1. Global Aging: Impact on Human Resources for Health Barbara J. Hatcher, PhD, MPH, RN Director, Center for Learning & Global Public Health (APHA) Interim Secretary General, World Federation of Public Health Associations (WFPHA)

2. Presentation Overview Demographic overview & the age wave World/Region/Country specific demographics Impact on Human Resources for Health Future Trends

3. This is the reality in the year 2005 The world stands on the threshold of a demographic revolution called global aging.

4. T he whole world is aging—and today’s developed countries are leading the way. Year 2005

5. Fertility in every developed country has fallen beneath the 2.1 “replacement rate.” 2.1

6. Life spans in the developed countries have risen dramatically.

7. Aging Exemplar Source: U.S. Census Bureau

8. Latin America & the Caribbean Total Population (in millions) - 518.8 Life expectancy at birth (in years) Men 67.2 Women 73.6 Median Age 24.4 years old Total Fertility Rate 2.5 children born/woman Sources: CIA World Factbook,(2003); United Nations Population Division, DESA(2003); AARP2005

9. Latin America & the Caribbean % Population Aged 60+ Men 7.2 Women 8.7 % 60+ Population in Labor Force Men 47 Women 12 Sources: CIA World Factbook,(2003); United Nations Population Division, DESA(2003); AARP2005

10. United States Total Population (in millions) - 293 Life expectancy at birth (in years) Men 74.3 Women 80 Median Age Men 34.5 Women 37.1 Total Fertility Rate 2.07 children born/woman Sources: CIA World Factbook,(2003); United Nations Population Division, DESA(2003); AARP2005

11. United States % Population Aged 60+ Men 15 Women 18 % 60+ Population in Labor Force Men 23 Women 13 Sources: CIA World Factbook,(2003); United Nations Population Division, DESA(2003); AARP2005

12. Canada Total Population (in millions) – 32.5 Life expectancy at birth (in years) Men 76.4 Women 83.4 Median Age Men 36.9 Women 38.8 Total Fertility Rate 1.16 children born/woman Sources: CIA World Factbook,(2003); United Nations Population Division, DESA(2003); AARP2005

13. Canada % Population Aged 60+ Men 16 Women 19 % 60+ Population in Labor Force Men 19 Women 8 Sources: CIA World Factbook,(2003); United Nations Population Division, DESA(2003); AARP2005

14. Mexico Total Population (in millions) – 106.2 Life expectancy at birth (in years) Men 72.4 Women 78.1 Median Age Men 24 Women 25.8 Total Fertility Rate 2.45 children born/woman Sources: CIA World Factbook,(2003); United Nations Population Division, DESA(2003); AARP2005

15. Mexico % Population Aged 60+ Men 7 Women 8 % 60+ Population in Labor Force Men 65 Women 15 Sources: CIA World Factbook,(2003); United Nations Population Division, DESA(2003); AARP2005

16. Percentage Population age 60 and over by world region, 2000 & 2050 Source: World Population Prospects, The 1998 Revision, Volume II: Sex and Age. The Population Division, Department of Economic and Social Affairs, United Nations Secretariat

17. Median Age by World Region 1999 & 2050 Source: World Population Prospects, The 1998 Revision, Volume II: Sex and Age. The Population Division, Department of Economic and Social Affairs, United Nations Secretariat

18. The Challenge to Labor Shrinking Workforces & labor shortages Aging workers  Care demands & Needs Pressure to ↑ immigration ↑ cross-border outsourcing

19. The Challenge to Labor Shrinking recruitment pool (in some countries) mal-distribution: Understaffing in rural areas Mal-distribution: Understaffing, both areas rural and inner-city Effective skill mix and utilization