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The impact of demographic change on local and regional government

The impact of demographic change on local and regional government

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1 Introducti<strong>on</strong> >2 Demographic Changes in Europe > 3 Demographic Change in Four Policy fields > 4 Summary <strong>and</strong> C<strong>on</strong>clusi<strong>on</strong>> 5 Further Inquiry <strong>and</strong> Research Questi<strong>on</strong>s > 6 <str<strong>on</strong>g>The</str<strong>on</strong>g> Council <str<strong>on</strong>g>of</str<strong>on</strong>g> European Municipalities <strong>and</strong> Regi<strong>on</strong>s in a nutshellschool day envisaged in the project are expected to improvethe general atmosphere at school <strong>and</strong> the pupils' well-being.Six schools – in Jyväskylä, Kuopio, Sievi <strong>and</strong> Sipoo – areinvolved in the project. In these schools, the pupils' workingday is made more relaxed by inserting supervised hobby <strong>and</strong>outdoor activities between less<strong>on</strong>s <strong>and</strong> after school hasfinished. <str<strong>on</strong>g>The</str<strong>on</strong>g> pupils also enjoy a l<strong>on</strong>ger lunch break. In this waythe time the pupils spend al<strong>on</strong>e at home is reduced <strong>and</strong> theyalso have the opportunity to take part in different hobbies <strong>and</strong>sports regardless <str<strong>on</strong>g>of</str<strong>on</strong>g> their parents' income. <str<strong>on</strong>g>The</str<strong>on</strong>g> all-day schoolproject is being carried out as a part <str<strong>on</strong>g>of</str<strong>on</strong>g> the larger MUKAVAproject, which includes various sub-projects designed tosupport young people's growing up <strong>and</strong> their development inthe school world. <str<strong>on</strong>g>The</str<strong>on</strong>g> MUKAVA project is being financed byleading Finnish companies.<str<strong>on</strong>g>The</str<strong>on</strong>g> Heilbr<strong>on</strong>n-Franken regi<strong>on</strong> (state <str<strong>on</strong>g>of</str<strong>on</strong>g> Baden-Wuerttemberg,Germany) has initiated a pilot project “Child-friendly Regi<strong>on</strong>”together with different partners. <str<strong>on</strong>g>The</str<strong>on</strong>g> regi<strong>on</strong> has developedmeasures to improve <strong>local</strong> <strong>and</strong> regi<strong>on</strong>al c<strong>on</strong>diti<strong>on</strong>s for familiesthat create a “pro-family climate” <strong>and</strong> facilitate the compatibility<str<strong>on</strong>g>of</str<strong>on</strong>g> family <strong>and</strong> work, with the goal <str<strong>on</strong>g>of</str<strong>on</strong>g> encouraging peopleto have children. Child-friendliness in a community includesa broad range <str<strong>on</strong>g>of</str<strong>on</strong>g> measures c<strong>on</strong>cerning housing <strong>and</strong>neighbourhoods, transport, leisure activities, educati<strong>on</strong>,childcare, meeting points, culture, <strong>and</strong> ec<strong>on</strong>omic c<strong>on</strong>diti<strong>on</strong>s.Activities include a model kindergarten in cooperati<strong>on</strong> withthe Academy for Informati<strong>on</strong> <strong>and</strong> Management (AIM).<str<strong>on</strong>g>The</str<strong>on</strong>g> focus is <strong>on</strong> educati<strong>on</strong> for very young children <strong>and</strong>adequate training for kindergarten teachers. Another project ischild-friendly planning for a residential area, a third a“part-time educati<strong>on</strong>” project that <str<strong>on</strong>g>of</str<strong>on</strong>g>fers women with childrena better opportunity to re-enter the labour market. <str<strong>on</strong>g>The</str<strong>on</strong>g> projectis financed by regi<strong>on</strong>al partners, the Federal Ministry<str<strong>on</strong>g>of</str<strong>on</strong>g> Transport <strong>and</strong> Spatial Planning <strong>and</strong> the Federal Ministry <str<strong>on</strong>g>of</str<strong>on</strong>g>Families, Seniors, Women <strong>and</strong> Youth.<str<strong>on</strong>g>The</str<strong>on</strong>g> aim <str<strong>on</strong>g>of</str<strong>on</strong>g> the project “A City for All – Barrier-FreeEnvir<strong>on</strong>ment” in Marjala, a neighbourhood <str<strong>on</strong>g>of</str<strong>on</strong>g> Joensuu(pop. 58,000, Finl<strong>and</strong>), is to design all dwellings to meet theneeds <str<strong>on</strong>g>of</str<strong>on</strong>g> the wheelchair-bound or otherwise disabled. All basicdimensi<strong>on</strong>s, such as the width <str<strong>on</strong>g>of</str<strong>on</strong>g> the doors, corridors <strong>and</strong> lifts,allow for wheelchair access, <strong>and</strong> any <str<strong>on</strong>g>of</str<strong>on</strong>g> the homes can beeasily adapted to the individual needs <str<strong>on</strong>g>of</str<strong>on</strong>g> a disabled resident.Furthermore, the provisi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> different services in the areais based <strong>on</strong> innovative partnerships <strong>and</strong> use <str<strong>on</strong>g>of</str<strong>on</strong>g> moderntechnology put at the service <str<strong>on</strong>g>of</str<strong>on</strong>g> residents. A computerizedMultiservice channel – PALVELUELLI – was developed to linkall service providers. <str<strong>on</strong>g>The</str<strong>on</strong>g> Multiservice channel can be accessedfrom either home computers or the Multiservice Centre.Through the Multiservice channel, residents can seek expertadvice (c<strong>on</strong>tact the family doctor), communicate with otherresidents, or discuss municipal affairs with political decisi<strong>on</strong>makers. An increasing number <str<strong>on</strong>g>of</str<strong>on</strong>g> the disabled will c<strong>on</strong>tinueliving at home. <str<strong>on</strong>g>The</str<strong>on</strong>g>refore when the layout, infrastructure <strong>and</strong>buildings in Marjala were designed, much attenti<strong>on</strong> was paidto the needs <str<strong>on</strong>g>of</str<strong>on</strong>g> people returning to the "normal" livingenvir<strong>on</strong>ment after l<strong>on</strong>g spells in care instituti<strong>on</strong>s <strong>and</strong> to theways in which their return to the "ordinary" community couldbe facilitated (41) .<str<strong>on</strong>g>The</str<strong>on</strong>g> “Self-determined housing for elderly people” project inthe German city <str<strong>on</strong>g>of</str<strong>on</strong>g> Brunswick (pop. 245,000) has a similarfocus.Anticipating greater dem<strong>and</strong> for in-patient infrastructure,the municipality supports the initiative <str<strong>on</strong>g>of</str<strong>on</strong>g> the ambet e.V.associati<strong>on</strong> to provide group homes for the elderly as analternative to retirement homes. In general 3 to 5 seniorcitizens live together in a household, all with separate living<strong>and</strong> bedrooms. Each group is supervised by a qualified socialeducati<strong>on</strong> worker <strong>and</strong> is assisted by a home help. Even ifresidents require intensive geriatric care, they may remainin their housing group. Joint quality management bymunicipality <strong>and</strong> associati<strong>on</strong> guarantees st<strong>and</strong>ards. <str<strong>on</strong>g>The</str<strong>on</strong>g>resdents pay for these services, but the costs are lowercompared to retirement homes. Furthermore, nursing careinsurance costs are below costs for “traditi<strong>on</strong>al” in-patientaccommodati<strong>on</strong>.<str<strong>on</strong>g>The</str<strong>on</strong>g> project “TEL LAPPI – Telemedicine in Lapl<strong>and</strong>” (Sodankylä,pop. less than 10,000, rural northern Finl<strong>and</strong>) explicitly servesrural areas with sparse populati<strong>on</strong>. Health care services can beprovided by means <str<strong>on</strong>g>of</str<strong>on</strong>g> modern informati<strong>on</strong> technology.<str<strong>on</strong>g>The</str<strong>on</strong>g> object <str<strong>on</strong>g>of</str<strong>on</strong>g> telemedicine is to transfer informati<strong>on</strong> aboutthe patient instead <str<strong>on</strong>g>of</str<strong>on</strong>g> the patient himself, as well as to <str<strong>on</strong>g>of</str<strong>on</strong>g>ferhealth care centres special health care services by means<str<strong>on</strong>g>of</str<strong>on</strong>g> informati<strong>on</strong> technology. Distance c<strong>on</strong>sultati<strong>on</strong> <strong>and</strong> atraining system based <strong>on</strong> videoc<strong>on</strong>ferencing technology aim topromote <strong>and</strong> develop co-operati<strong>on</strong> between specialised <strong>and</strong>basic health care. Informati<strong>on</strong> technology makes it possible toalleviate problems caused by l<strong>on</strong>g distances.<str<strong>on</strong>g>The</str<strong>on</strong>g> German project “Centralised Health Care Centres” in thestate <str<strong>on</strong>g>of</str<strong>on</strong>g> Mecklenburg-Vorpommern (rural area, East Germany)also focuses <strong>on</strong> medical services in sparsely populated areas.(41) Management <str<strong>on</strong>g>of</str<strong>on</strong>g> Social Transformati<strong>on</strong> (MOST), Best practices for human settlements (http://www.unesco.org/most/westeur2.htm). See also chapter 3.2 Spatial Planning.1011

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