DESK REVIEWS | 04.07.02. Which of the following sectors are included in the coordinated planning and resourcing of care for people with dementia across the continuum of care?
DESK REVIEW | 04.07.02. Which of the following sectors are included in the coordinated planning and resourcing of care for people with dementia across the continuum of care?
There is no coordinated planning nor resourcing of care specifically for people living with dementia in Brazil. What we have that may be closer to a coordinated care is the “Matriciamento em Saúde Mental” (cited above), that could include health and educational sectors from below.
Care for people with dementia is provided in both, the public and private sector. The public sector is overseen by the Ministry of Health. However, there is no coordinated care across the two sectors as people who access public health care (often free or subsidized) may not be able to afford private health care. Those accessing private health care in turn may consider public health care as sub-standard or as a service that does not pay particular attention on patient needs.
The Ministry of Health is involved in coordinating care for all health issues. Its mission is “to build a progressive, responsive, and sustainable health care system for accelerated attainment of the highest standard of health to all Kenyans” (Ministry of Health, 2019). Dementia care activities are included within the health sector.
Ministry of Health. (2019). About the Ministry. https://www.health.go.ke/about-us/about-the-ministry/
The Ministry of Labour and Social Protection is involved in coordinating social protection schemes for vulnerable populations e.g., persons with severe disabilities and older persons aged 65 years and above (Ministry of Labour and Social Protection, 2019b). These schemes are not specifically for persons with dementia but cover this population e.g., older persons who are an increased risk of having dementia and persons with a disability like dementia.
Ministry of Labour and Social Protection. (2019b). Social Assistance Unit. https://www.socialprotection.go.ke
The Kenyan private sector is one of the most developed sectors in Sub-Saharan Africa. 47% of the poorest quintile of Kenyans use a private health facility (Marek et al., 2005). The private sector Partnerships – One project (PSP-One) conducted an assessment of the private sectors in Kenya and revealed a potential for this sector in providing quality care to Kenyans (Barnes et al., 2010). For example: One third of couples obtain their family planning methods from the private commercial sector and another 10 percent go to facilities run by non-governmental organizations (NGOs) and faith based organizations(FBOs) (Barnes et al., 2010). The public private partnerships and funding in this area shows the involvement of the private sector in planning for health care including policy development. Although not specific on dementia, there are already strides towards achieving government-private partnership in health which covers dementia.
Barnes, J., O’Hanlon, B., Feeley, F., McKeon, K., Gitonga, N., & Decker, C. (2010). Private Health Sector Assessment in Kenya. 193(1). Washington, D.C. https://openknowledge.worldbank.org/bitstream/handle/10986/5932/552020PUB0Heal10Box349442B01PUBLIC1.pdf?sequence=1&isAllowed=y
Marek, B. T., Farrell, C. O., Yamamoto, C., & Zable, I. (2005). Trends and Opportunities in Public-private Partnerships to Improve Health Service Delivery in Africa. Human Development Sector Africa Region, The World Bank. https://documents1.worldbank.org/curated/en/480361468008714070/pdf/336460AFR0HDwp931health1service.pdf