We should bear in mind that the future health of the elderly will be influenced by a
range of factors, so it cannot be assumed that healthy life expectancy will remain at current
levels. Yong and Saito (2009) concluded that improvements in medical technologies could
contribute to longer Japanese healthy life expectancy in the future. Since the Alma Alta
Declaration in 1978, Bangladesh has made important gains in providing primary health
care. All health indicators show steady gain, and the health status of the population has
improved (WHO, 2010). As a result, Bangladeshi healthy life expectancy could be
increased. At the same time, positive correlations between AAI and HLE suggest that the
elderly could enjoy more HLE involving them in all dimensions of AAI. Thus the active
aging concept should be properly introduced to the elderly as well as to all people to change
their life style to enjoy more disability free years in later life. Finally, more research on this emerging issue should be done with close monitoring and this information needs to be
scientifically utilized in developing suitable programs to address the needs of poor elderly
residents of the Rajshahi district as well as for all the elderly people of Bangladesh and
developing countries.