Publication:
Silver Opportunity: Case Studies - Time to Focus on Healthy Aging: Challenges, Opportunities, and Recommendations for Bangladesh

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dc.contributor.authorWorld Bank Group
dc.date.accessioned2023-08-24T15:59:21Z
dc.date.available2023-08-24T15:59:21Z
dc.date.issued2023-08-24
dc.description.abstractBangladesh is home to one of the largest populations of older adults in the world. Driven by increasing life expectancy at birth, this population is increasing. By 2040,one in five Bangladeshis will be 60 years old or older. The increase in lifespan isaccompanied by a greater burden of noncommunicable diseases (NCDs), whichaccount for 70 percent of all deaths in the country. These chronic conditions tend toaffect older adults, leading to an increased demand for health care services by thisgroup. NCDs are also expensive to treat, placing financial hardship on families in low resource settings. While the Government of Bangladesh has committed to providing many of the basic rights of older adults, the health care needs of older adults remain unmet. A lack of adequate funding and services point to a need for a health care system that caters to the specific needs of older adults, such as long-term care and consolidation of care. Other supportive structures also appear to be missing, such as a health insurance fund that covers common chronic conditions faced by older adults, which would remove barriers to accessing health care. A bill proposing a pension scheme is currently undergoing approval in Bangladesh’s legislative system. The primary health care (PHC) system, too, is geared toward the treatment of acuteillnesses rather than providing older Bangladeshis with integrated, long-term, people centered care. This study aimed to better understand the current capacity of PHC inBangladesh to provide care oriented towards older persons. The authors carried outa desk review of global and Bangladeshi literature on aging populations, followed bystakeholder consultations and key informant interviews with government officials,health professionals, and developmental organizations. Field visits to PHC facilitieswere also carried out to assess whether they met the internationally accepted criteriafor age-friendly infrastructure. The data were compiled and analyzed according to theFIRE framework (Financing, Innovation, Regulation, Evaluation) for older adult care.Despite the large burden of NCDs, only USD0.82 is spent per capita on NCD control,much lower than the USD1.50 recommended by the World Health Organization(WHO). Increasing spending on NCD management can help alleviate the financial pressure on households to care for older adults.en
dc.identifierhttp://documents.worldbank.org/curated/en/099953508222319091/IDU0f20d13c40af950476a0a3cb01302c081c44d
dc.identifier.doi10.1596/40263
dc.identifier.urihttps://openknowledge.worldbank.org/handle/10986/40263
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC: World Bank
dc.rightsCC BY-NC 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/igo
dc.subjectHEALTHY AGING
dc.subjectOLDER ADULTS
dc.subjectOLDER ADULT CARE
dc.subjectFINANCING
dc.subjectINNOVATION
dc.subjectREGULATION
dc.subjectEVALUATION
dc.titleSilver Opportunity: Case Studies - Time to Focus on Healthy Agingen
dc.title.subtitleChallenges, Opportunities, and Recommendations for Bangladeshen
dc.typeReport
dspace.entity.typePublication
okr.crossref.titleSilver Opportunity: Case Studies - Time to Focus on Healthy Aging: Challenges, Opportunities, and Recommendations for Bangladesh
okr.date.disclosure2023-08-24
okr.date.lastmodified2023-08-23T00:00:00Zen
okr.doctypeEconomic & Sector Work
okr.doctypeEconomic & Sector Work::Other Health Study
okr.docurlhttp://documents.worldbank.org/curated/en/099953508222319091/IDU0f20d13c40af950476a0a3cb01302c081c44d
okr.guid099953508222319091
okr.identifier.docmidIDU-f20d13c4-af95-476a-a3cb-1302c081c44d
okr.identifier.doihttp://dx.doi.org/10.1596/40263
okr.identifier.externaldocumentum34148974
okr.identifier.internaldocumentum34148974
okr.identifier.report184596
okr.import.id1594
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/099953508222319091/pdf/IDU0f20d13c40af950476a0a3cb01302c081c44d.pdfen
okr.region.administrativeSouth Asia
okr.region.countryBangladesh
okr.topicHealth, Nutrition and Population::Country Population Profiles
okr.topicHealth, Nutrition and Population::Demographics
okr.topicHealth, Nutrition and Population::Health Indicators
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.unitHNP Global (HHNGE)
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