Good practices repository

Database of good practices on ageing

Database

This database showcases good practices from countries and territories in Asia and the Pacific for implementing the Madrid International Plan of Action on Ageing (MIPAA). Select and filter by categories and sub-categories, country, type of instrument.

 

Total: 319 good practice(s).

What was implemented?

The Income Test for the Age Pension is a framework Services Australia uses to determine whether someone qualifies for the Age Pension and how much they can receive by assessing income from all sources—including wages, savings, shares, superannuation, and other financial assets (using deeming rules). It sets “free areas” where no pension reduction applies, then reduces payments for income above those thresholds, with different rates for singles, couples, and transitional-rate pensioners; if income exceeds specific cut‑off points, the pension for that fortnight becomes zero. It is also a tool for pensioners to understand how much they can earn from other sources without losing out on their pension. 

Who were the beneficiaries?

Australian retirees reaching statutory pension age, who now receive pension support based on assessed income levels to ensure fair access.

What were the results?

This change streamlined eligibility, improving transparency and equity in pension access. Nearly 80% of age‑eligible Australians now receive some form of age pension, with 50% receiving the full rate—a high take-up compared to other countries.

How was it developed and implemented?

The income test is managed by Services Australia to ensure fair pension access based on declared and verified income. It is implemented through automated assessments, online tools (like MyGov), and regular income reporting. Thresholds are periodically updated, and the system integrates with tax and employment data for accuracy and efficiency.

What makes it a ‘good practice’?

The reform provides a transparent, needs-based pension framework that ensures broad coverage while preserving sustainability—delivering fairness and social protection effectively.

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Who implemented it?
Government
Implementing/responsible entity:
Australian Government, Services Australia
Categories:
Work, the labour force, poverty and social protection (Employment and re-employment)
Country:
Australia
Type of instrument:
Financial scheme
Year of implementation:
2009
What was implemented?

The document is a comprehensive national guide from Türkiye that explains all services, rights, benefits, and support mechanisms available to older persons, compiled by public institutions for the year 2023. It is designed to help older adults, families, caregivers, and professionals understand what assistance exists and how to access it. It outlines policy goals, gives information on pensions and access thereto, support for widowed women, health services, home care allowance, available long-term care, education opportunities, access to parks etc. 

Who were the beneficiaries?

Older men and women in Türkiye

What makes it a ‘good practice’?

This guide gathers all relevant services and rights into one document, making it easier for older persons to understand what is available and how to access it.

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Who implemented it?
Government
Implementing/responsible entity:
Ministry of Family and Social Services of Türkiye (Aile ve Sosyal Hizmetler Bakanlığı)
Categories:
Older persons and development (Rights of older persons)
Country:
Türkiye
Type of instrument:
Training or guidebook
Year of implementation:
2023
What was implemented?

The project builds a sustainable system of integrated home care provision with nurses, home helpers and volunteers. It mobilizes the community and promotes the concept of active and healthy ageing. 

Services include:

Services include:

  • Nursing and basic medical care
  • Assistance with daily living (home helpers)
  • Psychosocial support
  • Referrals to health and social services
Who were the beneficiaries?

Older persons requiring long-termcare. 

What were the results?

Assessments and partner reporting show:

  • Improved quality of life and functional ability
  • Reduced caregiver burden on families
  • Increased autonomy and dignity among older persons
  • Strengthened community solidarity

These outcomes have been highlighted by both development partners and government stakeholders as a viable long‑term care model for Armenia

How was it developed and implemented?

Developed by the Armenian Red Cross in collaboration with Swiss Red Cross society

What makes it a ‘good practice’?

Instead of institutionalisation, the programme provides integrated medico‑social home care, allowing older persons to remain in their homes as long as possible — a strong preference identified in Armenia through baseline studies. Beyond care provision, the programme actively promotes active and healthy ageing,

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Who implemented it?
Non-government institution
Implementing/responsible entity:
Armenian Red Cross Society (ARCS), in partnership with the Swiss Red Cross
Categories:
Health and well-being (Active and healthy ageing, Long-term care)
Country:
Armenia
Type of instrument:
Service
Year of implementation:
N/A
What was implemented?

The Integrated Community-Based Screening Programme (ICBSP) is a model where healthcare workers visit villages and remote areas to screen older persons for the 'big five' impairments (visual and hearing loss, mobility decline, cognitive impairment, malnutrition, and depression).  

Who were the beneficiaries?

Older persons in rural areas/villages in Bhutan

What were the results?

Data collected from this model enabled the creation of a national Digital Health Database for seniors. Through the health checks, it was found that around 20% of seniors living rurally needed immediate interventions for cataracts or mobility issues. These interventions would have gone unnoticed without the ICBSP model.

How was it developed and implemented?

his model was developed as a response to the country's demographic shift. The wellbeing of Bhutanese elderly was usually viewed through the Gross National Happiness philosophy. This is the first standardized medical model that brings geriatric care into the primary care system.

What makes it a ‘good practice’?

This model adopts the WHO model of Integrated Care for Older People, but adapts it for rural settings by making the screening mobile rather than hospital-based.

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Who implemented it?
Government
Implementing/responsible entity:
The Ministry of Health (MoH) and Local District Governments
Categories:
Health and well-being (Active and healthy ageing, Age-inclusive health care)
Country:
Bhutan
Type of instrument:
Training or guidebook
Year of implementation:
2020
What was implemented?

The Red Crescent Society of Kyrgyzstan implements a community‑based care model for older people that combines home‑based social and health support with active participation and volunteer engagement. Through trained community volunteers working in coordination with state social workers, older persons—particularly those living alone, with disabilities, or in rural areas—receive assistance with daily activities, access to health services, delivery of food and medicines, psychosocial support, and provision of assistive devices. The model also promotes active ageing by supporting day‑care centres, elderly clubs, and self‑help groups where older people contribute as peer supporters and community volunteers. This approach proved especially effective during emergencies, including COVID‑19, enabling outreach to thousands of older people while safeguarding dignity and reducing isolation.

Who were the beneficiaries?

Older persons requiring long-term care

What were the results?

The initiative has significantly improved access to social and basic health services for vulnerable older people in Kyrgyzstan, particularly those living alone or with limited mobility. By 2017, the model had reached approximately 400 vulnerable older people, supported by around 200 trained community volunteers, delivering home‑based social care, household assistance, and health‑related support in coordination with state social workers. Importantly, 100% of older persons with low mobility who requested support received assistive equipment, enabling greater independence and social participation.

How was it developed and implemented?

The community‑based care initiative for older people in Kyrgyzstan was developed incrementally, in response to growing social care gaps and limited institutional capacity. In the mid‑2010s, the Red Crescent Society of Kyrgyzstan (RCSK) identified increasing isolation, poverty, and unmet care needs among older persons, particularly those living alone or with limited mobility, through its routine social assistance and health outreach work. Drawing on IFRC community‑based home care standards and lessons from volunteer‑led health and social programmes, RCSK piloted a model that combined home‑based support, trained community volunteers, and coordination with state social workers, ensuring complementarity with public social services rather than duplication.

What makes it a ‘good practice’?

The practice is cost‑effective, scalable, and aligned with the Madrid International Plan of Action on Ageing and the UN Decade of Healthy Ageing, making it a transferable example for countries with limited long‑term care infrastructure.

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Who implemented it?
Non-government institution
Implementing/responsible entity:
Red Crescent Society of Kyrgyzstan
Categories:
Health and well-being (Long-term care)
Country:
Kyrgyzstan
Type of instrument:
Service
Year of implementation:
2016
What was implemented?

Rapid demographic change with increased life expectancy and increasing unhealthy years have driven sustained growth in long-term care (LTC) needs. Traditional family care—once dominant—has declined as household structures changed, increasing reliance on formal systems. 

To address growing care demands, Japan introduced the Long‑Term Care Insurance (LTCI) system in 2000, through Long-Term Care Insurance Law (Law No. 123 of 1997) integrating previously fragmented welfare and medical-care arrangements. Municipalities serve as insurers; eligibility begins at age 40, with older adults receiving care based on assessed support/care levels. Users pay a 10% co‑payment, with the remainder funded through premiums and national–prefectural–municipal subsidies. LTCI expanded access to home‑, community‑, and facility‑based services and shifted care from hospitals to more appropriate settings. 

Japan is now promoting integrated community care, emphasizing ageing in place, coordination between medical and LTC services, and diversified housing options. 

Who were the beneficiaries?

Older persons requiring long-term care and their families

What were the results?

Long-term care insurance increased access to formal care services and reduced public health expenditure. 

How was it developed and implemented?

It was developed because public healthcare expenditure became unsustainable because of the lack of long-term care insurance. 

What makes it a ‘good practice’?

Before LTCI, long‑term care was split among welfare programs and health insurance, leading to inefficiencies and over‑medicalization of care. The introduction of LTCI integrated social welfare and medical care systems and rationalized service delivery. This reduced inappropriate hospital use and provided a clearer care pathway for older persons. It also provides a model of learning from failure and reforming unsustainable systems. 

Supporting documents:

Long-term care in Japan

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Who implemented it?
Government
Implementing/responsible entity:
Municipal governments
Categories:
Health and well-being (Long-term care)
Country:
Japan
Type of instrument:
Law or act
Year of implementation:
2000
What was implemented?

Kotoen is a social welfare organization in Tokyo, established in 1962 as a nursing home and later expanded to provide comprehensive care services for older persons, children, and persons with disabilities. It is widely known for its pioneering intergenerational care model, which brings together people of all ages under one roof—combining eldercare, childcare, disability support, and community services to foster mutual support and social inclusion. Through residential care, daycare services, home support, and community outreach initiatives, Kotoen aims to create a “shared living” environment where different generations interact, support one another, and live with dignity. Over the years, it has evolved into a community-based hub that promotes inclusive welfare, preventive care, and innovative approaches to ageing, while serving as an internationally recognized model for intergenerational engagement.

Who were the beneficiaries?

Key beneficiaries are all age groups requiring care, such as older persons, children and persons with disabilities. 

What were the results?

The model has strengthened community cohesion and mutual support, creating a “family-like” environment across generations and reducing social isolation. Beyond individual benefits, Kotoen has become an internationally recognized good practice, influencing similar intergenerational care models in Japan and abroad and demonstrating how integrated, community-based services can respond effectively to ageing societies. 

How was it developed and implemented?

Originally established in 1962 as a traditional nursing home, the organization expanded its services over time to include childcare and other forms of social support. In the late 1970s and 1980s, as both demand for eldercare and childcare increased, Kotoen began integrating these services, culminating in the introduction of its pioneering intergenerational model in 1987, which brought older persons and children together within a single facility.

Supporting documents:

The intergenerational approach makes it a recognized good practice. 

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Who implemented it?
Non-government institution, Private sector
Implementing/responsible entity:
Katoen Social Welfare Corporation
Categories:
Enabling and supportive environments (Age-friendly communities, Disability and age friendly environment); Health and well-being (Long-term care); Older persons and development (Intergenerational initiatives)
Country:
Japan
Type of instrument:
Service
Year of implementation:
1962
What was implemented?

The International Learning Programme (ILP) in Singapore, implemented by the National Silver Academy, aims to encourage inergenerational bonding by pairing youth with older persons in group learning settings. The programme offers practical lessons on topics like social media use, health and wellness, music and brain exercises. This programme simultaneously helps older persons to acquire new skills and youth to develop character and moral values.

Who were the beneficiaries?

Singaporean seniors aged 50+ participated alongside youth learners—typically students from primary to tertiary institutions—fostering mutual learning and social bonding.

What were the results?

The programme has engaged over 6,000 seniors and youths since its inception in 2011 up to 2015, enhancing seniors’ digital and creative skills, boosting their social and mental well-being, and nurturing empathy and intergenerational solidarity among young participants.

How was it developed and implemented?

Launched in April 2011 by C3A under the National Silver Academy, the ILP matches seniors with youth “teachers” in group learning settings at schools and community venues.

What makes it a ‘good practice’?

By facilitating structured, reciprocal learning between seniors and youths, the ILP strengthens social cohesion, promotes lifelong learning, and reinforces intergenerational respect—offering a scalable model for inclusive community engagement.

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Who implemented it?
Academic
Implementing/responsible entity:
National Silver Academy
Categories:
Discrimination, neglect, abuse (Combatting ageism); Older persons and development (Intergenerational initiatives)
Country:
Singapore
Type of instrument:
Training or guidebook
Year of implementation:
2011
What was implemented?

The Intergenerational Self-Help Clubs (ISHC) in Hanoi, implemented by HelpAge Viet Nam, aims to support older persons through healthcare, social security and livlihood enhancement - empowering vulnerable community members. This initiative focuses on active ageing and inclusive development, with ISHC adopting a community-based, cost-controlled approach to improve the quality of life for older persons and their families, namely homecare services. Activities are structured around eight components, namely income security, medial care, lifelong learning, social care, community support, family care, resource mobilization and protecting rights and interests.

Who were the beneficiaries?

These community clubs benefit older adults, especially women and socioeconomically disadvantaged individuals, alongside the broader community—offering peer support, care, and inclusive activities.

What were the results?

By 2020, the programme significantly enhanced older people’s access to community care, financial services, and social protection. It strengthened local solidarity through microcredit, home care, policy outreach, and community-driven fundraising—demonstrating a sustainable and inclusive model for ageing support.

How was it developed and implemented?

Developed by HelpAge Vietnam with support from HelpAge Korea and KOICA under project code VIE70, the model was delivered through local self-governed, volunteer-led clubs, supported by simple membership dues and community-generated funding. Clubs operated bottom-up, with intergenerational participation and volunteer support.

What makes it a ‘good practice’?

ISHCs exemplify locally owned, cost-efficient, and scalable care models, enabling older adults to lead community-led solutions that foster resilience, social inclusion, and intergenerational solidarity.

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Who implemented it?
Non-government institution
Implementing/responsible entity:
HelpAge Viet Nam
Categories:
Older persons and development (Older persons’ associations, Participation of older persons)
Country:
Viet Nam
Type of instrument:
Case study
Year of implementation:
2017
What was implemented?

Through Presidential Decree No PP-405 of 25 November 2024 titled "On measures to involve active elders in the implementation of the ‘From Poverty to Prosperity’ programme”, the Government introduces a nationwide system to leverage the experience, authority, and social standing of respected elders (nuroniylar) to help families overcome poverty and strengthen social wellbeing in mahallas. Through the programme the Government aims to use the knowledge and experience of older persons to support poor families and engage active elders in strengthening healthy lifestyles and community cohesion. Elders are assigned to each household to help families overcome poverty and promote active lifestyles. Older persons involved in these efforts receive a monthly compensation equal to 50% of the minimum wage. Each mahalla receives 10 million soums annually from the Nuroniy Foundation to promote elder sports.

Who were the beneficiaries?

Poor families in Uzbekistan

How was it developed and implemented?

It is a programme developed using the existing mahalla system. District/City Councils of People’s Deputies will regularly hear reports on implementation challenges identified by elders. The 2025 State Budget allocates 504 billion soums to the Nuroniy Foundation for programme implementation.

What makes it a ‘good practice’?

The practices considers older persons as agents and not recipients of care. It capitalizes on experience of older persons and respect to them. It also builds on existing social capital and existing structures through the mahallas. It also provides systematic recognition to older persons who provide their expertise through financial compensations. Thus, it also provides income security for older persons and incentives to support the programme. 

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Who implemented it?
Government, Others
Implementing/responsible entity:
Government of Uzbekistan with mahallas
Categories:
Older persons and development (Intergenerational initiatives, Older persons’ associations); Work, the labour force, poverty and social protection (Social protection/income security)
Country:
Uzbekistan
Type of instrument:
Programme
Year of implementation:
2024

Suggested citation: ESCAP, Database of Good Practices on Population Ageing, available at: https://www.population-trends-asiapacific.org/repositories/good-practices

 

About

Policies are based on: Submissions from ESCAP members and associate members, and research by ESCAP staff, supported by AI tools, including using related databases.

Note: These good practices represent a selection of approaches to implementing MIPAA in Asia and the Pacific. There is no claim to completeness.

Categories & Design

Categories and sub-categories align with:

o Priority directions in the 2002 Madrid International Plan of Action on Ageing
o Outcome document of the Asia-Pacific Intergovernmental Meeting on the Fourth Review and Appraisal of MIPAA (2022)

Tutorial

Watch a short video on how to use the database of good practices.

Acknowledgements

This database is brought to you by the collective efforts of the Social Development Division of ESCAP, focal points on ageing from ESCAP member States who submitted good practices as well as many collaborators who have compiled, drafted and edited content for this website as well as the technical team that has developed the database and ensures its functionalities. We also acknowledge the efforts made by ECE and their contributors to compiled a related database.

Related resources

You may also find the following databases and resources useful:

AARP Toolkit of Actions on Ageing

ECE Ageing Policies Database

UN Decade of Healthy Ageing Knowledge Platform

WHO Global Platform of age-friendly practices

Disclaimer

ESCAP bears no responsibility for the availability or functioning of external URLs. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal status of any country. Mention of firm names and commercial products does not imply the endorsement of the United Nations.

Suggested citation: Economic and Social Commission for Asia and the Pacific (ESCAP). Database of good practices on ageing. Online.