Ageing is defined as" Progressive loss of adaptability with the passage of time so that individuals are less and less able to react adequately to the challenge from both external and internal environment". While ageing is an inevitable and irreversible biological process, and reflects the success in the history of public health policies and social economic development. There is a challenge in its implications towards health policy. In this paper I attempt to review the current situation of old people in Tanzania with our national health policy of 1990/2002 on aspects of ageing through a discussion to delineate issues related to demographic transformation, disease in a geriatric perspective, changes in traditional values, community perception of old people and their implications towards achieving healthy ageing.