In the absence of long-term care insurance and social security benefits, Malaysians mostly rely on informal care and some formal care for health care needs of the elderly. In Japan, Hanaoka and Norton (2008) showed that families living in 3-generation households have decreased from 46% in 1985 to 20.5% in 2006. Moreover, with urbanisation, it has increased the migration of young workforce to cities, leaving ageing parents behind to live by themselves. They suggest providing an age-friendly environment to encourage the active elderly to participate and continue contributing to society as well as enhancing their quality of life.