DESK REVIEWS | 07.04.02. Please specify the total number of residential long-term care facilities and the total number of beds across all long-term residential facilities

DESK REVIEW | 07.04.02. Please specify the total number of residential long-term care facilities and the total number of beds across all long-term residential facilities

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 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).

Serial Number Location Name of the centre/facility Number of beds in the centre/facility Number of centres/facilities
1 Ahmedabad Papaya Care   1
 2 Bangalore Nightingales Centre for Ageing & Alzheimer’s (NCAA) 98 bed 9
    Nightingales Trust Tanya Mathias Elder care Centre 25 bed  
    AdvantAGE Senior Care 12 bed  
    Cadabams Rehab    
    Nikisa Dementia Village  50 bed  
    Katherine Nivas,    
    Nisarga Prabhudalaya    
    Omashram    
    Smile Elderly Care    
3 Chennai and Coimbatore Grandworld Elder Care   2
    Anandam Old Age Home    
4 Delhi/ NCR Chronic Care Dementia Facility (at Faridabad, an ARDSI Delhi franchise)   5
    Vardaan Senior Citizen Centre (Malviyanagar)    
    Guru VishramVriddh Ashram (Gautampuri) 10 special care units

 

 
    Vermeer House (Epoch Elder Care) 12 (single or double and twin sharing and a suite room)  
    Frida House (by Epoch Elder Care) 13 rooms (single or double and twin sharing and a suite room)  
5 Ernakulam district, Kerala Cochin Harmony Home (by ARDSI Kochi)   3
    Smruthipadham (joint ARDSI and Kerala Govt)    
    Signature Aged Care    
6 Hyderabad Golden Oak (at Shamshabad) 49 bed 2
    Kshetra of Heritage 100 bed  
7 Kolar ETCM-Nightingales Dementia Care Centre  48 bed 1
8 Mumbai and nearby areas Aarambh-Powai, Aarambh-Khargar and Aarambh-Thane (by Aaji Care)   11
    A1 Snehanjali-D’Silva and A1 Snehanjali-Rajodi (Silver Innings)    
    A Silver Amore 14 bed  
    Dignity Lifestyle Neral Has a Special Care Block for dementia care  
    Jagruti Rehab, & Shree Rajendrakumar Agarwal Hospital (Anand Rehabilitation) 100 bed  
    Golden Care Retirement Homes    
    Prof. Ram Kapse Senior Citizen Care Centre (Palghar) 14 bed  
9 Pune Jagruti Dementia Care (from Jagruti)   5
    Monet House (of Epoch Elder Care) 7 rooms(single or double and twin sharing and a suite room)  
    Tapas Elder Care.    
    Madhurbhav (AJ Foundation) 60 bed  
    Chaitanya Mental Health Care Centre Capacity for 60 persons  
10 Kozhikode/ Calicut district, Kerala Malabar Harmony Home   1
11 Thrissur district, Kerala Dementia Respite Care Centre (Harmony Home)   1
12 Trivandrum district, Kerala Snehasadanam 9 bed 1
    Total–42

Source (Kishore, 2019a)

References:

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

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/

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