In 2014, there were 1,451 long-term care facilities registered with the Brazilian Ministry of Citizenship (Camarano & Barbosa, n.d.). Approximately 33% of these institutions are philanthropic, 64% are private, and 6.6% are public or mixed. No information about the number of beds was found. It has been mentioned by the Ministry which regulates care homes in Brazil that there are several care homes who are currently ‘clandestine’ or unregistered nationally (CNMP, 2016). Moreover, the Ministry of Health webpage shows the distribution of officially registered care homes around the country and indicates a higher concentration of these institutions in the South and South-Eastern regions.

References:

Camarano, A. A., & Barbosa, P. (n.d.). Instituições de Longa Permanência para Idosos no Brasil: Do que se está falando? (pp. 479–514). Retrieved July 17, 2019, from http://repositorio.ipea.gov.br/bitstream/11058/9146/1/Institui%C3%A7%C3%B5es%20de%20longa%20perman%C3%AAncia.pdf

CNMP. (2016). Manual de Atuação Funcional—O Ministério Público na Fiscalização das Instituições de Longa Permanência para Idosos—Conselho Nacional do Ministério Público. https://www.cnmp.mp.br/portal/publicacoes/245-cartilhas-e-manuais/9984-manual-de-atuacao-funcional-o-ministerio-publico-na-fiscalizacao-das-instituicoes-de-longa-permanencia-para-idosos

There are 953 residential care homes for the elderly providing 76,343 beds in total (Social Welfare Department, 2020g).

References:

Social Welfare Department. (2020g). Overview of Residential Care Services for the Elderly. Retrieved from https://www.swd.gov.hk/en/index/site_pubsvc/page_elderly/sub_residentia/id_overviewon/

There are few facilities available across the country, which are run by public, private, and NGO sectors. However, the total number is unknown. Please refer to Table 7.5.

Table 7.5 provides an overview of 41 long term care centres for dementia in India (some centres are not listed).

Source (Kishore, 2019a)

References:

Kishore, S. (2019a). Dementia Caregiver Resources across India | Dementia Care Notes. Available from: https://dementiacarenotes.in/resources/india/

No data found on this.

As reported by the Ministry of Health and Wellness (2019), there are currently 14 facilities registered under the Nursing Homes Registration (1934). The nursing homes are required to register every two years. There are other private nursing homes in operation that are not currently registered under this act and, as such, pose a challenge in providing an accurate estimate.

References:

Ministry of Health and Wellness. (2019). Facilities currently registered under the Nursing Homes Registration Act 1934. Available from: https://www.moh.gov.jm/wp-content/uploads/2019/04/2019-gazette-list_final.pdf

Nursing Home Registration. (1934). The Nursing Homes Registration Act. Available from:     https://www.yumpu.com/en/document/read/36302201/nursing-homes-registration-actpdf

There are no public residential long-term care facilities in Kenya and the total number of private long-term care facilities is not documented.

As mentioned in part 3, there is no national registry of LTC facilities and therefore data comes from diverse sources. With respect to non-specialised facilities, a first try at generating a Census of institutions was the 2015 Social Assistance Housing Census, CAAS[1] (INEGI, 2015a), as 4,517 permanent housing institutions were identified. Of these, almost 23% (1,020) are identified as permanent homes or residences for older adults. The average number of residents per facility is 11-20 (37% of the total), followed by 21-40 (23%) and 5-10 (22%). Regarding their legal nature, 75% are private non-profit facilities, 8% are public (government funded), 2.3% are run by religious associations, and 2% are private for-profit. There are no specialised LTC dementia facilities.

[1] The objective of CAAS was to collect information on the conditions and services offered by public, social and private establishments that house vulnerable populations, along with their characteristics and those of the people who work in these centres (INEGI 2015). It focuses on all types of social assistance institutions, such as care homes and residences for the elderly, but also others as rehabilitation (drug & alcohol) centres, homes for orphans, etc.

References:

INEGI. (2015a). Censo de Alojamientos de Asistencia Social. https://www.inegi.org.mx/programas/caas/2015/

There are almost 40,000 beds across 668 facilities throughout the country (NZACA, 2020). Dual service beds are beds certified to provide both rest home and hospital level care, depending on the type of care required by the resident.

References:

NZACA. (2020). Aged Residential Care Industry Profile 2019/20. NZACA.

As described in Part 3, there are an estimated 1150 residential care homes for older persons in South Africa, of which 415 are officially registered with the Department of Social Development (as mandated by the Older Person’s Act) (Mahomedy, 2017). Residential care is largely run by Non-profit organisations (NGOs) and Faith-based organisations (FBOs), and only 8 of these registered facilities are managed directly and fully subsidised by the State (Lloyd-Sherlock, 2019a; Mahomedy, 2017). All registered facilities can apply for subsidies for individual residents and will only qualify for this financial support if the older person is frail and destitute, in need of full-time care, 60 years and older, and is a South African resident (South African Government, 2019). Reductions in the subsidy received from the Department of Social Development has led to facilities failing to provide services to poor, frail persons (who are eligible), while admitting wealthier persons (who pay themselves) (Lloyd-Sherlock, 2019a). No data were found that specify the total number of beds across all long-term residential care facilities in South Africa.

References:

Lloyd-Sherlock, P. (2019a). Long-term Care for Older People in South Africa: The Enduring Legacies of Apartheid and HIV/AIDS. Journal of Social Policy, 48(1), 147–167. https://doi.org/10.1017/S0047279418000326

Mahomedy, Y. (2017). Residential Facilities for Older Persons. Who Owns Whom: African Business Information.

South African Government. (2019). Old age pension. 1–7. Available from: https://www.gov.za/services/social-benefits-retirement-and-old-age/old-age-pension