The Asian Development Bank is at the forefront of providing countries across Asia and the Pacific with the technical assistance needed to develop long-term care systems and services for older people. This report shares insights from six diverse countries at different stages of demographic change: Indonesia, Mongolia, Sri Lanka, Thailand, Tonga, and Viet Nam. It explores the situation of long-term care development in these countries, identifies common challenges and promising practices, and recommends key priorities for future action in system strengthening and service delivery.