b
STANDING COMMITTEE ON SOCIAL JUSTICE AND EMPOWERMENT
(2013-2014)
(FIFTEENTH LOK SABHA)
MINISTRY OF SOCIAL
JUSTICE AND EMPOWERMENT
(DEPARTMENT OF SOCIAL
JUSTICE AND EMPOWERMENT)
IMPLEMENTATION OF SCHEMES FOR WELFARE OF
SENIOR CITIZENS
THIRTY-NINTH REPORT
LOK SABHA SECRETARIAT
NEW DELHI
February, 2014/Magha, 1935(Saka)
OBSERVATIONS
AND RECOMMENDATIONS OF THE COMMITTEE
1.Progressive
implementation of UN Principles and Directive Principles of State Policy. The Committee
note that the International community was sensitized to the needs of the senior
citizens in first ever World Assembly on Ageing in Vienna in 1982 which was
followed by adoption of five principles for older persons by the United Nations
on 16th December, 1991 viz. independence, participation, care,
self-fulfilment and dignity as safeguards for the senior citizens. Notably,
these laudable principles were enshrined in Article 41 of Constitution of India
as Directive Principles of State Policy much before these were adopted by the
UN. The Committee, however, recommend the Government to strive persistently to
invoke these basic principles with unflinching determination and resolve for
the welfare of the older persons. Though India traditionally enjoyed robust
joint family system taking full care of elderly persons, however, the Committee
note with deep concern that with the fast changing socio- economic conditions,
disintegration of joint family system and emergence of nuclear families, the
old people are getting increasingly neglected adversely affecting their care
and dignity. It is, therefore, important that Government and the community play
a proactive role in taking care of the elderly. The Committee ardently hope
that with the positive programmatic and policy intervention by the Government
for the welfare of senior citizens and the progressive implementation of the
laudable goals set for the old people in the UN resolution and in our own
Directive Principles of State Policy would enable the senior citizens to lead a
life of dignity and self-fulfillment. The Committee also recommend that the
Ministry of Social Justice and Empowerment, in consultation with the Ministries
of Commerce and External Affairs, apprise the Committee about the status of
ratification of the said UN resolution by India in due course.
2. Formulation of integrated action plan after
due consultation with stakeholders. The Committee note that the population
of senior citizens as a percentage of total population stood at 7.5% as per the
2001 census. The population is likely to increase to 12.4% in 2026 as per the
report of the Technical Group on Population Projections constituted by the
National Commission on Population. Further, as per the United Nations
Projections on old age population in India, the overall population in India by
the year 2050 will grow by 55% but more alarmingly, the population of people in
their 60 years and above will increase by 326% and those in the age group of
80+ by 700% which is the fastest growing group. The Committee are, however,
dismayed to note that the issue of rapid population ageing in the country has
not received due attention of the Government and the community at large. The
Committee feel that to meet squarely the daunting task of providing adequate
social security, healthcare and other welfare measures to senior citizens,
there is an imperative need for integrated plan of action involving various
Departments and stakeholders. Since the community has a big role in ensuring
the well being of senior citizens, they should be actively involved and their
views taken on board while formulating such a plan. The Committee, therefore,
recommend the Government to put in place a robust integrated action plan
expeditiously with due consultation with all the stakeholders and the elders
and
earnestly implement the same with in a definite time frame to fulfil the
Nation's commitment to address the serious problems of senior citizens.
3. Formation of inter-ministerial expert group
for 80+ group. The Committee are deeply concerned to note that there are no
specific programmes/schemes to address the particular needs and challenges of
80+ age group which is projected to increase manifolds (700%) in the next 20-30
years. This age group is most vulnerable and runs the risk of getting dementia,
Alzheimer's disease, Parkinson disease, depression, etc. in their older years.
The Committee, therefore, recommend that an expert group of representatives of
all concerned Departments be constituted to devise specialized health care
programme for the 80+ group.
4. Early
implementation of schemes for welfare of senior citizens during 12th Plan. The Committee
were informed that the Ministry have set up an expert committee to formulate a
few new schemes under the XIIth Five Year Plan for the welfare of the senior
citizens which include the scheme for awareness generation for Maintenance and
Welfare of Parents and Senior citizens Act 2007, setting up a helpline for
senior citizens at the National and District Levels, setting up a National
Commission for senior citizens, and setting up a National Trust for the Aged.
The Committee are anguished to note that the above schemes incorporated in the
12th Five Year Plan have not taken off so far, though, almost two precious
years of the Plan period have elapsed. The Committee recommend that the
Ministry take urgent necessary action so that these schemes are operationalized
at the earliest.
5. Harnessing of
talent of senior citizens and their rehabilitation. The Committee
note that as per the census of India's projected value of expectation of life
at birth (2011-15), the life expectancy of males and females is 67.3 years and
69.6 years respectively. The Committee also note that the National Policy for
Senior Citizens recognizes productive ageing as the key to the welfare of
senior citizens between the age of 60-70 years. The Committee feel that with
the increase in the life expectancy and relatively better state of health of
people, the Government need to look at continuity of employment upto 65
years/or greater post retirement opportunities for the senior citizens so that
the society continue to draw upon their experience and tap their talent. The
Committee would like the Ministry to seriously consider the various options
which would include reviewing the age of retirement, reemployment opportunities
for the retired persons subject to their physical fitness and mental agility
and setting up a Directorate of Employment and Rehabilitation for Senior
Citizens.
6. Early
formulation and implementation of new National Policy on Older Persons. The Committee
note that the National Policy on older persons was announced in January 1999.
Though the Policy had several features like State support to ensure financial
and food security, health care, shelter and other needs of older persons to
improve the quality of their lives, the implementation has been rather tardy
and there is no coordination mechanism to effectively implement the policy. In
view of the new demographic changes and to address the upfront areas viz.
citizens of 80+, elderly women, rural poor and unorganized sectors, the
Government, notably, set up a Committee under the chairmanship of Dr. (Smt.) V.
Mohini Giri to draft a new National Policy on senior citizens, which submitted
its report on 30th March, 2011. The Committee are deeply distressed that even
after two years of submission of the new draft National Policy on Senior
Citizens, the policy was yet to be finalized and implemented. Taking serious
note of the tardy implementation of the 1999 policy and the inordinate delay in
finalization of the new National policy on senior citizens, the Committee
deplore the apathy and neglect on the part of the Government to address the
problems of senior citizens. Though, the Secretary, Ministry of Social Justice
and Empowerment assured the Committee that efforts were being made to finalise
the policy by the end of the financial year 2013-14, yet taking note of the
unconscionable delay, the Committee recommend that the Ministry take urgent
action so as to ensure that the new National Policy on Senior Citizens is
finalized and implemented expeditiously without further loss of time and they
be apprised.
7. Periodic
meetings of National Council for Senior Citizens and State level councils. The Committee
deprecate to note that the new National Council for Senior Citizens constituted
on 22.2.2012, under the Chairmanship of the Minister for Social Justice and
Empowerment, has been largely dysfunctional as no meeting of the Council has
been held, though required to meet twice in a year. As the National Council for
Senior Citizens is an apex body on the policies and programmes for senior
citizens, the Committee urge that the Council may be fully functionalized at
the earliest alongwith constitution of State Level Councils for senior citizens
in all the States and the Committee apprised.
8. Upfront areas
for 80+ group in National Policy on Older Persons. The Committee
note that the new draft policy sets out upfront areas needing very
special
attention i.e. senior citizens in the age group of 80+, elderly women, rural
poor and the unorganized sector. The Committee welcome the focus on these
sections which are the most vulnerable and are facing increasing neglect and
deprivation, poverty and abuse. Undoubtedly, these sections are in dire need of
social security and special health care facilities. The Committee, therefore,
ardently urge the Ministry to formulate suitable schemes for the dignified care
of these vulnerable sections with adequate funding and get them implemented
expeditiously.
9. Formation of
Department of Disability Affairs and Senior Citizens. The Committee
are pleased to note that for the effective implementation of the new policy,
the Ministry of Social Justice and Empowerment propose to expand the Department
of Disability Affairs and rechristen it as 'Department of Disability Affairs
and Senior Citizens'. The Committee while welcoming the laudable move, would
like the new Department to be adequately strengthened with professional human
resource and material resources so as to meet the lofty objectives of the
welfare of our senior citizens, the most neglected section of society, as per
good International norms and standards.
10. Utilization
of funds allocated for welfare of senior citizens. The Committee
note that the Ministry of Social Justice and Empowerment is implementing the
Central Sector Scheme of Integrated Programme for Older Persons (IPOP) since
1992 with the objective of improving the quality of life of senior citizens by
providing basic amenities like shelter, food, medical care, basically through
Government/Non-Government Organizations, Panchayati Raj Institutions/local
bodies, etc. Important projects supported under the scheme are old age homes,
Mobile Medicare Units and respite care homes and continuous care homes. The
Committee are anguished at the low physical and financial performance of the
scheme under IPOP for the last three years. Surprisingly, against a paltry
budget allocation of Rs. 40 cr., only Rs. 20.67 cr. could be utilized during
2010-11, the position was equally discouraging during the previous years. The
reasons enumerated for the trend include late receipt of proposals, incomplete
documents, late response from the States/UTs in clarification of procedure,
etc. The Committee take serious note of underutilization of allocated funds as
programmes/projects such as running of old age homes, day care centers and
Mobile Medicare Units have grievously suffered. The Committee re-commend that
the Ministry look into the reasons for non-utilization of funds, bottlenecks in
the implementation and streamline their procedure so that the funds earmarked
for the welfare of older persons are well spent and the lapse of fund does not
become a recurring theme.
11. Persuasive
implementation of IPOP by States. The Committee are concerned to note the
large disparity in release of grant-in-aid for old age homes under IPOP scheme
in various States. The Secretary, while testifying before the Committee, stated
that there were about 296 old age homes in the country and concentrated in a
few States. It was pointed out that some States have been quite active while
others have not taken the benefit of the scheme. The Committee desire that the
Ministry should approach and persuade the States, lagging behind in taking
benefit of the scheme, to send complete and viable proposals so that funds can
be released to them for running old age homes.
12.
Standardisation of norms and guidelines for old age homes. The Committee
note that there is a felt need for more old age homes in the country. The
Committee feel that the Union Government need to address this issue so that old
age homes are available in all districts of the country given the growing
requirements. The Committee re-iterate their earlier recommendation contained
in the 36th Report on Demands for Grants (2013-14) of the Ministry of Social
Justice and Empowerment that liberal central assistance should be provided for
the construction of old age homes in each district of the country. The
Committee also desire that the plan of old age homes needs to be standardised
so that specific norms and guidelines are chalked out for design of the
building and the manpower and expertise much needed for running old age homes.
13. Programmes
for senior citizens in rural areas. The Committee note with deep concern
the rising population of senior citizens residing in rural areas and the
problems faced by them. The deposition of the representatives of an NGO that
the rural elderly are facing deprivation, discrimination and abuse only
reinforces the worry of the Committee. The Committee are distressed to note
that no State, Panchayati Raj institution and local body had, reportedly,
approached/sent their proposal seeking financial assistance/grant in aid under
the scheme of Integrated Programme for Older Persons for running any scheme for
the welfare of senior citizens. The Committee desire the Ministry to sensitize
the State Governments and local bodies so that programmes for welfare of senior
citizens are implemented in rural areas through day care centres and other
measures with the help of Panchayati Raj institutions and local bodies. If
necessary, the Ministry may consider to release funds for undertaking welfare
programmes to these institutions under IPOP. Needless to say, this would go a
long way in helping the senior citizens residing in rural areas, thereby giving
them access to healthcare, recreation, entertainment and peer interaction.
14. Organization
of health camps of MMUs in remote, inaccessible areas. The Committee
are dismayed to observe that the number of Mobile Medicare Units (MMUs)
assisted under the scheme have gone down from 38 units in year 2011-12 to 29
units in 2012-13. The Committee are of the firm view that MMUs are an important
part of the IPOP scheme and, therefore, stress that more MMUs should be
assisted, especially in rural and inaccessible areas deprived of medical care
as old people, who at times, confined to their homes and bedridden, are unable
to travel. MMUs should also regularly organize health camps in remote and
distant areas so that more people can avail the benefits.
15. Need for
online portal for scrutiny of applications of NGOs.The Committee
are concerned to note that the procedure for release of Grant-in-aid under the
scheme of IPOP is very long and cumbersome as submitted by the NGOs in their
Memoranda to the Committee. Statedly, quite often the proposals are held up at
the State level and it becomes difficult for the NGOs to submit the same to the
Union Ministry of Social Justice and Empowerment. Taking note of the assurance
of the Secretary, Ministry of Social Justice and Empowerment, that efforts are
being made to design an online portal for receipt of applications and the examination
of proposals by an independent agency, the Committee recommend that the online
portal be opened and made operational expeditiously and the examination of
proposals be made by an independent agency and the Committee apprised. Also the
details of the NGOs, the list of beneficiaries, grants given and details of the
projects undertaken should be uploaded on the website of the Ministry in order
to bring greater transparency and accountability in the working of the scheme.
16. Early
revision of cost norms. The Committee have also been informed that the cost
norms of the Central Sector Scheme of Integrated Programme for Older People
(IPOP) were last revised w.e.f. 01.04.2008. Besides increase in amount of
financial assistance for existing projects, several innovative projects were
added as being eligible for assistance under the scheme. Since more than five
years have passed when the scheme was last revised and keeping in view the
inflation rate and the cost of living index, the Committee recommend that the
cost norms of the scheme be revised with a sense of urgency. The Ministry
should urgently take action in the matter and inform the Committee in this
regard.
17. Setting up
of RRTCs in each State. The Committee note that the Regional Resource and
Training Cenres (RRTCs) is an innovative project introduced in the revised
scheme of Integrated Programme for Older Persons (IPOP).The Committee are
unhappy to observe that only 4 RRTCs have been supported under the scheme. The
Committee, therefore, recommend that at least one RRTC should be designated in
each state so as to maintain a data base of institutions working in the field
of old age care, the number of old age persons who are destitute and need help,
organise training programmes in gerontology and liaison with State Government
Departments dealing with welfare of senior citizens whenever required.
18. Extension of
geriatric health care and other facilities in all the districts. The Committee
note that the National Programme for the Health Care of the
Elderly
(NPHCE) is an important programme which aims to provide separate and
specialized healthcare to the senior citizens. Due to the decline in the
physical ability and increasing susceptibility to diseases, the elderly need
dedicated healthcare facilities, especially the age group of 80+. The Committee
note that 100 districts in 21 States have so far been covered under the NPHCE
programme and geriatric daily clinics have been established in 65 district
hospitals and geriatric wards established in 53 district hospitals. Also 8
Regional geriatric centres have been opened in regional centres in major
hospitals throughout the country. Further, the National Institute of Ageing
(NIA) at AIIMS, New Delhi and Madras Medical College, Chennai is to be
established during XII Five Year Plan for which Rs. 1710.13 cr. have been
approved during the Plan period. Appreciative of the Government resolve to
improve the coverage of NPHCE, the Committee recommend that (i) geriatric
healthcare should be extended in all the districts of the country, (ii) given
the projection of manifold increase in old age population of the country in the
next 20 years, super speciality hospitals be set up exclusively for geriatric
care in all the State capitals, (iii) wide publicity be given to the scheme so
that the senior citizens become aware of the facilities existing in the various
Regional Hospitals and District Hospitals for them and avail the same without
hassles, (iv) directions may be issued to and it may be ensured that all
Government Hospitals, district centres and healthcare centres have separate
queues and seating arrangements for the elderly persons so that they get access
to healthcare facilities on priority without discomfiture while waiting for
their turn inter se, (v) the population of 80+ should be given priority
over others in availing all medical facilities, and (vi) suitable training be
imparted to the care givers of the old age population so that they handle the
cases with greater sensitivity and professionalism.
19. Need for
health insurance for the older persons or universalization of RSBY. The Committee
note that Insurance Regulatory and Development Authority (IRDA) have issued
instructions on healthcare for senior citizens to Chief Executive Officer of
all General Health Insurance Companies, which includes their entry upto 65
years of age. The Committee desire that the Government should work on a health
insurance scheme on the lines of the Rashtriya Swasthya Bima Yojna (RSBY) for
the senior citizens or the RSBY universalised.
20. Revision in
pension ceiling and criteria for pension. The Committee note that the
Ministry of Rural Development is implementing the Indira Gandhi National Old
Age Pension Scheme (IGNOAPS) under which Central Assistance is given towards
pension @ Rs. 200/- per month to persons above 60 years and Rs. 500/- per month
to persons above 80 years belonging to a household below poverty line, which is
to be supplemented by the States. The Committee feel that the pension provided
under the scheme is too low and desire that senior citizens in the country
should at least get an old age pension of Rs. 1000/- pm. The Committee also
desire that the criteria of below poverty line for availing old age pension
needs to be revised and may be universalized for all non income tax payers.
21. Assistance
to persons without permanent address to facilitate grant of pension. Mindful of the
deplorable conditions of the destitute and the widows, the Committee urge that
priority be accorded to them in the grant of old age pension. The Committee
recommend that local Government bodies be persuaded to identify the most needy
class of old age pensioners with the help of NGOs and the community so as to
help them get access to pension. Due assistance may also be extended to the
people without a permanent address/bank account, etc. so that all deserving
people get old age pension.
22. Better
monitoring needed of NSAP. The Committee note that the Ministry of Rural
Development have laid out a procedure for monitoring of the Central Assistance
schemes like the National Social Assistance Programme (NSAP), which provides pension
to the senior citizens. The Committee were apprised that the scheme is to be
reviewed by the Vigilance and Monitoring Committee (V&MC) constituted at
the District level. MPs have representation in these Committees. The Committee
recommend that the States hold monitoring meetings at least every three months
to vigorously monitor the pension schemes at the District and State levels and
give the requisite feed back to the Ministry of Rural Development.
23. Uniform
criteria needed for the definition of senior citizens and due concession in
airfare.
The Committee are pleased to note that the Ministry of Railways provides
facilities for senior citizens, such as separate ticket counters for senior
citizens at various centres and concessional rail fares for senior citizens.
The Committee are, however, surprised that the National Carrier, Air India,
under the Ministry of Civil Aviation offers 50% discount on the Highest Economy
class Basic fare to senior citizens who have completed 63 years of age on the
date of commencement of journey for travel on Domestic Network. The Committee
note that the Maintenance and Welfare of Parents and Senior Citizens Act 2007
defines senior citizens as people of 60 years of age. Therefore, the Committee
recommend that all schemes for senior citizens should be aimed at the target
group of 60+ and the Ministry of Social Justice and Empowerment should issue
mandatory instructions in this regard. Moreover, the concession in airfare
should be on the minimum fare of that day and not on the full fare ticket as
per the prevalent practice.
24. Need for
revision of income tax exemption ceiling. The Committee note that the
Ministry of Finance also provides certain concessions to the senior citizens in
terms of income tax exemption for the senior citizens which is Rs. 2.50 lakh
per annum to persons above 60 years and Rs. 5.00 lakh to persons above 80
years. The Committee feel that the exemption should be raised periodically
keeping in view the increasing cost of living, including food, housing and the
prohibitive cost of healthcare of the senior citizens.
25. Framework
for implementation by the States for Maintenance and Welfare of Parents and
Senior Citizens Act, 2007. The Committee note that the Maintenance and Welfare
of Parents and Senior Citizens Act, 2007 has been enacted to ensure need based
maintenance for parents and senior citizens and their welfare. The Act has been
brought into force by individual State Governments. The Committee find that
about 7 State Governments and one UT are still to frame rules under the Act,
appoint maintenance officers, constitute maintenance Tribunals, etc., which
mainly include Uttar Pradesh, Maharashtra, Meghalaya, Sikkim, Manipur, Mizoram,
Nagaland, Arunachal Pradesh and the Union Territory of Lakshadweep. The
Committee desire that the Ministry of Social Justice and Empowerment pursue
with the State Governments for putting in place expeditiously the prescribed
machinery and framework for the implementation of the Act with stringent
monitoring mechanism.
26. Protection
to the life and property of senior citizens. The Committee understand that
under the provisions of the Act, the State Governments are required to
prescribe a comprehensive action plan for providing protection to the life and
property of senior citizens. However, the Committee were informed that only 6
states – Goa, Tripura, Haryana, Mizoram, Andhra Pradesh and Tamil Nadu and 4
UTs namely Chandigarh, Delhi, Puducherry and Daman & Diu have devised an
action plan for providing security to the life and property of senior citizens.
The Committee note that protection of the life and property is very important
aspect of the Act since crimes against senior citizens have become common
especially in urban areas. The Committee desire that effective steps should be
taken by the States to give protection and a sense of security to the senior
citizens residing in both urban and rural areas.
27. Study of
best welfare practices. The Committee note from the information furnished
by the Ministry that many of the European countries, especially the
Scandinavian countries, which have sizeable population of elderly people,
provide many facilities for their senior citizens through municipalities and
Government agencies, which include home help, healthcare and cooked meals. The
Committee feel that the Government of India should endeavour to adopt best
practices from these countries and elsewhere for the welfare of senior citizens
in our country and a detailed study in this regard should be carried out by the
Ageing Division of Ministry of Social Justice and Empowerment.
28. Compendium
of welfare measures/relaxations/facilities. Having regard to the fact that
programmes and schemes for the welfare of the older persons are run by
different Ministries/Departments and various concessions, relaxations,
facilities and priorities are accorded to them, the Committee recommend that an
exhaustive compendium of all such benefits extended by the Union Government be
brought out and periodically updated as a ready reference manual for the older
persons and the stakeholder.
29. Multipronged
strategy to include destitute elders and financial independence and integration
of elders. Taking
cognizance of the diversity and enormity of the problems confronting the aged,
the Committee recommend that the proposed new National Policy on Older Persons
must adopt a multipronged strategy to address the problems of the elders with
variegated socio-economic conditions and make provision for their independence,
social integration, care and dignity. The policy so evolved specifically needs
to make provision for the shelter and care of the aged destitute as well as the
elders who are desolate, physically infirm but financially independent. The
Government may so integrate their welfare programmes that the elders in old age
homes/service apartments are able to interact and educate the children in
orphanages or schools. Special concession may be given to the destitute widow
or widower who enter into matrimonial alliance after sixty years of age.
30. Sensitization
of young minds through education. Mindful of the rich cultural heritage of
India and the scriptural edicts which proclaim that an assembly must have
elders and that one who renders service to the elders, the longevity,
knowledge, fame and power of such a person gets enhanced. The Committee, therefore, recommend that the
Government of India in the Ministry of Human Resource Development may design
appropriate syllabus in order to enlighten the awareness of children about
great Indian cultural heritage and the esteem in which the elders have been
held from time immemorial and the far reaching benefits that accrue from the
care and service of the elders.
31. Standing
machinery for effective inter-ministerial coordination and enactment of a new
law. The
Committee note that the various Ministries of the Government of India run
schemes for the welfare of senior citizens, i.e. the Ministry of Social
Justice and Empowerment, Ministry of Health and Family Welfare, Ministry of
Rural Development, Ministry of Railways, Ministry of Civil Aviation, Ministry
of Finance, etc. The Committee desire that the Government should strengthen the
Ministry of Social Justice and Empowerment for better liaisoning and
coordination between the various Ministries implementing the schemes for the
welfare of senior citizens, both at the Central and State level. In order to
ensure that the elders get proper access to food, shelter and the much needed
healthcare in the twilight of their life and that they lead a dignified existence,
which is part of the fundamental right to life, the Committee recommend that a
permanent standing machinery be created under the Chairmanship of the Secretary
(Ministry of Social Justice and Empowerment) for better conception,
coordination and effective implementation of various interdependent programmes
for the welfare of elderly people. Given the enormity of the emerging
challenges in the next 20 years and the vulnerability of this age group, the
Committee recommend that a comprehensive law for the social security and
protection of the dignity of senior citizens of the country be enacted at the
earliest. The Committee are quite sanguine that if their recommendations are
given due consideration and implemented earnestly, the vision of 'grow old' and
the 'best of life is yet to be', would get fructified.
HEMANAND BISWAL
NEW DELHI
Chairman,
17
December, 2013 Standing Committee on 26 Agrahayana, 1935 (Saka) Social
Justice and
Empowerment
Author prabhakar chhatrr