United Nations Decade of Healthy Ageing: What Canada is doing
On this page
- About healthy aging
- United Nations Decade of Healthy Ageing
- Taking action
- Measuring progress and indicators
- Public opinion research
- Contact us
About healthy aging
The World Health Organization (WHO) defines healthy aging as the "process of developing and maintaining the functional ability that enables wellbeing in older age." Functional ability is about having the capabilities that enable all people to be and do what they have reason to value, including:
- meet their basic needs
- learn, grow and make decisions
- be mobile
- build and maintain relationships
- contribute to society
Functional ability consists of:
- a person’s intrinsic capacity (their physical and mental capacities)
- the environment around them, and
- how these two work together
Intrinsic capacity includes, but is not limited to, abilities such as strength, movement, memory and thinking. It can change over time because of aging, injuries or chronic health conditions. Living in a supportive environment can help people maintain their abilities and stay healthy as they age.
United Nations Decade of Healthy Ageing
In December 2020, the United Nations General Assembly proclaimed 2021 to 2030 to be the United Nations Decade of Healthy Ageing (UN Decade). The UN Decade is a global collaboration to improve the lives of older people, their families, and the communities they live in. WHO was asked to lead the implementation of the UN Decade in collaboration with the other UN organizations and serves as the Decade Secretariat.
As a Member State of the United Nations and WHO, Canada endorsed the proposal for the UN Decade.
The UN Decade is an opportunity to:
- highlight the importance of healthy aging
- take measures to support people to live longer in good health
- enable individuals to do the things they value and want to do
The UN Decade will address four action areas:
- Combatting ageism: Changing how we think, feel and act towards age and aging
- Age-friendly environments: Developing communities in ways that encourage the abilities and involvement of older people
- Integrated care: Delivering person-centred, integrated care and primary health services responsive to older people
- Long-term care: Providing older people access to long-term care and supports required to live with dignity, meaning, and rights
The Decade calls for four 'enablers' to be integrated in this effort:
- Voices and meaningful engagement of older adults
- Leadership and capacity building
- Connecting stakeholders
- Strengthening data, research and innovation
Learn more:
- Decade of healthy ageing: The Platform
- UN Decade of Healthy Ageing: Plan of Action
- WHO's work on the UN Decade of Healthy Ageing (2021-2030)
- Overview of the process for developing the Decade of Healthy Ageing
Related initiative: The Madrid International Plan of Action on Ageing
The Madrid International Plan of Action on Ageing (MIPAA) and the Political Declaration adopted at the Second World Assembly on Ageing in April 2002 mark a turning point in how the world addresses the key challenge of "building a society for all ages".
The MIPAA focuses on three priority areas:
- older persons and development
- advancing health and wellbeing into old age
- ensuring enabling and supportive environments
It represents the first time governments agreed to link questions of aging to other frameworks for social and economic development and human rights.
What Canada has done
Canada reports on the implementation of the MIPAA every five years. In 2021, Canada provided a fourth report to the United Nations Economic Commission for Europe to outline Canada's progress achieved on:
- the implementation of the MIPAA
- its Regional Implementation Strategy
In 2026, Canada will provide a fifth report to the United Nations Economic Commission for Europe to outline Canada's progress achieved to date.
Learn more:
- The Madrid International Plan of Action on Ageing
- National Report: Implementation of the Madrid International Plan of Action on Ageing and its Regional Implementation Strategy
Taking action
For Canada, the Decade aligns with commitments to enhance the wellbeing and quality of life of older adults. The following examples highlight some key initiatives by the Government of Canada that align with the four UN Decade action areas:
Combatting ageism
Federal/Provincial/Territorial Ministers Responsible for Seniors' Forum
An intergovernmental body, supported by Employment and Social Development Canada, established to share information, discuss new and emerging issues related to seniors, and work collaboratively on key projects.
Federal/Provincial/Territorial Ministers Responsible for Seniors' Forum
Recent relevant reports from this forum include:
- A case study on ageism during the COVID-19 pandemic (2022)
- An examination of the social and economic impacts of ageism (2022)
- The Future of Aging in Canada Virtual Symposium: What we heard (2022)
- Report on policy options related to the topic of ageism targeting older Canadians (2025)
- Consultations on the social and economic impacts of ageism in Canada: What we heard report (2023)
A VOICE using participatory video
The Public Health Agency of Canada supported the World Health Organization's Participatory Video VOICE project that engaged groups of diverse older adults in multiple regions, including Canada that can be viewed at:
Federal Working Group on Ageism and Health
A working group led by the Canadian Institutes of Health Research Institute of Aging that brings together diverse voices and issues on ageism and its impacts on the health of Canadians with the goal of combatting ageism.
Age-friendly environments
Age-friendly communities in Canada
The Public Health Agency of Canada (PHAC) provides guidance on how Canadian communities can become more age friendly. To help communities with this process, PHAC developed the Pan-Canadian Age-Friendly Communities Milestones in collaboration with key partners. These milestones and the work across Canadian jurisdictions on age-friendly environments can be found on PHAC's Age-Friendly Communities webpage.
Learn more:
National programmes for age-friendly cities and communities: A guide
The Public Health Agency of Canada supported the World Health Organization in the development of the National programmes for age-friendly cities and communities: A guide, intended to provide direction to those responsible for forming or sustaining national programmes for age-friendly cities and communities. It includes suggestions for meaningful engagement of older people in creating age-friendly environments, detailed examples of existing national age-friendly cities and communities programmes, and practical steps for creating or strengthening such a programme.
Learn more:
Healthy Cities Research Initiative
The Canadian Institutes of Health Research Healthy Cities Research Initiative funds research around designing and implementing evidence-based interventions in urban contexts to improve population health and health equity. One of the research areas of this initiative is dedicated to healthy aging and finding evidence-based strategies to promote healthy aging in urban areas.
Learn more:
Aging in Place
Aging in Place Challenge program
The National Research Council of Canada leads the Aging in Place Challenge program, an ambitious, multidisciplinary research and development initiative that aims to leverage technology and innovation to increase the number of older adults who are living in homes and communities of their choosing.
Learn more:
AgeTech (EPIC-AT)
The Canadian Institutes of Health Research supports the Early Professionals, Inspired Careers in AgeTech (EPIC-AT) Health Research Training Program, a pillar of AGE-WELL technology and aging network, that prepares the next generation of research leaders in digital solutions for older adults with complex health needs with a focus on aging in place.
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Canada's National Housing Strategy
Launched in 2017, Canada's National Housing Strategy sets a long-term vision that focuses on improving housing outcomes for those in greatest need. The Strategy is currently a 10+ year, $115+ billion plan to give more people in Canada a place to call home. Seniors are one of the priority populations within the Strategy.
Learn more:
Reaching Home: Canada's Homelessness Strategy
As part of the National Housing Strategy, approximately $5 billion from 2019-20 to 2027-28 has been allocated to Reaching Home: Canada's Homelessness Strategy. Delivered by Housing, Infrastructure and Communities Canada, Reaching Home is a community-based program aimed at preventing and reducing homelessness across Canada. While Reaching Home is designed to support all individuals experiencing or at risk of homelessness, the program allows communities to prioritize vulnerable populations such as older adults based on community priorities.
Learn more:
Build Canada Homes
Launched in 2025, Build Canada Homes is Canada's new federal agency with a mandate to build affordable housing at scale. Older adults are one of several populations who may be served through this work.
Learn more:
Green and Inclusive Community Buildings Program
The Green and Inclusive Community Buildings (GICB) program, delivered by Housing, Infrastructure and Communities Canada, provides funding to support green and accessible retrofits, repairs or upgrades of existing community buildings and construction of new, publicly accessible net-zero community buildings in underserved communities across the country. The program specifically targets high-needs and underserved communities, including seniors, by financing green and accessible retrofits of existing structures or the construction of new ones. These investments ensure that public spaces are not only environmentally sustainable but also accessible to all members of the community.
Eligible projects that directly benefit seniors include a wide range of essential facilities, such as senior activity centers, libraries and community health and wellness hubs. The program also covers critical Indigenous infrastructure including elders' lodges and long-term care facilities. By supporting these community spaces, the GICB aims to enhance the overall quality of life and social connectivity for aging populations and underserved groups.
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Age Well at Home initiative
Employment and Social Development Canada's Age Well at Home Initiative is a $90 million time-limited initiative, that ended in early 2026. Funding was provided to seniors-serving organizations from the broader charitable/non-profit sector. Local projects tested the extent to which volunteers can be mobilized to provide practical supports to help low-income and otherwise vulnerable seniors age in place. National and regional projects expanded services that have already demonstrated positive results in helping seniors age at home.
Learn more:
Transportation
Investing in Canada Infrastructure Program
Through Housing, Infrastructure and Communities Canada's Investing in Canada Infrastructure Program (ICIP), the federal government is investing more than $33 billion in public transit projects, green infrastructure, community, culture and recreation infrastructure, and infrastructure in Canada's rural and northern communities. The program was also adapted to respond to the impacts of the COVID-19 pandemic, enabling investment in quick-start, short-term projects to build pandemic-resilient infrastructure to support economic recovery efforts across Canada. Infrastructure investments under the ICIP contribute to stronger, more inclusive communities for seniors. Modern, accessible public spaces and reliable transit help older Canadians stay connected, maintain independence, and enjoy improved quality of life within their neighbourhoods.
Learn more:
Active Transportation Fund and Rural Transit Solutions Fund
Canada's National Active Transportation Strategy is the country's first strategic approach for promoting active transportation and its benefits. It uses data-driven and evidence-based investments to build new and expanded active transportation networks, while supporting equitable and sustainable travel options. The strategy is supported by funding from the Active Transportation Fund (ATF). The ATF supports projects that build new and expanded networks of pathways, sidewalks, bike lanes and trails to support affordable, greener and healthier options for Canadians to access their communities.
The Rural Transit Solutions Fund (RTSF) supports locally driven transit options that help residents of rural, remote, Indigenous, and Northern communities access essential services, commute to work or school, attend medical appointments, and stay connected with loved ones. By improving transportation options, this fund enables seniors in these communities to maintain their independence and quality of life, allowing them to age comfortably in their homes or communities.
The ATF and RTSF are part of the larger Canada Public Transit Fund (CPTF) which supports local transit needs, including rural and active transportation.
Learn more:
Safety and security
Canadian Anti-Fraud Centre
The Royal Canadian Mounted Police produced a Seniors Guidebook to Safety and Security for older adults, their family members, caregivers, and friends. The Canadian Anti-Fraud Centre (CAFC) has a national level mandate to help reduce the impact of fraud on Canadians. Over the past two years, older Canadians have accounted for nearly $360 million in reported losses and about 30% of all reports received by the CAFC. The CAFC fraud awareness program plays a key role in public education and in the prevention of fraud and cybercrime related offences. This includes co-chairing the Fraud Prevention Forum, collaborating closely with the media, other government agencies and law enforcement partners to ensure impactful and timely awareness messaging with a focus on Fraud Prevention Month (March). The CAFC also conducts numerous fraud awareness presentations for various senior and community groups, responds to senior victims of fraud, and mails out fraud awareness packages and materials to victims, including seniors.
Learn more:
Integrated care
In Canada, provincial and territorial governments are responsible for the organization, management and delivery of health services for their residents. The federal government helps facilitate improvements in care by providing financial support to the provinces and territories for health services and to stakeholders and others to implement new and innovative projects to improve access to care. The federal government provides support for the delivery of health services to certain population groups, including First Nations living on-reserve or living north of 60, Inuit living in designated communities, eligible veterans, members of the Canadian Forces, and federal inmates.
Transforming Health with Integrated Care (THINC) initiative
The Canadian Institute of Health Research's (CIHR) Transforming Health with Integrated Care (THINC) initiative aims to advance evidence-informed integrated care policies and programs that enhance patient and provider experiences, improve population health, ensure value for money, and promote health equity. Through the THINC initiative CIHR funds research projects to improve integrated care for older adults, including to support aging in place.
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Primary care
Primary care, also known as family health services, is often the first contact with the health care system and serves to coordinate care over time, including throughout the lifetime, and across the system. The Government of Canada's Working Together to Improve Health Care for Canadians Plan commits nearly $200 billion to strengthen the health and wellbeing of Canadians, including $25 billion in targeted funding over 10 years—with a core focus on improving access to family health services.
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Palliative care
Framework on Palliative Care in Canada
The 2018 Framework on Palliative Care in Canada sets out an approach under which all governments, communities, and Canadians can work together to advance palliative and end-of-life care.
Learn more:
Report on the State of Palliative Care in Canada
The Minister of Health tabled the Report on the State of Palliative Care in Canada in Parliament on December 4, 2023. This report takes stock of the landscape of palliative care in Canada, assesses improvements in access to palliative care since the release of the framework, and proposes recommendations on next steps for continued action.
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Action Plan on Palliative Care
Health Canada's (2019) Action Plan on Palliative Care identifies key federal supports to improve palliative care including increasing awareness of palliative care and grief; increasing the uptake of advance care planning; improving access to training, education, and tools for palliative care providers; improving access to supports for caregivers and providers; enhancing research and data; and improving mechanisms to facilitate equitable access to palliative care for underserved populations. Since 2019, the federal government has committed more than $50 million to fund stakeholders and community organizations for projects that focus on these priorities.
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National dementia strategy
Released in 2019, Canada's national dementia strategy has three objectives: prevent dementia; advance therapies and find a cure; and improve the quality of life of people living with dementia and caregivers. The strategy aims to create a Canada in which people living with dementia and caregivers are valued and supported; quality of life is optimized; and dementia is prevented, better understood, and effectively treated. Since 2015, the Government of Canada has invested over $600 million in funding that supports progress aligned with the objectives of the national dementia strategy, including investments made prior to the strategy's release. Annual Reports to Parliament track the strategy's implementation.
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Health surveillance
The Public Health Agency of Canada (PHAC) gathers and shares information about chronic diseases and conditions, including those that affect older adults in Canada. This data helps shape policies and programs that support healthier aging. The Canadian Chronic Disease Surveillance System is a collaborative network of provincial and territorial surveillance systems, supported by PHAC. The system collects data on all residents who are eligible for provincial or territorial health insurance. It can generate national estimates and trends over time for over 20 chronic diseases and conditions, including those commonly linked with aging, such as dementia and osteoporosis.
Healthy living behaviours contribute to the health of people in Canada by helping prevent chronic diseases and by promoting physical and mental health. Staying active, including regular strength and balance training, supports mobility, independence, and overall healthy aging. PHAC systematically monitors population-level patterns in physical activity for Canadians of all ages, including adults aged 65 years and older, through its Physical Activity, Sedentary Behaviour and Sleep Indicators, and the Canadian Risk Factor Atlas.
In addition, in 2021, PHAC published a report on falls in older adults in Canada. This report presents data on the nature, severity and consequences of falls among people aged 65 or older. An update to the report was published in 2023 on Health Infobase.
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Long-term care
Quality improvement
Health Canada provided funds to Healthcare Excellence Canada's Reimagining LTC program which supported long-term care homes to work together to build better care with and for people living and working in long-term care in Canada. The program helped participants address gaps in the safety and quality of care received in long-term care, including by providing more support to healthcare workers and building capacity to make care more person-centred.
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Aging with Dignity agreements
The Government of Canada is providing $5.4 billion over five years to the provinces and territories through the Aging with Dignity agreements. This investment will improve the availability of high-quality long-term care services, support workforce stability and improve workplace conditions, and provide supports for better access to home and palliative care services, allowing individuals to age at home as long as possible.
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First Nations and Inuit home and long-term care
Indigenous Services Canada funds healthcare service providers and territorial governments to support the planning and delivery of integrated and culturally responsive home and long-term care programs in First Nations communities and Inuit Nunangat. These programs are designed by communities to support their priorities and meet the unique health and social needs of older adults and other individuals, helping them receive care in the setting of their choice — most often in their own homes, close to family and kin. The goal is to enable individuals to live independently and with dignity for as long as possible, within the cultural and social environments that matter most to them.
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Cross-cutting initiatives
Some initiatives contribute to all four action areas identified by the UN Decade.
New Brunswick Healthy Seniors Pilot Project (HSPP)
The Public Health Agency of Canada invested $75 million in the HSPP between 2018-2025, which was an initiative to explore how various sectors can support older adults as they age. HSPP aimed to:
- foster healthy aging
- increase independence and quality of life for older adults
- enable older adults to live safely and securely in their homes and
- disseminate best practices to support healthy aging
A total of 66 pilot projects were implemented and completed.
Learn more:
New Horizons for Seniors Program (NHSP)
The NHSP is a federal grants and contributions program administered by Employment and Social Development Canada, whose goal is to enhance seniors' social inclusion and ensure they can benefit from, and contribute to, the quality of life in their communities.
The objectives of the NHSP are to:
- promote volunteerism among seniors and other generations
- engage seniors in the community through the mentoring of others
- expand awareness of elder abuse, including financial abuse
- support the social participation and inclusion of seniors
- provide capital assistance for new and existing community projects and programs for seniors
Since 2004, the NHSP has funded over 43,000 projects in hundreds of communities across Canada, with the Government of Canada investing more than $970 million. Program funding supports community-based projects and pan-Canadian projects.
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Canadian Longitudinal Study on Aging (CLSA)
In 2009, the Canadian Institute of Health Research established CLSA, a large, national, longitudinal research platform involving more than 250 researchers, trainees, and collaborators across 26 institutions. The CLSA is following over 50,000 Canadians between the ages of 45-85 for at least 20 years. This research platform generates high-quality data and evidence to understand the determinants of healthy aging and guide decision makers.
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Brain Health and Cognitive Impairment in Aging (BHCIA) Research Initiative
The BHCIA Research Initiative, led by the Canadian Institute of Health Research Institute of Aging, supports research to promote brain health during aging while addressing the complex care needs of people living with dementia and their caregivers. One of its main goals is to improve care, programs and services for people living with dementia, including to promote social engagement, dementia-inclusive environments and improve access to care.
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Measuring progress and indicators
- In 2020, the WHO released a "Decade of Healthy Ageing Baseline Report".
- In spring 2023, PHAC coordinated the Government of Canada's responses to the UN Decade of Healthy Ageing Process Evaluation Survey that informed the Progress report on the United Nations Decade of Healthy Ageing, 2021-2023.
- In 2025, the WHO released "Measuring the progress and impact of the UN decade of healthy ageing (2021-2030)" which presents a monitoring framework and a core set of indicators to track the progress and impact of the UN Decade.
- In 2026 and 2029, Canada will use the core indicators to report on progress for the Decade of Healthy Ageing.
Learn more:
- Decade of Healthy Ageing: Plan of Action
- Decade of Healthy Ageing: Baseline Report
- Progress report on the United Nations Decade of Healthy Ageing, 2021-2023
Public opinion research
In 2023, the Public Health Agency of Canada (PHAC) led a public opinion research (POR) project to explore the perspectives of older Canadians (aged 50 and older) on healthy aging, and enablers and barriers that affect their quality of life in older age.
The findings reflect the perspectives of the POR participants and do not necessarily apply to all older Canadians.
The final report, including disaggregated data, is now available on Library and Archives Canada.
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Key findings
- Almost four in five (78%) participants rate their overall quality of life as 'good' or 'excellent' and this is consistent by gender and, across age groups.
- Out of a choice of 10 different elements, participants strongly associated 'healthy aging' with:
- mental and physical wellbeing (79%)
- cognitive/brain health (79%)
- being able to age at home (78%)
- Participants identified their top three key concerns about aging as:
- declining health (oneself or partner) (58%)
- finances (30%)
- losing independence (14%)
- Out of a choice of seven different factors, participants chose one-two factors they most contributed to healthy aging. The top six enablers were identified as:
- access to health care system and services (51%)
- being close to family (44%)
- social networks and friends (25%)
- being able to get outdoors (22%)
- accessible housing, buildings and transit (20%)
- physical and cognitive supports (16%)
Contact us
If you have any questions, suggestions or ideas about the UN Decade of Healthy Ageing (2021-2030), we would like to hear from you!
Email us at agingandseniors-uniteduvieillissementetdesaines@phac-aspc.gc.ca.