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Peru’s Rapid Aging Exposes Strains in Health Care and Pensions

New data highlight seniors working longer under fragile safety nets.

Overview

  • The share of Peruvians aged 65 and older nearly doubled in four decades, rising from 6.8% to 12.1%, with the support ratio falling from 9.5 to 5.5 workers per older adult and the demographic bonus expected to end by 2045.
  • Health services remain oriented to acute care despite a surge in chronic conditions linked to aging, and 11.9% of older adults reported a depressive episode in the past year.
  • Family-based support is weakening as co-residence with adult children declines (14.2% to 11.7%) and the share of seniors living alone grows (9.7% to 15.1%).
  • Due to widespread informality, 64.9% of workers do not contribute to any pension system and 73.6% of older adults receive no pension, leading 52.8% of seniors to keep working, often with 44% lower labor income and 81.4% in informal jobs.
  • Pensión 65 pays S/250 every two months plus a S/100 bimonthly bonus since August, expanded users by 31% in 2024 to 831,851 before easing to 824,351 in October 2025, reaches 65.1% of the extreme poor, and faces targeting flaws that exclude many urban seniors.