POPULATION AGING IN THE ERA OF DECLINING FERTILITY: EXISTENTIAL CHALLENGES AND SUSTAINABLE DEVELOPMENT PATHWAYS FOR VIETNAM

Nguyễn Thiện Nhân
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Published
2025-06-15
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1.
Thiện Nhân N. POPULATION AGING IN THE ERA OF DECLINING FERTILITY: EXISTENTIAL CHALLENGES AND SUSTAINABLE DEVELOPMENT PATHWAYS FOR VIETNAM. JHA [Internet]. Vietnam; 2025 Jun. 15 [cited 2025 Jun. 23];1(2):1–16. https://tcsuckhoelaohoa.vn/bvtn/article/view/33 doi: 10.63947/bvtn.v1i2.1
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Abstract

Population aging is an inevitable global trend, driven by increased life expectancy and a prolonged decline in the total fertility rate (TFR) below replacement level. This article analyzes the current situation and underlying causes of persistently low fertility in high-income countries and in Vietnam. It points out that once the TFR drops below 2.1 for several decades, almost no country has succeeded in restoring replacement-level fertility, despite implementing numerous supportive policies at great cost. Through the analysis of demographic, economic, and social data from over 40 countries, combined with typical surveys conducted in Ho Chi Minh City and Japan, the author identifies five root causes of fertility decline. Based on these insights, a comprehensive system of solutions is proposed to shift from unsustainable to sustainable aging. Key measures include: ensuring a living wage for a family of four; reforming the social insurance system; expanding public housing and preschool education; promoting gender equality; preserving Vietnamese cultural traditions that value family life; educating citizens on knowledge and skills for building happy families; raising awareness of civic responsibility; and creating a social environment that is friendly to women and children.The article emphasizes that without decisive policy changes during the 2025–2050 period, Vietnam’s population could shrink from a peak of 107 million in 2050 to just 88 million by 2100, with further severe decline thereafter. Conversely, if strategic solutions are comprehensively implemented, Vietnam can fully achieve the goal: happy elderly, a prosperous nation, and a thriving people.

Keywords

population aging total fertility rate sustainable development living wage Vietnam demography population policy

References

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  2. The Institute For Health Metrics and Evaluation (IHME) of University of Washington, Seattle, USA. The Lancet, 14.7.2020.
  3. The Lancet. 2024. Global fertility in 204 countries and territories, 1950 - 2021, with forecasts to 2100: a comprehensive demographic analysis for the Global Burden of Disease Study 2021. IHME, The Lancet 2024; 403:2057 - 99; published Online, March 20, 2024.
  4. Nguyễn Thiện Nhân. Nguy cơ biến mất của Nhật Bản sau khi trở thành nước có thu nhập rất cao: Nguyên nhân và hậu quả kinh tế, văn hóa, xã hội. Tạp chí nghiên cứu Gia đình và Giới, quyển số 33, số 4, 2023, tr. 3-25.
  5. Nguyễn Thiện Nhân. Phương pháp dự báo thô dân số dài hạn, 100 năm đến 1000 năm, dự báo dân số Việt Nam 2100 - 3000 và kiến nghị các chính sách. Tạp chí nghiên cứu Gia đình và Giới, quyển số 34, số 1, 2024, tr. 3-26.

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© 2025 Journal of Health and Aging - Thong Nhat Hospital