New White Paper highlights urgent need to improve continence care in nursing homes
30 October 2025
Urinary incontinence (UI) is a pervasive yet under-addressed health issue in Europe, disproportionately affecting older women in nursing homes, with prevalence rates reaching up to 67%. Beyond undermining dignity, independence, and quality of life, UI places a €70 billion annual burden on European health systems, a figure expected to rise by 25% by 2030 due to an ageing population. Its economic impact is comparable to that of diabetes and cancer.
A new White Paper, published by the ALLIAX Alliance (the EU Alliance for managing severe chronic urinary incontinence in older women in nursing homes), calls for urgent action to transform how UI is managed in long-term care. Current practices rely heavily on absorbent hygiene products (AHPs), which not only strain nursing staff but also generate significant healthcare waste. Adult AHPs represent 4.8% of municipal waste by weight, almost double that of infant diapers, with major consequences for climate and environmental sustainability.
Poorly managed UI also drives severe complications such as urinary tract infections, catheter-associated infections, incontinence-associated dermatitis, and pressure ulcers. It is linked to isolation, depression, and declining quality of life for residents, while the time-intensive care required further burdens already overstretched nursing home staff.
The White Paper highlights the potential of patient-centred, preventative, and sustainable solutions, including the URinControl App which provides personalised continence training, as well as Female Urine Collection Devices, which protect skin health and reduce infection risks.
A call to action for policymakers
The report urges EU and national policymakers to:
- Integrate continence health into ageing, long-term care, and women’s health strategies.
- Invest in training and education for health and care workers.
- Support sustainable innovations that align with the EU’s green transition.
- Establish EU-wide minimum quality indicators for continence care in nursing homes.
- Create a dedicated EU Strategy on Women’s Health with UI as a priority.
This publication represents the first major action of ALLIAX, launched in 2025. The Alliance will continue to advocate for systemic change, culminating in a final event at the European Parliament in November 2025 where these recommendations will be presented to EU policymakers.
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