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.

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Total: 392 good practice(s). Download

What was implemented?

The Pension System Modernization Concept of the Republic of Kazakhstan to 2030 initiated a comprehensive reform of the national pension system with primary focus on  ensuring adequate retirement income, strengthening financial sustainability, and expanding pension coverage. The reform further introduces Kazakhstan’s multi-level pension model by strengthening the state, mandatory, and voluntary pension components. Reform focuses on modernization of the basic pension system by tightening  benefits to an individual’s participation in the pension system and length of service. The reform also strengthens mechanisms for pension payouts and state guarantees on pension savings. Additional measure included introduction of a conditional funded pension component financed by mandatory employer contributions of 5% of employees’ income. 

Who were the beneficiaries?

Ultimate beneficiaries will be people in Kazakhstan of all ages who will benefit from a more sustainable pension system. 

What were the results?

The reform was initated on the presidential decree in 2014. However, the active intergation and implementation of the reform outcomes are carried out by Presidential Administration and Ministry of Labor and Social Protection of the Population of the Republic of Kazakhstan. 

How was it developed and implemented?

The reform was initiated by the President of Republic of Kazazakhstan and Presidential Administration. 

What makes it a ‘good practice’?

This reform is a good practice because it strengthens income security in old age while creating incentives for older persons to remain active in the workforce and engaged in the formal economy. The approach is replicable and sustainable, as it is based on a multi-pillar pension system with diversified sources of retirement income and shared responsibility among the state, employers, and employees.

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Who implemented it?
Government
Implementing/responsible entity:
Presidential Administration, Ministry of Labor and Social Protection of Population
Categories:
Work, the labour force, poverty and social protection (Social protection/income security)
Country:
Kazakhstan
Type of instrument:
Law or act
Year of implementation:
2021
What was implemented?

Longzhen Senior Care created the One‑Stop Community Elderly Service Program, where trained liaisons help older residents and people with disabilities find and access the goods and services they need, such as adult daycare, home-delivered meals or medical supplies, help with doctors' appointments or legal assistance etc. These liaisons include home‑care staff along with local residents and community leaders from the ‘Longzhen Sunflower Volunteer Team.’ Social workers first assess each person’s situation and then develop an individualized plan to support their health and wellbeing. Through ongoing contact with their liaison, older residents build trust and feel more connected to their community. The liaisons also act as a safety net for noticing changes in health or behaviour. Longzhen Senior Care negotiates discounted rates with service providers and monitors service delivery to ensure it remains high‑quality and compassionate. Local small businesses benefit by increasing sales and reducing marketing costs, and as the age‑friendly network grows, more providers and businesses are applying to join.

Who were the beneficiaries?

Older persons who need daily assistance with various goods and services but do not (yet) want to move into a long-term care facility.

What were the results?

The One‑Stop Community Elderly Service Program operates on a non‑profit basis. Clients pay only for the specific services they use, while more than half of the total service costs are subsidized by the government or covered through a person’s social insurance. Local small businesses providing  the needed goods and services benefit by increasing sales and reducing marketing costs, and as the age‑friendly network grows, more providers and businesses are applying to join.

By 2024, the program had expanded to nine regions and enrolled more than 3,100 older adults, most of whom are over 80 years old.

What makes it a ‘good practice’?

Many of the older adults catered for by this program live in apartment complexes without elevators resulting in limited mobility. They often also are not comfortable with or have no access to digital technology to order goods and services online. Developing such a liaison program has ensured that "no one is left behind". While it enables older persons to stay in their own home longer, it also is a trust-building exercise if seniors later need to move to the Longzhen Senior Care institution.

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Who implemented it?
Implementing/responsible entity:
Longzhen Senior Care
Categories:
Enabling and supportive environments (Age-friendly communities, Ageing in place/housing, Disability and age friendly environment); Health and well-being (Long-term care)
Country:
China
Type of instrument:
Case study
Year of implementation:
2018
What was implemented?

The 2021 policy outlines a comprehensive approach to population aging. It focuses on expanding home- and community-based elderly care, improving healthcare through integrated services and long-term care insurance pilots, and promoting active aging with programs like the national Senior University. The framework also strengthens digital inclusion and legal protections, ensuring offline service options and tackling elder fraud. Finally, it drives growth in the “silver economy” by supporting senior tourism, assistive technologies, and health-focused real estate.

Who were the beneficiaries?

The policy provides guidance to practitioners in relevant Ministries. The ultimate beneficiaries of this policy are older persons across China, particularly those with disabilities, low-income seniors, and childless elderly who require public care support. Rural seniors benefit from improved access to integrated medical and elderly care services at the county level.

What were the results?

The policy has led to significant improvements in China’s elderly care system, including expanded service coverage, better integration of medical and social support, enhanced digital and legal inclusion for older adults, and the emergence of the silver economy as a national development priority.

How was it developed and implemented?

The policy was jointly issued by the Central Committee of the Communist Party of China and the State Council in 2021 after nationwide consultations. It was implemented through a coordinated, multi-level approach involving central ministries and local governments. Key mechanisms included pilot programs (e.g., long-term care insurance), integrated planning (e.g., combining elderly care with health services), and clear timelines and targets for local authorities to follow.

What makes it a ‘good practice’?

This policy represents a good practice due to its comprehensive and forward-looking design. It adopts a whole-of-government approach, integrating elderly care, healthcare, digital inclusion, legal protection, and economic development. It promotes both top-down planning and local innovation, encourages public-private partnerships, and aligns with international best practices. Its adaptability and strong emphasis on inclusive, people-centered services make it a replicable model for aging societies.

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Who implemented it?
Government
Implementing/responsible entity:
CPC Central Committee, State Council
Categories:
Older persons and development
Country:
China
Type of instrument:
Policy
Year of implementation:
2021
What was implemented?

Movement Singapore offers weekly parkour classes for persons aged 50 to 70, encouraging them to embrace a sense of adventure while staying active. Each session combines stretching, conditioning exercises and obstacle-based training. Participants also learn how to fall safely by tucking the chin towards the chest. This adjustment can help reduce the risk of more serious injuries in the event of a fall. Through regular participation, older persons will experience a range of benefits, including increased muscle and bone strength, improved agility and balance, fall-prevention skills, greater vitality and increased confidence in their everyday movements.

Who were the beneficiaries?

People aged 50 years or over interested in staying active through a multitude of sports beyond sports traditionally dedicated to older persons. 

How was it developed and implemented?

Shie Boon, the founder of Movement Singapore, started the initiative with the aim to prevent falls among older persons. There are weekly outdoor parkour classes across four locations in Singapore. 

What makes it a ‘good practice’?

Thinking "outside the box", providing a sport to older persons which is usually associated with youth culture. 

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Who implemented it?
Private sector
Implementing/responsible entity:
Movement Singapore
Categories:
Health and well-being (Active and healthy ageing); Older persons and development (Participation of older persons)
Country:
Singapore
Type of instrument:
Service
Year of implementation:
2022
What was implemented?

The programme has expanded older persons' access to affordable public transport, community programmes and recreational activities through a single integrated membership card. By combining transport concessions with community participation opportunities and lifestyle benefits, it has supported greater social participation and mobility among older persons while encouraging active ageing.

Who were the beneficiaries?

Singapore citizens aged 60 years and above.

What were the results?

The programme has expanded older persons' access to affordable public transport, community programmes and recreational activities through a single integrated membership card. By combining transport concessions with community participation opportunities and lifestyle benefits, it has supported greater social participation and mobility among older persons while encouraging active ageing.

How was it developed and implemented?

The programme was developed by the People's Association to encourage active ageing and strengthen community participation among older persons. It integrates transport concessions, community programmes and lifestyle benefits into a single membership platform through collaboration with government agencies and participating merchants. Eligible seniors can apply for the card through the Passion Card system, enabling convenient access to subsidized active living.

What makes it a ‘good practice’?

The Passion Silver Concession Card demonstrates how an integrated membership platform can promote active ageing by combining mobility support, community participation and everyday benefits. Its cross-sector partnership model strengthens social inclusion, encourages lifelong participation in community life and provides a practical, scalable approach that can be adapted by other ageing societies.

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Who implemented it?
Government
Implementing/responsible entity:
People's Association (PA), in collaboration with the Ministry of Transport (MOT), Land Transport Authority (LTA), and other government agencies and community partners
Categories:
Older persons and development (Participation of older persons)
Country:
Singapore
Type of instrument:
Programme
Year of implementation:
2016
What was implemented?

The book provides guidelines for creating a care space from a mutual care perspective. Rather than focusing on one-sided care from caregivers to recipients, it focuses on a mutual approach. Using the concept of pattern language, the project offers caregivers practical guidelines for interacting more effectively with the elderly. For instance, it addresses how to listen to the intentions of care recipients, involve them in daily life, and shape a supportive environment.

Who were the beneficiaries?

This is designed for those who provide in-home care, especially for the elderly with dementia, and also for those who wish to create a warm place for their grandparents.

What were the results?

The guidelines provide evidence-based, actionable advice for caregivers of the elderly. The positive impact of these guidelines has been acknowledged in Japan and has also received media attention.

How was it developed and implemented?

Keio University originally launched a researchproject to apply the concept of "pattern language" from architectural theory to daily life with people with dementia.The project was tested in a practical context to verify its effectiveness. These outcomes have been disseminated through the publication of books and card collections under the title Words to Live Together.

What makes it a ‘good practice’?

The guidelines provide evidence-based, actionable advice for caregivers of the elderly. The positive impact of these guidelines has been acknowledged in Japan and has also received media attention.

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Who implemented it?
Non-government institution
Implementing/responsible entity:
Tomotoko group
Categories:
Enabling and supportive environments (Support to caregivers)
Country:
Japan
Type of instrument:
Training or guidebook
Year of implementation:
2022
What was implemented?

The Penal Code and the Vulnerable Adults Act, amended in 2019, was implemented by Singaporean national and local Governments. This act aims to protect vulnerable adults from abuse, neglect or self-neglect and to provide timely and effective interventions. This act is guided by five principles, including: exercising the Act must be for protection of adults from abuse, nelgect or self-neglect; adults with mental capacity can decide how they would like to live; implementation of the act should be as least restrictive of a persosn rights; and the welfare of the peson should be of paramount importance.

Who were the beneficiaries?

All adults aged 18 and above who, due to mental or physical infirmity, disability, or incapacity, are unable to protect themselves from abuse, neglect, or self-neglect.

What were the results?

The Act provided mechanisms for state intervention such as investigations, entry into premises, temporary placement, and court protection orders. It strengthened Singapore’s safety net for vulnerable adults, filling protection gaps where families or communities could not intervene, and enhanced safeguarding efficiency.

How was it developed and implemented?

The Act was developed after public and professional consultations, first read in Parliament in March 2018, passed in May, and implemented in December. Led by the Ministry of Social and Family Development (MSF), it defined “vulnerable adults,” set out intervention and court procedures, and emphasized least-restrictive intervention, prioritizing best interests and autonomy.

What makes it a ‘good practice’?

It balances family-and community-based care with state intervention, while safeguarding autonomy through least-restrictive, best-interest principles.

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Who implemented it?
Government
Implementing/responsible entity:
National and local governments
Categories:
Discrimination, neglect, abuse (Abuse and neglect)
Country:
Singapore
Type of instrument:
Law or act
Year of implementation:
2019
What was implemented?

Japan's public pension system includes measures to protect future pension entitlements during periods of child-rearing, helping to reduce the long-term pension impact of caregiving responsibilities, which are often borne by women. Employees who take childcare leave are exempt from paying Employees' Pension Insurance contributions during leave, while the period continues to be treated as if contributions had been paid. In addition, workers raising children under age three may retain a higher pension calculation base if their earnings decline because of reduced working hours or other childcare-related adjustments. These measures support work-family reconciliation and help prevent pension losses associated with caregiving.

Who were the beneficiaries?
  • Parents taking childcare leave.
  • Working mothers and fathers with young children.
  • Employees whose earnings decline because of child-rearing responsibilities.
What were the results?

The measures ensure that parents, particularly women, do not experience reduced pension rights solely because they take childcare leave or temporarily reduce working hours to care for young children. During childcare leave, pension coverage is maintained despite contribution exemptions, and future benefits are not reduced for the exempted period. In addition, eligible workers may have future pension benefits calculated using pre-childcare earnings even when childcare responsibilities temporarily lower their wages. These mechanisms help mitigate one source of gender disparities in pension outcomes.

How was it developed and implemented?

The measures were developed as part of broader efforts to support families, promote gender equality and address declining fertility. Under the public pension system, parents taking childcare leave are exempt from pension contributions, but those periods are treated as contribution-paid periods for benefit calculations. To address income reductions associated with childcare, Japan also introduced a special pension calculation rule that allows pension benefits to be calculated on the basis of pre-childcare earnings when remuneration declines while raising a child under three years of age. Employers submit applications through the Japan Pension Service.

What makes it a ‘good practice’?

The practice helps address a common source of pension inequality by protecting pension entitlements during periods devoted to raising children. Rather than requiring parents to choose between caregiving and future retirement security, the system recognizes childcare as a socially valuable activity and reduces the pension penalties associated with work interruptions or reduced earnings. The approach supports labour force participation, gender equality and income security in later life. By integrating childcare-related protections into the mainstream pension system, Japan provides long-term support through an established and sustainable mechanism.

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Who implemented it?
Government
Implementing/responsible entity:
Ministry of Health, Labour and Welfare (MHLW), Japan Pension Service (JPS)
Categories:
Enabling and supportive environments (Support to caregivers); Older persons and development (Mainstreaming gender); Work, the labour force, poverty and social protection (Social protection/income security)
Country:
Japan
Type of instrument:
Financial scheme
Year of implementation:
N/A
What was implemented?

The Personal Alert Button (PAB) is a government-developed emergency response service designed to support older persons living alone. Installed in seniors' homes, the wireless device enables users to request immediate assistance by pressing a single button during emergencies. The device provides 24/7 monitoring, two-way voice communication through 4G connectivity and links users directly to a Senior Activity Centre (SAC) or CareLine, a 24-hour telecare service operated by Changi General Hospital. The service enables rapid assessment and timely assistance while supporting independent living.

Who were the beneficiaries?

Older persons, particularly seniors living alone or those at risk of social isolation and medical emergencies.

What were the results?

The PAB strengthened emergency response capacity for older persons living independently by providing continuous telecare support and immediate access to assistance. Beginning in 2025, the programme expanded to approximately 170 additional public rental blocks, extending coverage to around 27,000 more seniors and increasing access to home-based emergency support.

How was it developed and implemented?

The Personal Alert Button was developed by GovTech in partnership with healthcare and community care agencies to improve emergency support for older persons living alone. The service integrates a wireless alert device with a 24-hour monitoring network connecting Senior Activity Centres and CareLine. When activated, the device sends an alert, enables two-way communication and allows responders to assess the situation before providing assistance or dispatching emergency support. The programme has been progressively expanded through collaboration among government agencies and community partners to reach more seniors living in public rental housing.

What makes it a ‘good practice’?

The PAB demonstrates how digital technology can strengthen community-based support for older persons while enabling ageing in place. Its integration of smart technology, telecare services and community response mechanisms provides a practical, scalable and replicable model for improving safety and independent living among older adults.

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Who implemented it?
Government
Implementing/responsible entity:
Government Technology Agency of Singapore (GovTech), in collaboration with the Ministry of Digital Development and Information (MDDI), Agency for Integrated Care (AIC), Senior Activity Centres and CareLine (Changi General Hospital).
Categories:
Enabling and supportive environments (Ageing in place/housing); Health and well-being (Long-term care)
Country:
Singapore
Type of instrument:
Service
Year of implementation:
2025
What was implemented?

The Pharmaceutical Benefits Scheme (PBS) began as a limited scheme in 1948, with free medicines for pensioners. Today the PBS provides timely, reliable and affordable access to necessary medicines for Australians. The PBS is part of the Australian Government’s broader National Medicines Policy. The aim of the National Medicines Policy is to meet medication and related service needs, so that both optimal health outcomes and economic objectives are achieved. Under the PBS, the government subsidises the cost of medicine for most medical conditions. Most of the listed medicines are dispensed by pharmacists, and used by patients at home. Some medicines are only accessible at specialised medical services, usually hospitals.

Who were the beneficiaries?

Originally older persons, and now all Australian residents who hold a current Medicare card.

How was it developed and implemented?

Before 1948, Australians generally paid for medicines out‑of‑pocket, with limited access through public hospitals or Friendly Society dispensaries. The Pharmaceutical Benefits Scheme (PBS) began as a limited program in 1948, offering free medicines to pensioners and a list of 139 “life‑saving and disease‑preventing” medicines free to the general public. Though PBS began as a limited scheme, by 1960 it had grown into a comprehensive program covering a wide range of prescription medicines. Over time, the PBS expanded to include more than 900 subsidised medicines by 2026 as part of the Australian Government’s broader National Medicines Policy. 

What makes it a ‘good practice’?

The scheme expanded coverage for all Australian citizens.

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Who implemented it?
Government
Implementing/responsible entity:
Department of Health, Disability and Ageing, administered by Services Australia.
Categories:
Health and well-being (Age-inclusive health care)
Country:
Australia
Type of instrument:
Financial scheme
Year of implementation:
1948

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 including for the Fourth Asia-Pacific Review and Appraisal of MIPAA, 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)

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.