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“Life after 60: we still have so much more to give” – A Participatory Video on healthy ageing made by older people in Jordan

This activity, conducted in Amman, Jordan with the support of the World Health Organization and InsightShare, aimed to test the feasibility of using the Participatory Video (PV) method to explore older people’s perspectives on healthy ageing in their contexts and to catalyze their meaningful engagement for the UN Decade of Healthy Ageing. Through creative, interactive, empowering participatory exercises, PV mobilizes people and communities to tell their own stories, explore issues and articulate concerns and solutions while remaining in control of how they will be represented. Five men and five women took part in the activity’s workshop in Amman. Some of them were known to the Institute of Family Health through previous courses and events that they had attended and through community-based organizations in which many of them were active as employees or volunteers. They came from different localities in Amman and neighbouring towns and cities. One man and one woman were Syrian refugees. During a two-weeks intense workshop, they co-created every step of the project, from identifying the issues together and with members of the public, to creating content for the film, to filming and visioning for further work until the final film was ready – with the title “Life after 60: we still have so much more to give”. The project gave an invaluable platform for a group of older people to surface the issues they face, share and hear from others in local contexts and shape solutions with the potential to create significant change for them and also wider society. Two similar pilots were also implemented in Canada and Togo. More

Engaging older people in community development: a holistic approach to healthy ageing

The Community for Successful Ageing (ComSA) is a Tsao Foundation initiative in Singapore which takes a community-wide approach to delivering comprehensive programmes and services with the aim to promote health and wellbeing over the life course, and to enable ageing in place. The initiative has four areas of focus: self-care development; community development; health and social care systems; facilities and infrastructure. The comprehensive system which is housed in one building pulls together multiple services, disciplines, branches of policymaking and civic participation, to build environments where people thrive as they age. It seeks to improve the quality of life of older people and to reach those most marginalised. The Foundation was requested by the Ministry of Health to engage in the remote area of Whampoa, yet unknown to them. They used an array of creative approaches based on fun activities such as Parties to mobilize older people and motivate them to promote self-care and peer support. Given the success of the ComSa, other initiatives took root such as the SCOPE training on self-care and well-being, with a catalyst theme song, and ‘Sharing Wellness and Initiative Groups’ (SWING). In these groups, older people work together to identify local issues in their residential areas. The focus for most of the SWING groups was on actions needed to ensure housing and local environments were more age-friendly. The initiative has grown organically and has had positive impact on the motivation of older people to engage in other activities. More

Engaging older people to reach the most isolated: mobile health and care services

COSE is the only organisation in the Philippines working exclusively with older people who are feeling excluded from many services and interventions. Healthy ageing is a priority focus for COSE, supporting the provision of health and care services at the community level and influencing government policy and service provision to be more age inclusive. Following typhoon Haiyan in 2013, COSE worked with older people to develop a mobile health care services approach, aimed at directly engaging older people in bringing health services closer to the hardest to reach. The initiative enabled better provision of adapted care but also raised awareness and increased collaboration with local authorities. Members of the Old People Organisations took on multiple responsibilities included needs assessment, monitoring of services provided and liaison with Local Governmental Units (LGUs), gaining confidence and legitimacy in the process. It was decided that nurses would be recruited in each of the four municipalities to provide mobile health services by motorbike, reaching older people in the most remote areas. Two nurses were recruited for each of the four municipalities and were responsible for all barangays in their municipality. Once older people in need of services had been identified in each of the zones, lists were provided to the mobile nurses who carried out initial visits with the older people to assess their health status and support needs. The OPO health committees also played a role in the delivery of services and support, empowering them in sustainable care. More

Older people making decisions and advocating for change: establishing an older people’s advocacy committee

HelpAge in Jordan established in 2017 two older people’s groups (OPGs), and a knowledge and resource hub in Amman, to provide opportunities for older people from Jordan and Syria to come together, to access services and to engage in project discussions and processes. The OPGs were not planned in the original project concept but emerged organically because of a demand from older people. The groups were established and supported with minimal funds but have proved successful and sustainable due to the enthusiasm of the older people who have joined. The number of interested older people was so great that the OPGs decided to form an Older People Advisory Committee whose members would represent OPGs’ members in meetings with HelpAge and advocacy interventions with Government. The participatory process of establishing the mechanisms of priorization of issues to address and advocate about, the availability of a complaints process led to a sense of empowerment of older people, in particular older women who were originally very few. Monitoring of services availability and policies’ implementation by the Advisory Committee led to stronger positive engagement with Government representatives. Older people gained skills in advocacy and confidence in their ability to influence decisions affecting their lives. More

Older people strengthening the health workforce: tackling non-communicable diseases

Health Nest Uganda (HENU) is an indigenous non-profit organisation based in Entebbe, Uganda. It seeks to promote the dignity, equality and independence of older people. HENU supports older people through three approaches: rights awareness and advocacy, developing skills and promoting healthy lifestyles, and carrying out research. In 2010, HENU identified that older people were facing many challenges in relation to income, health, social isolation and loneliness. In response, HENU employed a Community Life Competence Process (CLCP) to support the design, delivery and monitoring of community driven solutions to the issues faced by older people. The CLCP approach promotes community self-reliance by stimulating and supporting people to appreciate their strengths and how they can address the issues they face. The aim of older people’s engagement in the CLCP and the activities it led to is to improve older people’s health and increase the focus on healthy ageing within communities and the health system. Community action plans, developed by older people through group discussions, highlighting and agreeing their priorities, aimed to inform activities at the community level and the health system. The plans include interventions focused on preventing and managing Non Communicable Diseases (NCDs), increasing self-care, and strengthening informal and formal health system collaboration. Solution to health, nutrition, sanitation issues were found within the older people groups and with the communities. More

Older people using technology to improve the urban landscape: an app to support accessibility

The Community Observatory for Territorial Information Management and Control project situates older people as not only the final beneficiaries of universal accessibility, but as active agents in the processes of adapting the environment to respond to their mobility and accessibility challenges. To this end, the Observatory has focused on co-designing, in conjunction with older people, a crowdsourcing platform called DIMEapp, for reporting environmental problems affecting mobility and accessibility. In addition to enabling users to register environmental access barriers they encounter linked to their mobility issues, the app allows users to see an overview of the municipal environment as it relates to accessibility and mobility, and to streamline the prioritisation, case management and monitoring of accessibility issues by local governments and the community. In doing so, the device aims at increasing the awareness and empowerment of older people in relation to environmental issues that affect them. The project was structured in various phases, which enable the full engagement of the 42 older people involved from mapping out their urban environment to designing the app, to testing it in collaboration with other stakeholders in their living environment. Older people gained practical skills to relay and manage the resolution of issues affecting their environmental well-being, and they also built up their digital skills. More

Older people’s role in tracking the old age allowance: the older citizens monitoring (OCM) approach

The initiative implemented by the Resource Integration Center is a structured approach to monitoring and improving the delivery of older people benefits such as Old Age Allowance (OAA) but also promoting self-organising for a variety of activities during times of crisis. Old People Groups and Old People Committees (OPGs and OPCs) set up ‘older citizen monitoring’ (OCM) processes to ensure older people track them-selves the distribution of their social entitlements and redress failures in the system, advocating for stronger policies, inclusive practices and right to have a voice. OCM groups were supported by RIC to collect information on the means-tested Old Age and Widows’ Allowances, older people’s access to health facilities and microcredit, and they used the data collected to inform their discussions with local decision makers. The OCM process also provided an information and referral service. As monitors visited older people to collect data, they provided information about the government-delivered Old Age Allowance and the process for applying for it. This included making sure older people knew they were not required to pay money to the local authority in order to receive the benefit. Data collected at the local level also fed into national advocacy, including pre-budget meetings and public campaigns on the International Day for Older Persons. The programme resulted in the multiplication of OPGs and OPCs working together with local governments to establish fairer benefits’ distribution systems. Systemic issues of corruption and budget insufficiencies were also addressed through advocacy and campaigning conducted by older people’s movements. More

Older South Sudanese refugees working for access to services and support: improving life for older people in refugee camps

HelpAge International’s objective was to establish a structure owned and managed by old people to support needs assessment and allocation of services in South Sudanese refugee camps in Ethiopia. The first activity was the establishment of Old People Associations (OPAs). The aim was that these OPAs would guide all activities and interventions being implemented through the refugee crisis response. HelpAge reached out to older people being targeted by the programme to undertake a selection process for OPA members. Using criteria developed with HelpAge, older people identified their peers within their communities who they wanted to represent them in the OPAs. This selection process aimed to ensure the OPA members were able to represent all zones within the camps, with a subsequent effort to ensure all blocks were represented. The OPAs also supported the identification of potential project beneficiaries, using their knowledge of their communities within the camp, and the older people in need of support in their areas. The OPAs gave particular attention to older people with disabilities, with a focus on those with mobility challenges, people who were bedridden and those with chronic illness. OPAs worked with local camp authorities and other humanitarian actors to ensure appropriate selection of beneficiaries, an inclusive access to services and a complaint mechanism. The activity enabled improved service delivery but also social cohesion and awareness raising among older people and others in the camp of the importance of engaging with older people. More

Older volunteer health workers and organisers: strengthening primary health care

Yayasan Kristen Untuk Kesehatan Umum has a vision of health services based on love for healing that are holistic, quality, integrated, growing, and affordable to the wider community. YAKKUM has an emergency unit (YEU), established in 2001 with the mandate of delivering inclusive emergency responses, including community participation in needs assessment and aid distribution. YEU works to build community resilience through community led disaster risk reduction and climate change adaptation. In 2017, YEU was facilitating more than 250 villages and partnering with more than 350 community-based organizations across Indonesia. Through participatory processes, older people’s groups identify the locations most prone to natural disasters and work with the community but also local government to identify specific needs and help coordinate appropriate response, led by community or government. Services provided range from home-based health advice to disaster response and mitigation. Every month the group collects garden yields from members, to sell. The money goes towards a community health fund and can be used by communities to seek treatment or buy medicine. When community funds cannot be used, other approaches are adopted and the groups will try to link people to government services or to NGOs. Some older people’s groups are women only and all are trained in basic health assessment but also advocacy. Members of these groups typically feel empowered and valued and act as role models for other members of the community but also local service providers and authorities who seek their advice and information. More

Piloting Participatory Video to meaningfully engage older indigenous people on healthy ageing in Canada

This activity took place among a small group of older Indigenous People on Manitoulin Island, Ontario Province, during August 2021. It aimed to test the feasibility of using a Participatory Video (PV) process to explore older people’s perspectives on healthy ageing in their contexts and to catalyze their meaningful engagement in actions to foster healthy ageing as prioritized in the UN Decade of Healthy Ageing 2021-2030. The activity was part of a global PV Voice project of the World Health Organization, supported by HelpAge International and InsightShare. HelpAge Canada recruited five men and three women aged between 55 and 80 years old from Aundeck Omni Kaning, M’Chigeeng, Whitefish River and Wikwemikong First Nations. This small group of older people first explored issues related to healthy ageing through participatory games and exercises. Then, after agreeing topics, they planned and made their own film called “It’s our time to shine”. The film lasts almost 30 minutes and covers a wide range of topics including: being heard, intergenerational and social connections, access to services, housing, mobility, digital skills, keeping active, dealing with historical trauma, caring for Nature and transmitting indigenous knowledge and language. The video was organized into short ‘chapters’, each ending with an agreed recommendation accompanied by a traditional drumbeat. The film was locally screened (virtually due to the pandemic) to an audience of community members and decision makers, with facilitated dialogue to draw out learning and next steps. Two similar pilots were also implemented in Togo and Jordan. More

Piloting Participatory Video to meaningfully engage older people on healthy ageing in Togo

This activity took place in Kpalimé, Togo. It aimed to test the feasibility of using the Participatory Video (PV) method to explore older people’s perspectives on healthy ageing in their contexts and to catalyze their meaningful engagement in actions to foster healthy ageing as prioritized in the UN Decade of Healthy Ageing. Through creative, interactive, empowering participatory exercises, PV mobilizes people and communities to tell their own stories, explore issues and articulate concerns and solutions while remaining in control of how they will be represented. In Kpalimé, a mix of participatory games and exercises was used to enable participants to learn about video equipment, sound, interviews, light, ethics and consent but also to explore issues related to healthy ageing. Through a multi-day collaborative process, eight participants - four women and four men from the Éwe, Kabyè, Losso, Kotokoli and Tchokossi ethnic groups - identified complex and interlinked issues older people are facing linked to ageism and health care but also intergenerational tensions. After agreeing topics, participants planned and made their own film called “Older people speak up”. A community screening took place at the end of the workshop process at the Town Hall of Kpalimé with facilitated dialogue to draw out learning and next steps. The screening was attended by upwards of fifty people, comprising relatives of the participants, local decision makers and leaders, and civil society representatives. Two similar pilots were also implemented in Canada and Jordan. More