The recent study published in the prestigious medical journal, Nature Aging, sheds light on India’s alarming position in tackling the challenges of an aging population. India ranked 123rd among 143 countries in the Global Aging Index, underscoring a pressing need to address the preparedness gap in supporting its aging citizens.
Let’s delve into the details of this report, its implications, and what it means for India.
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Key Highlights of the Study of India
- India’s Rank and Its Significance: India, currently the youngest country globally with a substantial youth population, ranked 123rd among 143 nations. This ranking signals a lack of readiness to manage the anticipated demographic shift.
- Top Performers: Switzerland secured the top position with a score of 82.3, followed by Norway (2nd) and Denmark (3rd). High-income nations dominated the list, demonstrating better preparedness for aging populations.
- Global Projections: The global population aged 65 years and above is expected to double from 703 million in 2019 to 1.5 billion by 2050, making this issue a global priority.
India’s Current Demographic Advantage
India boasts the world’s youngest population:
- Over 50% of Indians are under the age of 25.
- More than 65% are below 35 years old.
However, these demographics are set to shift dramatically in the coming decades. By mid-century, India is projected to have the world’s largest senior citizen population, necessitating urgent action to enhance its aging infrastructure and policies.
India vs. Its Neighbors
India’s performance pales in comparison to its neighbors:
- Bangladesh: 86th
- Sri Lanka: 94th
- Nepal: 102nd
- Pakistan: 118th
Despite sharing similar socio-economic challenges, these countries ranked better, highlighting policy gaps in India’s approach to aging preparedness.
The Global Aging Index: An Overview
The study, conducted by researchers from the National University of Singapore and Columbia University, developed the Global Aging Index. This comprehensive measure assesses countries across five key domains:
- Well-being (25%): Physical, mental, and emotional health.
- Productivity and Engagement (20%): Economic contribution and societal engagement of the elderly.
- Equity (18%): Fairness in resource distribution and access to opportunities.
- Cohesion (17%): Social bonds and community support.
- Security (20%): Financial, physical, and societal safety.
India’s rankings across these domains reveal significant gaps:
- Well-being: 141st (Singapore ranked 1st)
- Cohesion: 127th (Bahrain ranked 1st)
- Life Satisfaction: 137th (Bahrain, best in Asia)
- Technology: 132nd (Iceland ranked 1st)
Top 5 Countries in the Index
Rank | Country | Score |
---|---|---|
1 | Switzerland | 82.3 |
2 | Norway | 81.7 |
3 | Denmark | 81.5 |
4 | Sweden | 81.0 |
5 | Iceland | 80.8 |

Challenges Highlighted for India
- Healthcare:
- India ranked 106th in universal healthcare access.
- Insufficient geriatric care facilities and services.
- Social Security:
- Ranking 102nd in pension systems, highlighting inadequate financial security for the elderly.
- Mental and Physical Well-being:
- India’s low scores in well-being (141st) and mental health (93rd) indicate poor healthcare and support systems.
- Food and Nutrition:
- Ranked 97th in food security, underscoring challenges in ensuring proper nutrition for seniors.
- Technological Integration:
- A dismal 132nd in technology indicates poor access to digital tools that could aid elderly well-being.
Lessons from Top Performers
Countries like Switzerland and Norway have achieved high rankings by investing heavily in:
- Comprehensive healthcare systems with universal access.
- Robust social security nets.
- Inclusive policies ensuring equitable opportunities for all age groups.
- Leveraging technology to enhance elderly care.
Steps India Must Take
To improve its readiness, India must:
- Enhance Healthcare Infrastructure:
- Increase geriatric care facilities.
- Train healthcare workers in elderly care.
- Strengthen Social Security:
- Expand pension coverage and ensure timely disbursement.
- Introduce universal basic income for the elderly.
- Promote Technological Integration:
- Develop digital tools to aid elderly healthcare and engagement.
- Conduct digital literacy programs for seniors.
- Improve Nutrition and Food Security:
- Launch targeted schemes for senior nutrition.
- Ensure affordable access to essential food items.
- Foster Community Cohesion:
- Encourage intergenerational activities to strengthen social bonds.
- Promote volunteer programs involving the elderly.
- Address Mental Health:
- Establish helplines and counseling services for seniors.
- Reduce stigma around mental health issues among the elderly.
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The Road Ahead
India’s low rank in the Global Aging Index is a clarion call to act decisively. With a rapidly aging population, the country’s demographic dividend is at risk of turning into a demographic burden. Proactive measures, inspired by global best practices, can pave the way for a secure, equitable, and inclusive future for India’s elderly population.
By addressing gaps in healthcare, social security, and technology, India can transform this challenge into an opportunity, ensuring a dignified and fulfilling life for its senior citizens. The time to act is now.