Kuala lumpur: Findings from the National Health and Morbidity Survey (NHMS) 2025 indicate that only 14.7 per cent of senior citizens in Malaysia meet key criteria for healthy ageing, highlighting significant gaps in the country's preparedness for an ageing population.
According to BERNAMA News Agency, Health Minister Datuk Seri Dr Dzulkefly Ahmad stated that the survey, which included 7,528 respondents aged 60 and above, is the second national study focusing on elderly health, following an initial study in 2018. The criteria for healthy ageing include strong social support, absence of cognitive limitations and depression, independence in daily activities, and either no chronic diseases or well-controlled conditions.
Dr Dzulkefly emphasized the necessity to strengthen public health efforts and social support systems, stating, "These findings underline the urgent need to ensure our elderly can age healthily and with dignity." As Malaysia is expected to become an ageing nation by 2036, the pace of ageing is among the fastest globally, requiring urgent adaptation similar to countries like Japan and Sweden, he noted.
The survey highlighted challenges such as mobility limitations, social isolation, and financial burdens on seniors and their caregivers. Currently, Malaysia's elderly population stands at 4.1 million, with 18.8 per cent living alone, a significant increase from 6.3 per cent in 2018. Transportation constraints are a major obstacle to healthcare access, affecting seniors' quality of life and safety.
Despite challenges, 61.3 per cent of seniors living alone reported strong social support. Financial pressures remain, with one in three caregivers experiencing physical, emotional, and financial stress. Furthermore, only 40 per cent of Malaysians have adequate savings in the Employees Provident Fund for old age, forcing families to prioritise basic needs over healthcare.
Mental health concerns include a slight increase in dementia rates to 9.8 per cent, while depression rates have decreased to eight per cent from 11.2 per cent. Physical health indicators showed some improvement, with limitations in Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) decreasing. However, lifestyle concerns persist, with a significant portion of seniors physically inactive and at risk of frailty.
Dr Dzulkefly concluded that the real challenge is addressing gaps in the long-term care system. He outlined four strategic shifts, including a focus on prevention, strengthening community-based care, and reforming long-term care financing. Proposals include introducing long-term care insurance and developing senior activity centres as integrated community hubs.
Additionally, Dr Dzulkefly highlighted the potential of developing a 'silver economy' to recognize seniors as valuable contributors to the workforce, not just as dependents.
