DESK REVIEWS | What are the key goals/ aims of the dementia policy/plan?

DESK REVIEW | What are the key goals/ aims of the dementia policy/plan?

Key goals of “The National Policy for Integrated Care for People Living with Alzheimer’s Disease and other Dementias” are: to offer support for people living with dementia to live as independently as possible, to offer a healthcare system that support the family carers to cope with dementia challenges, to support health professionals training in dementia, to prioritize scientific research on dementia.

The Indonesian dementia national plan aims to manage Alzheimer’s disease and other dementias, and to enable healthy and productive ageing. The plan has three main objectives:

  1. Mainstreaming efforts to achieve healthy brains for productive ageing through a life-cycle approach at every level of national development,
  2. Improvement of service quality towards cognitive impairment and dementia,
  3. Strengthening of managerial aspects to optimize efforts towards healthy brains.

The strategy uses a life-cycle approach, with emphasis on quality-of-service improvement and strengthening managerial capacity (Ministry of Health Republic of Indonesia, 2015b).

There are seven action steps in this national dementia strategy:

  1. ‘Campaign on Public Awareness and Promotion of Healthy Lifestyles,
  2. Advocacy of human rights for people with dementia and their caregivers,
  3. Ensuring access and information of quality services,
  4. Implementation of early detection, diagnosis, and holistic management of cognitive disorders and dementia,
  5. Establishment of System to Reinforce professional and sustainable human resources,
  6. Establishment of System to Reinforce Cognitive Health Programs as main factor to increase literacy of nation based on life course approach,
  7. Implementation and Application of Research on cognition and dementia’ (Ministry of Health Republic of Indonesia, 2015a, pp.5-6).

Ministry of Health Republic of Indonesia. (2015a). Ministry of Health Regulation No. 67/2015 on Geriatric Services in Public Health Center (Permenkes No. 67/2015 Tentang Penyelenggaraan Pelayanan Kesehatan Lanjut Usia Di Pusat Kesehatan Masyarakat). Kementrian Kesehatan Indonesia, 1–140.

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.

The central objective of the Alzheimer’s Action Plan and other dementias is to promote the well-being of people with Alzheimer’s disease and related diseases and their families by strengthening the response of the Mexican Health System, in synergy with all responsible institutions. The main strategies of the Plan are (Gutiérrez-Robledo & Arrieta-Cruz, 2014):

  • To prevent and promote mental health through public policy that considers mental health from a life-course perspective, that is, it considers preventing risk factors known as diabetes and hypertension while promoting active and healthy aging.
  • To improve access to health services at all levels of care with a multidisciplinary approach, encompassing not only the hospital setting but also the community setting; through a long-term care perspective, including the establishment and maintenance of day centres for the care of older adults with dementia in their early stages.
  • To identify and diagnose older adults with dementia in a timely manner through a comprehensive, multidisciplinary evaluation that reduces the impact of disability and dependency by training health professionals who are at the first level of care and the appropriate use of current screening instruments.
  • To increase the number of personnel trained to treat people with dementia through permanent and constantly updated training programmes, from an inclusive perspective, considering that the care of the elderly person with dementia implies a multidisciplinary team.
  • To raise society’s awareness of the importance of dementia as a public health problem in order to prevent abuse and discrimination of older adults with dementia and to recognise the importance of formal and informal carers.
  • To increase research, from all areas of knowledge involved in the phenomenon, emphasising applied research studies, favouring the link between different institutions and scientific groups.
  • To continuously evaluate the impact of each of the proposed actions through the development of indicators.
  • To provide long-term care in the later stages of the disease.

Gutiérrez-Robledo, L., & Arrieta-Cruz, I. (2014). Plan de Acción Alzheimer y otras demencias, México 2014.

Not applicable, South Africa does not have a dementia-specific national plan.