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. 2022 Dec 20;16(1):2110198. doi: 10.1080/16549716.2022.2110198
  Bangladesh India Nepal Pakistan Sri Lanka
Retirement age (years) Public sector (freedom fighters): 60, the government has implemented a court directive to lengthen service by 1 yearPublic sector (non-freedom fighters): 591 Public sector: 60,2 raised to 65 years for central government doctors3
Private sector: 582
Public sector: 58, but deferred in certain instances
Health professionals and Parliament workers: 60
Teachers: 63
Court workers: 654
60 (men), 55 (women), with at least 15 years of contributions; miners can claim the pension earlier under certain conditions5
Government has proposed for retirement age to be increased to 636
557
Old age social pension Old Age Allowance
Targeting approach: income-tested
Eligibility criteria: age ≥65 (men) and ≥62 (women) with an annual income of <10,000 takas ($118), not receiving any other government or nongovernment allowance, only one member of a family can receive the pension
Monthly benefit: 500 takas ($6) (paid every 3 months)5,8
Government plans to introduce a universal pension scheme for private sector jobholders9
Indira Gandhi National Old Age Pension Scheme
Targeting approach: income-tested
Eligibility criteria: age ≥60, with an annual income not exceeding a certain limit, which may vary across states
Monthly benefit: 200 rupees if age 60–79500 rupees if aged ≥80; additional amounts may be paid and vary by state5,10
Indira Gandhi National Widow Pension SchemeTargeting approach: income-tested
Eligibility criteria: widows aged ≥40, with annual income not exceeding a certain limit, which may vary by stateMonthly benefit: 300 rupees5,10
Old Age Allowance
Targeting approach: pensions-tested
Eligibility Criteria: age ≥65 (≥60 for Dalits, single and divorced women, and residents of Karnali Zone)Monthly benefit: 2000 rupees; 1,000 for members of the Rautes, Chepang, and certain other ethnic groups (paid every four months)5,11
Social insurance system5,12 Senior Citizen’s Allowance for Strengthen Elderly
Targeting approach: income-testedEligibility criteria: age ≥70 with income below a certain thresholdMonthly benefit: 2000 Sri Lankan rupees13
Social protection for people with dementia No financial benefits/social protection for dementia carers14 Indira Gandhi National Disability Pension Scheme
Targeting approach: income-tested
Eligibility criteria: aged ≥18, with an assessed degree of disability ≥80% and annual income not exceeding a certain limit, which may vary across statesMonthly benefit: 300 rupees (central contribution), additional amounts may be paid and vary by state5
Department of Health Services provides 100,000 Nepalese rupees to patients diagnosed with Alzheimer’s disease, to cover the cost of healthcare from four enlisted hospitals (National Academy of Medical Sciences, Tribhuvan University Teaching Hospital and Patan Academy of Health Sciences in Kathmandu Valley and BP Koirala Institute of Health Sciences in Dharan)20 No government policy for people living with dementia21 Not available
Integrated Programme for Older Persons Scheme
Provides funding for up to 90% of the project costs to eligible agencies for establishing and maintaining old-age homes, day care centres, mobile medicare units and delivering non-institutional services to older persons–includes the running of day care centres for patients with dementia15
Assistance for construction of old-age homes for older persons Scheme
Provides funding for construction of old-age homes–Scheme is presently under formulation15
Rashtriya Vayoshri Yojana
Provides physical aids and assisted-living devices to senior citizens belonging to the below the poverty line (BPL) category16
Pradhan Mantri Jan Arogya Yojana
Provides coverage of up to 500,000 rupees per family per year for secondary and tertiary hospitalisation to over 107.4 million eligible poor and vulnerable families (approximately 500 million beneficiaries)17
Welfare of Parents and Senior Citizens Act 2007
Mandates needs-based maintenance (food, clothing, residence, medical attendance and treatment) for parents/grandparents from their children to protect the life and property of senior citizens15
Income Tax Act 1961Section 80 U: deduction can be claimed by an individual if they are certified by the medical authority to be a person with disability18
Section 80DDB: deduction can be claimed by an individual for themselves or a dependant relative, for expenditures incurred for medical treatment of specified diseases,18 including dementia19
State care homes Community-based services for dementia are available, but in the capital and main cities only14
Six aged care homes (Santi Nibas) in six divisions22
Six full-time residential care facilities and around ten day-care services exclusively for people with dementia23
Welfare of Parents and Senior Citizens Act 2007 contains enabling provisions for setting up of old-age homes for providing maintenance to senior citizens15
70 old-age homes (OAHs), of which 11 get government grants24
One government-run residential facility (Pashupati Bridrashram), with the capacity for 230 older adults24,25
Very few old-age homes located in Karachi, run by charities, though none specifically for people with dementia26
Families are more likely to accept home help than send persons with dementia to a nursing home21
No tradition of old-age homes, reliance is on older adults co-residing with family27
Most residential care homes are run by local, often faith-based, voluntary social service organisations: two-thirds have 30 places or fewer, 18% have more than 50 places and there are a growing number of private fee-paying long-term care residential homes, most in or near Colombo, caring for 10–30 people28

1Tribune Desk. Public sector freedom fighters’ retirement age extended. Dhaka Tribune [Internet]. 11 April 2018 [cited 12 June 2019]. Available from: https://www.dhakatribune.com/bangladesh/2018/04/11/public-sector-freedom-fighters-retirement-age-extended.

2TNN. At 58, retirement age in India is one of the lowest worldwide. The Times of India [Internet]. 25 April 2018 [cited 12 June 2019]. Available from: http://timesofindia.indiatimes.com/articleshow/63905499.cms?utm_source=contentofinterest&utm_medium=text&utm_campaign=cppst.

3Express Web Desk. Retirement age of central govt doctors raised to 65 years. The Indian Express [Internet]. 27 September 2017 [cited 12 June 2019]. Available from: https://indianexpress.com/article/india/retirement-age-of-central-govt-doctors-to-be-increased-to-65-years-4863882/.

4Panday J. Government to revise retirement age for everyone on its payrolls to 60 years. The Himalayan Times [Internet]. 1 August 2018 [cited 12 June 2019]. Available from: https://thehimalayantimes.com/nepal/government-to-revise-retirement-age-for-everyone-on-its-payrolls-to-60-years/.

5The USA Social Security Administration. Social Security Programs Throughout the World: Asia and the Pacific, 2018. Washington, D.C.: Social Security Administration; 2019. (SSA Publication No. 13.11802).

6Ashfaq M. Govt to increase retirement age by three years. DAWN [Internet]. 12 December 2018 [cited 12 June 2019]. Available from: https://www.dawn.com/news/1450879.

7Salary.lk. Social Security and Pensions in Sri Lanka [Internet]. [cited 12 June 2019]. Available from: https://salary.lk/labour-law/social-security/social-security-and-pensions-1.

8Pension Watch. Bangladesh [Internet]. [cited 6 April 2020]. Available from: http://www.pension-watch.net/country-fact-file/bangladesh.

9Senior Correspondent. Bangladesh plans to embrace universal pension era. bdnews24com [Internet]. 8 June 2018 [cited 12 June 2019]. Available from: https://bdnews24.com/economy/2018/06/08/bangladesh-plans-to-embrace-universal-pension-era.

10Pension Watch. India [Internet]. [cited 6 April 2020]. Available from: http://www.pension-watch.net/country-fact-file/india.

11Pension Watch. Nepal [Internet]. [cited 6 April 2020]. Available from: http://www.pension-watch.net/country-fact-file/nepal.

12Pension Watch. Pakistan [Internet]. [cited 6 April 2020]. Available from: http://www.pension-watch.net/country-fact-file/pakistan.

13Pension Watch. Sri Lanka [Internet]. [cited 6 April 2020]. Available from: http://www.pension-watch.net/country-data/sri-lanka/.

14World Health Organization. Global Dementia Observatory (GDO) Provisional Country Profile 2017: Bangladesh [Internet]. [cited 12 June 2019]. Available from: https://www.who.int/mental_health/neurology/dementia/bangladesh_GDO_profile.pdf.

15Ministry of Social Justice and Empowerment. Senior Citizen Division [Internet]. [cited 5 February 2021]. Available from: http://socialjustice.nic.in/Home/SiteSearch?Search=senior%20citizen%20division.

16National Portal of India. Rashtriya Vayoshri Yojana [Internet]. [cited 14 May 2020]. Available from: https://www.india.gov.in/spotlight/rashtriya-vayoshri-yojana.

17National Health Authority. Ayushman Bharat Pradhan Mantri Jan Arogya Yojana [Internet]. [cited 5 February 2021]. Available from: https://www.pmjay.gov.in/about/pmjay.

19Income Tax Department. Government of India. Specified diseases and ailments for the purpose of deduction under section 80DDB [Internet]. [cited 11 April 2020]. Available from: https://incometaxindia.gov.in/Rules/Income-Tax%20Rules/103120000000007232.htm.

20Koirala S. Alzheimer’s Disease in Nepal. Nepal: HelpAge International; 2016. http://ageingnepal.org/wp-content/uploads/2016/09/Alzheimers-disease-in-Nepal_final_sharad.pdf.

21Zaidi A, Willis R, Farina N, Balouch S, Jafri H, Ahmed I Understanding, Beliefs and Treatment of Dementia in Pakistan: Final Report. Age International, Age UK & HelpAge International; 2019. https://eprints.soton.ac.uk/429832/1/DiP_Final_Report_31_January_2019.pdf.

22Hossain I, Akhtar T, Uddin T. The Elderly Care Services and their Current Situation in Bangladesh: An Understanding from Theoretical Perspective. J Med Sci. 2006;6(2):131–8.

23Shaji KS, Jotheeswaran AT, Girish N, Bharath S, Dias A, Pattabiraman M The Dementia India Report 2010: Prevalence, impact, costs and services for dementia. New Delhi: Alzheimer’s and Related Disorders Society of India; 2010. (ISBN978819203410 2).

24Shrestha L. Residential Care Home for Elderly People in Nepal: Geriatric health in Nepal [Internet]. [cited 12 June 2019]. Available from: https://www.ifa-fiv.org/wp-content/uploads/2013/03/IFA-presentation-2014.pdf.

25Shrestha L. Geriatric Health in Nepal: Concerns and Experience. Nepal Med Coll J. 2012;15(2):144–8.

262020 email from M Khan to NRM; unreferenced.

27Majid H, Memon S. Elderly care in Pakistan. DAWN [Internet]. 19 February 2018 [cited 12 June 2019]. Available from: https://www.dawn.com/news/1390240.

28United Nations Economic and Social Commission for Asia and the Pacific. SDD-SPPS Project Working Papers Series: Long-term Care for Older Persons in Asia and the Pacific: Long-term Care for Older Persons in Sri Lanka. Bangkok: United Nations Economic and Social Commission for Asia and the Pacific; 2016.