-life Uozaki Elderly Nursing Care Homes , and  the World Health Organization (WHO) Kobe Centre, in the redeveloped HAT Kobe area, in the east of the city.  

4.3.2 Organizations Supporting Active Elders

On 29 October, the Second 2008 Workshop participants visited the Kobe City Silver Human Resources Center, a foundation coordinating employment and activity groups for the aged; the Kobe Silver College, a three-year educational institution to facilitate the active role in society of elder citizens; and Group ‘Wa’, which coordinates volunteer activities for the college graduates.

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Courtesy Call on Mayor of Kobe City

On 31 October, the Second 2008 Workshop participants and members of AUICK’s International Advisory Committee (IAC) made a courtesy call on the Mayor of Kobe and Chairman of AUICK, Mr. Tatsuo Yada (seated front, center).

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4.5. City Reports and Action Plans

4.5.1. Action Plan Guidelines

A key component of AUICK’s training program is the formulation of Action Plans for each of the AUICK Associate Cities (AACs). Participants devleop a plan of action to be implemented in their cities after the workshop.

Throughout the workshop, knowledge is shared and lessons learned on the challenges faced and effective policies implemented in both Kobe City and the AACs. The aim of AUICK is for these ideas to be translated into actions for improving the welfare of AAC citizens. The plans also serve to both monitor and assess the effectiveness of the workshops and of the AUICK program as a whole. 

To be effective, the Action Plans need to define the problems to be solved in each city, and the proposed 'actions' learned from the workshop t osolve them. The plans should take into account the financial and personnel resources, and the political, social, educational and religious support available, so that they can each be feasibly and effectively implemented. NGOs working in the district or city and local media can be mobilized for public support. Technical and academic support may be also necessary to prepare a proposal in detail, especially if a new policy is to be formulated or statistical data is required. The AUICK fostered City University Partnerships (CUP) in its associate cities should be utilized and enhanced for this purpose. 

The participants of the Second 2008 Workshop were given guidelines on the formulation of their plans, to incorporate the following elements:

1) An introduction explaining manageable issue(s) to be solved and the practical measures to solve them, which are ‘do-able’ within a reasonable time period (12-18 months). 

2) A list of sequential (sometimes simultaneous) administrative steps to be undertaken within or outside of the participant’s administration. The first of these steps would usually be meeting the mayor of the city, as well as supervisors and colleagues, for approval of and support to Action Plan.

3) Identification of the various resources and support to be mobilized for undertaking each step to implement the Action Plan.

4) Clarification of the aims, advocacy process, implementation area, stakeholders, responsible personnel, and time frame by which the Action Plan is to be achieved.

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4.5.2. City Reports and Action Plans

Following guidelines and advice on the formulation of their action plans, workshop participants were given time to draft, present and re-formulate their plans with the assistance of the AUICK Secretariat, members of the AUICK International Advisory Committee (IAC), resource persons and each other. The results are shown on the following pages:

» Weihai, China by Dr. Sun Kailian
»Chennai, India by Mr. Ashish Chatterjee
»Surabaya, Indonesia by Dr. Sri Setiyani
»Kuantan, Malaysia by Ms. Hamiza Binti Hamzah
»Faisalabad, Pakistan by Dr. Mian Zahid Malik
»Olongapo, Philippines by Ms. Genia Reyes Eclarino
»Khon Kaen, Thailand by Ms. Surang Panoi
»Danang, Vietnam by Dr. Nguyen Thi Kim Hong

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4.6. Second 2008 Workshop Closing Remarks>

Throughout the Second 2008 Workshop, its participants provided feedback on each component of the program, to serve as a guide for the AUICK Secretariat on future workshop implementation. 

The presentations of the workshop were described as ‘instructive’ for the participants as city administrators, ‘rich information of health conditions of Kobe City’, ‘very informative’, ‘very appropriate’ and ‘enlightening’. Participants also said that the presentations provided an important chance for the sharing of relevant knowledge and information, and that some of the programs could be implemented in the AACs. 

Through workshop site visits, participants expressed being deeply impressed by the facilities and services offered to the elderly by Kobe City, as well as by the information gathered from the WHO Centre visit. The AAC City Reports provided the ‘useful experiences’ of the cities represented at the workshop, and the guidelines on formulation of Action Plans to improve the welfare of the aged populations in AACs were described as ‘very clear, and informative’. The plans were re-drafted and presented to members of AUICK’s International Advisory Committee (IAC), for further advice as to their implementation. This began upon the participants’ return from Kobe to their cities, and will be periodically monitored by the AUICK Secretariat. 

Workshop participants praised the UNFPA Seminar of 31 October for its citizen audience participation, and ‘AUICK’s role in aging and urban development was displayed fully to the public’ through the seminar. The comments and experience shared by IAC members at the seminar were deemed ‘very interesting and of high quality’. 

At its conclusion, participants expressed that ‘a good balance of lectures and practical training through field trips’, an ‘appropriate and informative’ level of training, and the ‘enhancement of knowledge and skills’ had been provided by the workshop program as a whole.

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