Publication: Aging and Health: Policy
Considerations for Long-term Care
Loading...
Published
2024-09-12
ISSN
Date
2024-09-11
Editor(s)
Abstract
Providing care for older parents or parents-in-law significantly reduces the probability of employment and annual earnings, particularly among women and intensive caregivers, which remains the most prevalent form of long-term care (LTC) for older adults. Addressing the growing care needs of older adults requires increasing coordination, integration, and capacity building within the health and long-term care systems. Engaging the private sector can help bridge the gap between supply and demand of LTC. Governments play a crucial role in providing and regulating LTC services, especially in low- and middle-income countries (LMICs) where progress has been slow and uneven. Many countries have taken steps towards implementing LTC services, but more is needed to improve access, affordability, and quality of services. A person-centered approach with multiple options supports greater access to LTC services.
Link to Data Set
Citation
“Boudjadja,Meriem; Al Tuwaijri,Sameera Maziad; Saadat,Seemeen. 2024. Aging and Health: Policy
Considerations for Long-term Care. © World Bank. http://hdl.handle.net/10986/42146 License: CC BY-NC 3.0 IGO.”
Digital Object Identifier
Associated URLs
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Achieving Gender Equity in Health(Washington, DC: World Bank, 2024-07-08)Gender significantly impacts health outcomes, influencing lifestyle, well-being, and healthcare access throughout a person’s life. Bridging gender gaps in health can enhance human capital and ensure equitable health opportunities for all sexes. Achieving gender equity in health necessitates a systematic approach across health systems, with universal health coverage (UHC) and integrated primary health care (PHC) services providing a crucial platform. Five priority investment areas are highlighted: comprehensive sexual, reproductive, adolescent, and maternal health services; healthcare coverage for older adults; gender equality in health leadership; mental health coverage under UHC; and reducing gender disparities in pandemic preparedness and emergency response. These investments can empower women, girls, and other gender identities, support healthy aging, improve mental health access, and ensure effective health leadership and pandemic response.Publication Gender Gaps in Healthy Longevity(Washington, DC: World Bank, 2024-09-12)Gender gaps in access to, and use of health and long-term care services affect both women and men, albeit differently. While male mortality due to key non-communicable diseases (NCDs), particularly in the middle-ages is high, women live longer with these diseases. This has implications for universal health coverage (UHC) and social protection systems. Social and financial barriers that accumulate across the life course impede women’s access to care and solutions need to be cross-cutting. Health and long-term care systems need to be gender-responsive, ensuring that services are available and accessible, with adequate quality of care. Investment in sex disaggregated data and gender specific indicators to monitor key indicators for healthy longevity (e.g., on NCD prevalence, UHC) is needed for policy and planning.Publication Gender Based Violence in Fragile, Conflict, and Violence Situations(World Bank, Washington, DC, 2018)The importance of addressing gender-based violence (GBV) in fragile, conflict, and violence (FCV) situations is increasingly recognized by countries and international humanitarian and development agencies. This note highlights the best practices in designing, implementing and evaluating a project involving addressing GBV in conflict and fragile situations. The note also provides an overview of the World Bank’s current engagement on GBV in fragile settings and internal resources available to TTLs.Publication The Healthy Longevity Initiative(Washington, DC: World Bank, 2024-09-12)The global demographic landscape is at a crossroads, with rapid declines in fertility and aging populations holding profound implications for employment, social services, and wellbeing. Population aging has accelerated the rise of non-communicable diseases (NCDs) as the leading cause of global deaths and are expected to contribute to ninety percent of all deaths by 2040. This has implications for health systems (NCD-related hospitalization) and long-term care as well as for labor markets and social protection systems. There is a need for whole of society approaches and solutions that address equity gaps especially due to poverty and gender inequality, which further exacerbate the challenges. The Healthy Longevity Initiative (HLI) spotlights key high impact interventions in health and social sectors that countries can adapt to address the challenge of changing demographics and growing NCDs. While this requires greater financial outlays, the benefits far outweigh the costs with the potential of saving 150 million lives cumulatively by 2050 in low- and middle-income countries (LMICs) alone. Mobilizing support to move from knowledge to action is needed to realize the astounding human and economic benefits of addressing one of the major challenges of the 21st century.Publication Challenges for Adolescent's Sexual and Reproductive Health within the Context of Universal Health Coverage(World Bank, Washington, DC, 2014-10)Young people (10-24 years of age), around the world face tremendous challenges to meeting their sexual and reproductive health (SRH) needs. Inadequate access to health information and services, as well as inequitable gender norms, contributes to a lack of knowledge and awareness about puberty, sexuality, and basic human rights. This can have serious implications on young people s health and welfare as well economic development and poverty reduction. Given the importance of ASRH within the context of development as well as the paucity of data on the issue, the WBG conducted a global analysis and country case studies in order to: (i) gain a deeper understanding of the multi-sectoral determinants of ASRH outcomes; (ii) explore further the multi-sectoral supply and demand-side determinants of access, utilization, and provision of services relevant to identified ASRH outcomes; and (iii) identify multi-sectoral programmatic and policy options to address critical constraints to improving ASRH outcomes that can inform WBG lending operations and policy dialogue.
Users also downloaded
Showing related downloaded files
Publication Comoros Country Climate and Development Report(Washington, DC: World Bank, 2025-06-18)The Union of the Comoros (The Comoros) has significant vulnerability to climate change-related risks but has considerable opportunities to strengthen preparedness and resilience against these challenges. According to the Notre Dame Global Adaptation Index, the Comoros is the 29th-most vulnerable country to climate change and the 163rd most ready to adapt (out of 191). The Comoros archipelago is exposed to many natural hazards that adversely affect the country’s natural capital, people, and physical infrastructure. In 2014, the economic cost of climate-related disasters was estimated at 5.7 million dollars annually, equivalent to 9.2 percent of Gross Domestic Product (GDP). Between 2018 and 2023, as many as 11 tropical depressions or cyclones impacted the country, with Cyclone Kenneth causing the greatest damage, equivalent to 14 percent of GDP, resulting in total economic growth falling from 3.6 percent in 2018 to 1.9 percent in 2019. More than 345,000 people (40 percent of the population) were affected by the cyclone, with 185,000 people experiencing severe impacts and 12,000 people displaced. However, there is an opportunity for the country to grow more robust and shock-responsive, and to establish pre-positioned funding mechanisms to enhance future crisis response efforts. For the Comoros, adaptation and climate-resilient development are the key climate change focus areas, with the country projected to face 836 million dollars 2050 in additional costs due to climate-related impacts. Current plans to adapt to the impacts of climate change in the Comoros include efforts to improve water management, strengthen coastal protection, and develop climate-smart agriculture practices. Given the country’s reliance on its natural resource base for economic growth and mobility, protection of these resources from climate change will be essential for promoting resilient growth and development. In addition to growing the adaptive capacity of the country’s natural resource sectors, strategic economic diversification will be important to help minimize future climate impacts, and development activities will need to be undertaken in such a way as to attract low-carbon co-benefits. The Union of the Comoros is committed to addressing climate change through its Nationally Determined Contribution (NDC) and national priorities. The country’s NDC (which was revised in 2021 for a ten-year horizon) sets ambitious targets, with a goal of reducing greenhouse gas emissions by 23 percent by 2030. The country also plans to significantly increase the share of renewable energy in its energy portfolio, reaching 33 MW by 2030. This will not only promote low-carbon development but also reduce the country’s dependency on imported oil and coal, which currently make up 95 percent of the energy mix. Additionally, the Comoros has declared its intention to increase CO2 removals by 47 percent by 2030, compared to BAU.Publication China Country Climate and Development Report(World Bank Group, Washington DC, 2022-10)The China Country Climate and Development Report (CCDR) provides analysis and recommendations on integrating the country’s efforts to achieve high-quality development with the pursuit of emission reduction and climate resilience. Without adequate mitigation and adaptation efforts, climate risks will become a growing constraint to China’s long-term growth and prosperity, threatening to reverse development gains. Conversely, if efforts to tackle climate risks lead to a significant decline in growth and rising inequality, they would deprive millions of people of development and likely erode support for the reforms necessary to achieve a lasting economic transformation. Hence, China will need to grow and green its economy at the same time. This report offers policy options to achieve these dual objectives by easing inevitable trade-offs and maximizing potential synergies between China’s development and climate objectives.Publication Jobs in a Changing Climate: Insights from World Bank Group Country Climate and Development Reports Covering 93 Economies(Washington, DC: World Bank, 2025-11-05)The World Bank Group’s Country Climate and Development Reports (CCDRs) provide a crosscutting look at how countries’ development prospects, and the job opportunities they offer to their people, can be threatened by climate impacts and supported by climate policies. Climate change and policies affect jobs through impacts on productivity, energy and material efficiency, and physical, human, and natural capital. They can also transform employment opportunities, especially through complementary measures that help workers and firms adapt to and benefit from new technologies and production practices. Prepared by the World Bank, the International Finance Corporation (IFC), and the Multilateral Investment Guarantee Agency (MIGA), CCDRs integrate country perspectives, climate science and economic modeling, private sector information, and policy analysis to assess how countries can successfully grow and develop their economies and create jobs despite increasing climate risks and while achieving their climate objectives and commitments. Each CCDR starts from the country’s development priorities, opportunities, and challenges, and is developed in close consultation with governments, businesses, and civil society, ensuring the recommendations reflect national priorities. By combining evidence on adaptation, resilience, and emissions pathways, CCDRs highlight where climate action can reinforce development and job creation, and where targeted policies are needed to manage risks and smooth labor market transitions. Taken together, these elements can help create local jobs, ensure economic transitions are just and inclusive, and equip workers and firms to navigate the disruptions and opportunities of a changing climate and changing technologies.Publication Kyrgyz Republic Country Climate and Development Report(Washington, DC: World Bank, 2025-11-03)This Country Climate and Development Report (CCDR) on the Kyrgyz Republic aims to support the country’s development goals amid a changing climate. The CCDR considers two policy scenarios up to 2050: the business-as-usual (BAU) and high-growth scenarios. As it quantifies the likely impacts of climate change on the Kyrgyz economy between now and 2050, the report highlights key government actions to best prepare for and adapt to climate impacts (referred to as “with adaptation” measures), with a particular focus on the time horizon up to 2030. The CCDR also outlines a path to net zero emissions by 2050 (referred to as “with mitigation” measures, “decarbonization,” or, simply, “net zero 2050”), highlighting associated development co-benefits.Publication Uzbekistan Country Climate and Development Report(Washington, DC: World Bank, 2023-11-21)This report explores how climate action, in line with Uzbekistan’s goal of achieving net zero emissions by 2060, interacts with the country’s growth and development path. It further suggests priority actions to reduce carbon emissions and build resilience while supporting inclusive economic growth and poverty reduction.