11.02. Policy gaps | Brazil

11.02. Policy gaps | Brazil

08 Apr 2022

  • Although dementia is included in the portfolio of the Ministry of Health and people living with dementia are included in policies for older people, there is no established policy/plan specific for dementia. However, a national dementia plan has been discussed and approved by the Senate.
  • There is no dementia-specific representative in the government.
  • There is a lack of clear information on whether and how families/carers of people living with dementia are involved in the development of any policy/plans/document related to dementia.
  • There is lack of information on targets, indicators, timelines, and assessments regarding policies and plans.
  • There needs to exist more dementia-specific documents operationalized at subnational levels.
  • There is no description relating to the key actors and stakeholders of the healthcare policy documents.
  • In general, there is no explicit addressing of sustainability (i.e., financing, political & social commitment) in the policies that include older people.
  • There is lack of policies and plans that include actions for dementia research and innovation.
  • There is no legislation aiming to end discrimination against people living with dementia and their family carers.
  • There is no policy or care pathway specifically developed for people living with dementia.
  • There is a lack of support for family/unpaid care such as social protection, payments (cash transfer), and respite services for carers as well as lack of employment policies for family/unpaid carers.
  • Regarding people living with dementia, there is a lack of these social protection mechanisms: employment protection, credit social contributors, tax allowances, free companions’ fares.