In Africa and other countries with poor health infrastructure
and non-existent state welfare support, the burn of care is undertaken
by the family. Evidence from Africa and Asia, including a recent
WHO study in Zimbabwe, concluded that this burden is borne primarily
by older women. They are providing this care under extreme conditions
of poverty, stigma and lack of support.
In his view in coping with the issues of aging, Dr. Chow summarized
an important concept and action which are cited below:
"FRAMEWORK FOR COLLECTIVE ACTION":
There are (3) major pillars which are regarded as the basis for
forming collective action;
First pillar is PUBLIC HEALTH STRATEGIES, the sub-sections of
which are (1) prevention which include specifically osteoporosis,
(2) treatment, and (3) care which is further subdivided as (a) Acute,
(b) chronic, (c) palliative, and (d) supportive. (4) is R&D
which is new drugs and diagnostics? (5) is S&T, which include
innovation linking to the enhancement of R&D. (6) is education
and training of national work forces aiming at enhancement of health
work process. (7) is surveillance and epidemiology which are for
better detect and analyze dist of disease and health status of elderly.
(8) is infrastructure which is for hospice and clinics as well as
community care facilities?
Second pillar is MOBILIZING CIVIL SOCIETY which is subdivided
into (1) building alliances, coalitions and partnership. (2) is
strategic & operational synergies mutual reinforcement. (3)
both public/ private and NGO sectors such as NAPCA who is one of
the main sponsors of this symposium.
Third pillar is Supporting Political Leadership which includes
(1) national community levels,(2) make case for continued sustained
investment; health & social wellbeing of the elderly and (3)
is assertive & appreciative citizenry who can reinforce the
need for continued investment.
Commenting on the importance of the role that foundation of resource
mobilization is very critical for the success of coping the issues
of aging and its relevant matters, Dr.Chow cited that financial
support either on the bilateral relationship between Japan and the
United States or multiple relationship involving developed and developing
nations. He stated that the mobilization of expertise is another
aspect of importance which requires for the enhancement of science
& medicine and social / behavioral.
Ambassador Chow introduced importance of (3) major concepts and
actions which will advance and enhance to deal with the pressing
issues facing the increasing population of aging. He named it as
"3C" which is the key to the success of mobilization of the required
resources to its maximum effectiveness. They are (a) communicate,
(b) collaborate and (c) cooperate. The next is for "3P", which stands
for (a) people, (b) programs - process and (c) product - outcomes.
Lastly, "3D" which is (a) quantity(more), (b) quality (better) and
(c) Intensity (now).
Ambassador Chow concluded his opening remarks by saying that this
type of symposium is so important to have shared concerns and knowledge
on the issue of aging facing both Japan and the United States and
implementation of measures to lead the aging period of the elderly
to enable more independent and meaningful. He said that WHO continues
to play an important role not only for the sake of health of human
being in the world but also the emerging issues such as the issues
of aging. He cited that WHO appreciates greatly for invaluable assistances
and supports being extended by Japan financially and human resource
way and emphasized that each nation should continue to support for
the activities that WHO has been carrying out for the past years
and the years ahead.Following the opening remarks by Ms. Watanabe,
Mrs Wissel and Ambassador Chow, the floor was open for other delegates
to make their views, opinions and remarks. President Igata, MD,
Dr. Mokuno and Mr. Fong relating to some of the issues as referred
to by the above cited delegates who made their opening remarks.
Each delegates also focused on some of the pressing issues on the
aging and the relative policy and systems which are in place and
for the future both in Japan and the United States.