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5th July 1998

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Cards of peace, words of hope
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An elderly uprising?

By the year 2030 we will have over 5 million elders. Are we prepared? Tharuka Dissanaike reports

Mr. de Silva is des- perate. His accu- mulated debt has reached a lakh and he cannot figure out how he could pay it back. Mr. de Silva's pension is just Rs. 2500. With this meagre sum, he lives with his elderly wife in a rented house in a Colombo suburb.

Be the year 2030 we will have over 5 million elders. Are we prepared?Unable to meet their day to day needs, the couple had sunk into debt- perhaps to buy their medicines and essentials, which they could not afford on his pension. Then the debtors closed in. And the aged couple having no one to depend on- their children had migrated ended in running to the Social Services Department for help.

But director N.J. Pathirana said, "There is no provision for us to settle outstanding debt." She said that a letter sent to People's Bank, requesting assistance to help the couple in the form of a bank loan, went unanswered. Her suggestion is that the couple leave their rented house and live in an old people's home, save up the pension money and pay back the loans.

But for de Silva that's hardly an option-who likes to be in a home? At his age, when the society and country should make his burden's lighter, de Silva has to live hiding from his debtors.

Old age is a problem. It brings with it a number of concerns ranging from care and shelter for the aged, pensions, health and medicine costs.

In this country, the problem is peculiar because:

The real problem will be upon us next century. According to very conservative figures our population of 60-over will increase from the present 9 percent to 22 percent in year 2031. In actual numbers this would mean a staggering increase from 1.6 million in 1996 to 5 million in 2031.

The problem of 'population ageing at the top' is common in developed countries where better health facilities have guaranteed longevity and slowed population growth.

Sri Lanka, although in most respects a developing. But today.....c And it has steadily increased. In 1920 life expectancy was 30 years. But today ( 1992 estimates) it is 71, far ahead of India's 60, and comparable with Singapore's 74.

This positive indication of development has in fact created the problem of population ageing. And it is the working age group of today who will constitute the larger aged population in the next century.

Of course there is no way the trend can be reversed. But problems and issues have to be looked at seriously. "Lest we have an elderly uprising," Ms. Pathirana said.

The biggest challenge will be the care of this large elderly population. The changing patterns in society where housing is becoming smaller and more compact, where women are employed, where domestics are difficult to come by, where healthcare is a burden, dictates that most families cannot afford to keep their elderly relations within the family group.

"There is a large demand for old people's homes. Not just the poorer sections but the rich too demand better paying homes for their elders," Ms. Pathirana said.

Another problem is the pension scheme that is effective today. A person who retires now, will have his pension determined by his last drawn salary. In five or ten years, this pension will hardly be adequate in the face of inflation and cost of living. Other elders, mostly destitutes, receive a tiny government allowance of Rs. 100-300. This too, monthly. Health care, even in government clinics, is not easily accessed and medicines are expensive especially for chronic illness.

Banks and financial institutions offer little relief for elders in terms of loans. Hospitals discriminate against the elderly upon admittance. Except for few elders who are blessed with good health and are fortunate to enjoy strong family support, others largely face a helpless situation. Is this the situation that the increasing elderly population will walk into in the future?

Director, Census and Statistics Department, A.W. Nanayakkara states in a report, "The rapid growth of elderly persons is indeed a process of considerable social consequence."

He says that an annual addition of about 100,000 into the elderly age group will mean that these numbers will have to be economically supported since by law, retirement age is 55-60 in this country.

He also said that their projects are not taking into account the large loss of young life in civil wars in the country. Although unaccounted for, this might yet contribute to enlarging the problem, since on both sides youth populations are lost in violence. How is the government planning to deal with the burden of caring for the large aged population in the future?

The Government, having been warned early of the problems of population ageing has initiated a National Committee on Ageing which is chaired by the Secretary of the Ministry of Social Services. It meets monthly and looks at policy changes and practical steps to address immediate issues concerning shelter and care.

The Committee recommendations so far include-

  • Train geriatric doctors ( there are no specialists in this field at present)
  • Request hospitals to open geriatric wards
  • nPrimary health care system- mid wives and nurses- be trained in old age diseases as well
  • No queues for older people -buses, banks, police, clinics, post offices
  • Give incentives for families to keep elderly relations with them
  • Encourage private sector to open homes, day care centres for elders
  • A scheme of no-pay leave to care for sickly elders
  • Train volunteers for home help service to care for elders during the day when householders are at work
  • Educate public on respecting elders and
  • Lifelong preparation of today's younger generation to face old age

  • A home in Horana

    A paying home has already been established in Horana. On an experimental basis 2 chalet type accommodation units with four rooms each is already in function. Each room is equipped with it's own bath and kitchen. Rs. 3000 is charged per resident inclusive of their meals. The Social Services Department plans for more paying homes around the country.


    "Look at it this way"

    Population Division Director at the Health Ministry Dr. A.T.P.L. Abeykoon feels that the entire problem of population ageing has been over dramatised. He explains the phenomenon as an inevitable outcome of a positive population trend that led to lower birth rates and better life expectancy.

    Dr. Abeykoon said that the problem has to be looked at in a more positive light, than merely spelling doom for the country in the next century.

    "When a person retires, he is looking at 10-20 years of active life ahead." Because of this, Dr. Abeykoon suggests that instead of segregating the elder population as 60 and over, the category should be redivided as 60-70 and 70 and over. "The 60-70 age group, due to better health facilities, are quite active and many feel they are too young to retire from jobs."

    Today many join the Private Sector after retirement or do their own business." This age group will not be totally dependent on health care systems or be a burden to society. They should not be written off as 'old and useless'. Instead they should be encouraged by government policy and action to contribute to the economy at a different level. After all these people are highly experienced and skilled, " he said.

    In numbers, this would mean only 4.1 per cent of the present population and 9.1 percent of the population of 2025 is over 70 years.

    This, he said, puts the problem into better focus and makes it easier for planners to address the problems ensuing.


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