Yes. Dementia is included in the portfolio of the Brazilian Ministry of Health, as part of healthcare policies for older people. Some examples are the National Healthcare Policy for Older People, the Alzheimer’s disease Clinical Therapeutic Protocol, and the Older People’s Statute (Brazilian Ministry of Health, 2006a, 2017c; Presidency of Republic of Brazil, 2003).

References:

Brazilian Ministry of Health. (2006a). Política Nacional de Saúde da Pessoa Idosa. http://bvsms.saude.gov.br/bvs/saudelegis/gm/2006/prt2528_19_10_2006.html

Brazilian Ministry of Health. (2017c). PCDT Alzheimer. Brazilian Ministry of Health.

Presidency of Republic of Brazil. (2003). Estatuto do Idoso. Presidency of Republic of Brazil; National Congress of Brazil’s Information System. http://www.planalto.gov.br/ccivil_03/leis/2003/l10.741.htm

Dementia is formally recognised within the portfolio of health care and long-term care under the Government, as for being responsible for providing healthcare services, community-based, and residential care to older people with dementia.

The Ministry of Social Justice and Empowerment (MSJE) is the Nodal Ministry for welfare of senior citizens in India (Ministry of Social Justice and Empowerment (MSJE), 2022b, pp.14). Both the Ministry of Health and Family Welfare (MoHFW) and the MSJE have a number of programmes that are relevant to and applicable to persons with dementia. Few programmes are summarised in Table 4.1.

Table 4.1. Overview of national programmes

Source: MoHFW (2011; 2017a; 2017b; 2019; 2022); (MSJE, 2022a)

References:

Ministry Of Health and Family Welfare. (2011). OPERATIONAL GUIDELINES National Programme For Health Care Of The Elderly (NPHCE). Available from: https://main.mohfw.gov.in/organisation/Departments-of-Health-and-Family-Welfare/national-programme-health-care-elderly-nphce

Ministry of Health and Family Welfare. (2017a). Directorate General of Health Services: National Mental Health Programme.

Ministry of Health and Family Welfare. (2017b). National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular diseases, and Stroke (NPCDCS).

Ministry of Health and Family Welfare. (2019). National Programme for Palliative care (NPPC): National Health Mission.

Ministry of Health and Family Welfare. (2022). Ayushman Bharat-Health and Wellness Centres. Ministry of Health and Family Welfare, Government of India.

Ministry of Social Justice and Empowerment (2022a). Atal Vayo Abhyuday Yojana. Available from: https://grants-msje.gov.in/display-avyay

Ministry of Social Justice and Empowerment (2022b). Scheme for Welfare of Senior Citizens. Press Information Bureau. Available from: https://pib.gov.in/PressReleaseIframePage.aspx?PRID=1806506

The Ministry of Health through its Mental Health Directorate and Family Health Directorate work on dementia. The Ministry of Health also launched the National Dementia Plan, which identified other ministries as stakeholders for the action steps, which include the Coordinating Ministry for Human Development and Cultural Affairs, Min. Domestic Affairs, Min. Family Planning, Min. Social Affairs, Min. Education, Min. Finance, and Social Insurance Administration Organisation (Ministry of Health Republic of Indonesia, 2015b). The Ministry of Social Affairs also has a social rehabilitation program for older people, named PROGRES LANSIA, which includes installation/rehabilitation centre for dementia/Alzheimer (Ministry of Social Affairs Republic of Indonesia, n.d.).

References:

Ministry of Health Republic of Indonesia. (2015b). National Strategy: Management of Alzheimer and Other Dementia Diseases: Towards Healthy and Productive Older Persons. Ministry of Health Republic of Indonesia.

Ministry of Social Affairs Repulbic of Indonesia. (n.d.) Program Rehabilitasi Sosial Untuk Lanjut Usia (Progres Lansia). Central Jakarta: Ministry of Social Affairs Republic of Indonesia. Available at: https://intelresos.kemensos.go.id/v4/user/registration/progres/point/2

Though dementia falls under portfolio of the Mental Health Unit at the Ministry of Health and Wellness, there is no department or unit which is explicitly responsible for dementia.

Yes – see part 4.01.02.

In Mexico, ageing has been recently considered a relevant issue, and therefore it has been positioning within the public agenda in the past two decades. However, there is still no Ministry that oversees clinical or social aspects of dementia. As a consequence, to date, there are no national policies or programmes for dementia, and there are no strategies that aim at diagnosing, monitoring, or providing treatment and behavioural management options for people with dementia and/or their carers.

Yes – health.

Dementia is indicated under the Department of Social Development’s Older Persons Act (no.13 of 2006), as for being responsible for developing community-based programmes aimed at prevention and promotion, as well as home-based care with regards to information, education, counselling services and care for Alzheimer’s disease and dementia (amongst others) (see section 11 (2)(c) of the Older Person’s Act, p.13) (Government Gazette, 2006). This Act also refers to dementia and Alzheimer’s disease as conditions for which services at residential facilities should be provided for, specified as care and supervision services as well as public education on ageing and dementia (see section 17 (b) and (d), p.17).

Dementia also falls under the portfolio of the Department of Health as well as the Department of Housing (Human settlements) which is the custodian of the Housing Development Schemes for Retired Persons Act, 64 of 1988 (HDSRP) (SAHRC, 2015).

References:

Government Gazette. (2006). Older Persons Act, No.13 of 2006 (Vol. 13, Issue 1098). Available from: https://www.westerncape.gov.za/other/2012/3/older_persons_act.pdf

SAHRC. (2015). Investigative Hearing Report: Investigating hearing into systemic complaints relating to the treatment of Older Persons. Available from: http://www.sahrc.org.za/construction-site/home/21/files/SAHRC Investigative hearing report.pdf