The article considers studies of health of elderly population as major element of global stability in conditions of impetuous demographic aging covering countries of the Global North and developing countries. It is noted that by 2050, the share of the elderly will exceed 20% of world population that requires reconsideration both national and international strategies in health care, social care, economics and political sustainability. The health of the elderly is considered both in medical terms and in broad social political context as resource maintaining fiscal resilience, decreasing epidemiological risks, strengthening solidarity of generations and forming inclusive societies. The article analyzes leading international initiatives, including the WHO program “The Decade of Healthy Aging”, the UNDP and the UNFPA projects, regional strategies of the EU, ASEAN and other organizations. The key structural barriers are identified preventing implementation of such programs i.e. global inequality in access to medical services, poor inter-sectoral coordination, institutional gaps and insufficient digital inclusion of the elderly. The necessity of institutional development towards global age governance, including establishment of specialized UN body, development of international legal statements on the rights of the elderly and formation of global monitoring system. it is emphasizes that health of the elderly is to be considered as central axis of political and humanitarian agenda of the XXI century, shaping trajectory of sustainable development of global society.

age governance, the elderly, health, global stability, demographic aging, international initiatives, active longevity, age governance, inclusion.