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: 310 good practice(s).

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?

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
What was implemented?

A federal legal framework establishing the rights, welfare mechanisms, and protection measures for senior citizens in the Capital Territory. The act provides for welfare councils, protection from neglect and abuse, and measures to support the social, medical, and economic well-being of older persons.

Who were the beneficiaries?

Older persons in the Islamabad Capital Territory

How was it developed and implemented?

It was developed through legislative processes under the Government of Pakistan, with the Ministry of Human Rights leading the drafting. Implementation relies on coordination with provinces and the establishment of designated bodies and welfare mechanisms under the act.

What makes it a ‘good practice’?

This is a good practice as it provides a rights-based legal framework, formalising older persons rights ensuring they are addressed outside of just charity -based support. It is sustainable as it embeds responsibilities within government structures rather than short-term projects.

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Who implemented it?
Implementing/responsible entity:
The Government of Pakistan, led by the Ministry of Human Rights Pakistan with coordination across authorities.
Categories:
Discrimination, neglect, abuse (Abuse and neglect); Older persons and development (Rights of older persons)
Country:
Pakistan
Type of instrument:
Law or act
Year of implementation:
2021
What was implemented?

JEED (Japan Organization for Employment of the Elderly, Persons with Disabilities and Job Seekers) runs a comprehensive set of employment support services for older workers, aimed at extending working lives, improving workplace conditions, and helping companies adapt to an aging workforce. JEED provides financial support to employers to help them continue employing older workers, runs public awareness activities to promote age‑friendly workplaces and provides vocational training for reemployment. 

Who were the beneficiaries?

Older persons and persons with disabilities seeking to participate in the labour force. 

What were the results?

Resulting from the activities of JEED, employment of older persons and persons with disabilities has increased. 

How was it developed and implemented?

JEED emerged from other governmental agencies, adapted to the needs of an ageing society. 

JEED is a governmental independent administrative agency, funded by the Government of Japan. 

What makes it a ‘good practice’?

It focuses on employment of vulnerable groups who are often discriminated in the labour market. 

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Who implemented it?
Government
Implementing/responsible entity:
Ministry of Health, Labour and Welfare (MHLW), Employment Security Bureau
Categories:
Work, the labour force, poverty and social protection (Employment and re-employment, Life-long learning)
Country:
Japan
Type of instrument:
Programme
Year of implementation:
2011
What was implemented?

Core implementation is a home‑care and social support model for vulnerable older adults, expanded through 15+ charitable programmes: in‑home care for the elderly; post‑stroke rehabilitation; purchasing essential household/medical items; and urgent material assistance. The foundation also delivers community activities (e.g., caregiver training, cultural events) and volunteer programmes targeting silver‑age volunteers to reduce isolation via “Telephone Friend.”

Who were the beneficiaries?

The primary/initial beneficiaries were elderly and needy Jews in Moscow; the organization is explicitly a Regional Public Jewish Charitable Foundation and continues to emphasize the Jewish community (including Holocaust remembrance and cultural programming). 

What were the results?

The foundation’s model delivers holistic, sustained outcomes for vulnerable older adults in Moscow: it keeps people safely at home through ongoing home‑care and social support, reduces isolation by engaging “silver‑age” volunteers and maintaining regular contact (e.g., the “Telephone Friend” initiative), and builds family capacity via practical trainings for relatives of people with limited mobility—together strengthening day‑to‑day functioning, safety, and dignity for beneficiaries. At the system level, the organization demonstrates continuity and integration—it communicates with city social‑protection processes, sustains volunteer intakes and community events across the year.

How was it developed and implemented?

The practice grew from synagogue‑based volunteer aid into a registered, city‑recognized provider. Over time it consolidated home‑based assistance as a priority and added specialized programmes (rehabilitation, equipment purchases, urgent support). The foundation actively recruits and trains volunteers, hosts public events, and maintains coordination with city social services—for example, public notices about independent quality assessments in the social sector and training workshops for relatives of home‑bound clients. Operational and financial sustainability is supported by recurring donations via the SberTogether platform, with published quarterly reports on purchased medical supplies for specific beneficiaries.

What makes it a ‘good practice’?

It stands out for its longevity and institutionalization: operating continuously since 1991, it has evolved into a structured, multi‑programme charitable foundation with city‑level recognition and a diversified portfolio of services. Its approach is home‑based and needs‑driven, prioritizing in‑home care and targeted purchases of medical and household essentials that directly support daily functioning and dignity for frail older adults. The model also mobilizes volunteers and supports family caregivers, recruiting “silver‑age” volunteers (for example, the “Telephone Friend” initiative) and running practical workshops—such as safe transfer techniques for relatives of people with limited mobility—which strengthen social connectedness and improve care quality. Finally, its transparency and accountability are demonstrated through regular donation reports on SberTogether that specify exactly which medical consumables were purchased and for whom, reinforcing donor trust and programme continuity.

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Who implemented it?
Non-government institution
Implementing/responsible entity:
The practice is implemented by the Regional Public Jewish Charitable Foundation “Ruka pomoshi” (РОЕБФ «Рука помощи») in Moscow.
Categories:
Enabling and supportive environments (Ageing in place/housing, Support to caregivers); Health and well-being (Age-inclusive health care, Long-term care)
Country:
Russian Federation
Type of instrument:
Programme
Year of implementation:
1991 - ongoing
What was implemented?

''Kaigo' means nursing or caregiving in Japanese.  Kaigo cafe began as a gathering at a café in Tokyo where people working in the care industry could come together to share their experiences and discuss issues and concerns in the field. Since its establishment, it has grown into a large community of care workers in Japan. The community provides spaces for care workers nationwide to connect and offers support for their careers and other concerns through diverse online and offline events.

Who were the beneficiaries?

Individuals working in the care industry, including managers, caregivers, and students.

What were the results?

As of 2025, more than 40,000 care industry workers were involved in this community.

How was it developed and implemented?

The get-together is held once a month at a café in Tokyo. Local communities also organize events in their own areas. Additionally, they provide activities that go beyond just gathering. These include off-site events and collaborations with schools and government entities. For example, they provide places for those studying in this sector, and they support people who want to start businesses in the care sector by connecting them with business partners.

What makes it a ‘good practice’?

This network brings together professionals in the care industry to address the concerns and problems they face. Networking benefits not only the workers, but also the industry and the care recipients at large.

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Who implemented it?
Non-government institution
Implementing/responsible entity:
Mirai wo Tsukuru Kaigo Café
Categories:
Enabling and supportive environments (Support to caregivers)
Country:
Japan
Type of instrument:
Programme
Year of implementation:
2012
What was implemented?

Kampung Admirality is a public residenial project in Singapore, implemented by Ministry of Health and Early Childhood Development Agency. The residential project consists of two 11-storey blocks with 104 studio apartments, integrating intergenerational amenities between commercial, leisure and residential spaces. This project was the first to combine childcare, senior centres and community plazas within a single complex, with the aim of preventing social isolation.

Who were the beneficiaries?

Residents of Singapore—especially seniors in Woodlands—benefited from on-site housing, healthcare, social, and community facilities. The co-location integrates services for elderly care, childcare, retail, and communal activities into one accessible complex.

What were the results?

The programme engaged over 200 senior volunteers, hosted 190+ intergenerational activities, fostering inclusion and active ageing. It now serves as a national model for integrated eldercare design.

How was it developed and implemented?

Kampung Admiralty was developed by Singapore’s Housing & Development Board (HDB) and designed by WOHA from 2013, completed in 2017. Located next to Woodlands MRT on a compact 0.9-hectare site, it uses a vertical “club sandwich” model to stack diverse public functions. Universal design and sustainability were integral, including natural ventilation, rainwater collection, and green roofs. A multi-agency team, including HDB and the People’s Association, oversees integrated programming and daily operations.

What makes it a ‘good practice’?

It offers an innovative model for ageing-in-place by combining housing, healthcare, and community services in a compact, inclusive, and sustainable vertical village.

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Who implemented it?
Government
Implementing/responsible entity:
Ministry of Health, Early Childhood Development Agency
Categories:
Older persons and development (Intergenerational initiatives)
Country:
Singapore
Type of instrument:
Case study
Year of implementation:
2018
What was implemented?

Kochi Spotlight is an open mic event held twice a month at various parks. It aims to promote social cohesion and strengthen intergenerational bonds. With storytelling, music, poetry, cultural performances and more, this event celebrates the importance of the elderly population in Kochi and tackle ageist stereotypes. This event is also used as a space to share the achievements of elderly people and recognize their contributions to the community.

Who were the beneficiaries?

All participating generations in Kochi

What makes it a ‘good practice’?

The intergenerational nature of this programme makes it a good practice, by sharing an event, both the young and old can become more acquainted and tackle stereotypes. Additionally, this event is highly replicable in any other setting.

Supporting documents:

https://extranet.who.int/agefriendlyworld/afp/intergenerational-open-mic-program-kochi-spotlight/

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Who implemented it?
Others
Implementing/responsible entity:
Age-Friendly Kochi City Program, coordinated by the Center for Excellence for Developing Age-Friendly Communities (CEDAC)
Categories:
Discrimination, neglect, abuse (Combatting ageism); Older persons and development (Intergenerational initiatives, Participation of older persons)
Country:
India
Type of instrument:
Case study
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.