Supporting families, not replacing them
While professional services will become increasingly important, Associate Professor Earl emphasises that family-based care should remain at the heart of Vietnam's care system.
“Family-based care is the norm for elder care in Vietnam and other countries in Asia. It should not be regarded as a problem. Most older adults prefer in-home care than institutional care homes.”
Rather than replacing family carers, policy should focus on supporting them through better training, community services and more equitable sharing of caring responsibilities.
According to her, care work should be distributed across genders and generations so that women are not responsible for most of the care work.
“This would require social acceptance of two faces of care work. First, society needs to accept new care roles of men. Second, society needs to understand and encourage a change in normative expectations about women's labour force participation to free them from the double burden of paid and unpaid work.”
Various countries have tried new models for the care economy. In 2024, the World Economic Forum highlighted projects like Care Blocks in Bogotá, Colombia’s capital city, which provide day care programs for older adults and job seeking support for care workers; the Netherlands' Buurtzog care model in which qualified nurses self-manage their caseloads at neighbourhood level; and Paraguay’s digital care management platform that extends the reach of services to remote locations and places that have workforce shortages.
Many of the care economy programs target supporting women who disproportionately provide care services and often aim to overcome barriers to increase women’s labour force participation.
AgeTech offers the next frontier
Beyond workforce development, Associate Professor Earl believes the silver economy presents significant opportunities for technology innovation.
“Besides the care economy, the emergence of a new economy centred on the digital transformation of ageing offers opportunities for young tech savvy people and entrepreneurs to contribute to the silver economy development and to supporting the ageing population to age well.”
She sees strong potential for e-health platforms, digital communication tools and other AgeTech innovations innovations to improve quality of life for older adults, particularly as Vietnam's population continues to age.
However, she cautions that technology alone is not enough. Successful adoption will depend on reliable internet access, technical support and training that helps older people confidently use digital tools independently. At the same time, ethical safeguards must ensure technology enhances rather than undermines older people's autonomy and privacy.
Looking ahead, Associate Professor Earl believes Vietnam has an opportunity to redefine how society values care.
“Shifting the dial on elder care from being regarded as unpaid work or a service to an economic pillar and responsibility of the whole society would normalise and demystify elder care.”
She suggests employers could also play a larger role by incorporating elder-care training and volunteering into corporate social responsibility initiatives, recognising that caring responsibilities increasingly affect workers across every sector of the economy.
Story: June Pham