DESK REVIEWS | 07.05.03. Are any of the following care products, equipment, and technologies available for free or partially subsidised for those with dementia?

DESK REVIEW | 07.05.03. Are any of the following care products, equipment, and technologies available for free or partially subsidised for those with dementia?

The State provides, maintains, and recycles assistive devices (walkers, wheelchairs, hearing aids) as well as adult hygiene products to people who need them; however, these are in short supply and rely heavily on donations and the purchase of new equipment (see https://www.westerncape.gov.za/service/assistive-devices). For older persons in general, these can be accessed via day-hospitals or State hospitals. With regards to housing adjustments, these can be hired or purchased from specialised service providers, for example see http://disabilityinfosa.co.za/mobility-impairments/assistive-devices-equipment/ for suggested providers and products.

No. These are dependent on the ability or interest of well-wishers to give through NGOs or private organizations, but none is provided or subsidized for persons with dementia.

No, and neither for older adults nor people with disabilities in general, except for sporadic give-aways by local-level institutions, but no specific numbers are reported. Usually, they include it as an activity supporting older adults, but no annual or periodic results of what they give out or the number of older adults covered can be identified.

Not reimbursable by medical insurance.

Yes. Any person who needs assistive technology may receive it for free from SUS as long as a doctor from SUS prescribes it. For example, the person may contact the Municipal Health Secretary with the doctor’s prescription and personal documents to require a wheelchair.

Under the national health insurance JKN scheme, assistive technology for elderly people such as spectacles, wheelchairs, false teeth, walking frames, neck brace, and hearing aids are available free of charge for those who need them. A cut-off value of each item and an annual limit of device purchase apply for each type of medical device or assistive technology. For instance, for hearing aid, JKN will cover only up until IDR 5 million and can only be given once every five years per claimant (Sanchia & Halim, 2019).

References:

Sanchia, N., & Halim, M. S. (2019). Terapi Stimulasi Kognitif untuk Lansia dengan Mild Cognitive Impairment: Studi Eksperimental di Panti Wreda. Neurona, 36(4), 258–264. http://www.neurona.web.id/paper-detail.do?id=1123

The assistive devices and services provided within the National Development Fund for persons with disabilities (rather than just dementia) are free but after submitting a complete request form (National Council for Persons with Disabilities (NCPWD), 2019). The new application handbook is designed to clarify how decisions are made at the fund by providing the method and criteria for approving or rejecting applications. For instance, priority would be given to those who require the device for learning, training, or work related environments and those who have never received an assistive device unless it is worn out or too small for their age (National Council for Persons with Disabilities, 2011).

References:

National Council for Persons with Disabilities (NCPWD). (2019). National Development Fund. https://ncpwd.go.ke/ndfpwd-funding-summary/

National Council for Persons with Disabilities. (2011). National Development Fund for Persons with Disabilities: Application Handbook. https://ncpwd.files.wordpress.com/2011/08/application-handbook-56-pages.pdf

Some programs at local level have provided assistive technology instruments but efforts are isolated; most of the times these are a one-off benefit and not following some continuous programmes.

No, but they may receive advice on what should be done to the house.

The Persons with Disabilities (Amendment) Bill, 2019 Part 2B (2f – iii) states that the county executive committee member in each county shall coordinate the implementation of programmes developed by the Council and the Authority relating to persons with disabilities in the county, in particular coordinate programmes on accessibility and reasonable accommodation (Republic of Kenya, 2019). There is no literature indicating whether persons with dementia or disability should have the housing adjustments for free or not (in their homes). However, the bill states that persons with disabilities should enjoy equal benefits and privileges of employment equal to those enjoyed by an employee without a disability (Republic of Kenya, 2019). This is an indication that working environments or areas of accommodation outside their home should have such adjustments. The owners or employers should pay for such or apply to receive the infrastructure through the National Development Fund for persons with disabilities (National Council for Persons with Disabilities, 2011).

References:

National Council for Persons with Disabilities. (2011). National Development Fund for Persons with Disabilities: Application Handbook. https://ncpwd.files.wordpress.com/2011/08/application-handbook-56-pages.pdf

Republic of Kenya. (2019). The Persons with Disabilities (Amendment) Bill, 2019. Nairobi, Kenya. http://www.parliament.go.ke/sites/default/files/2019-02/The%20Persons%20with%20Disabilities%20%28Amendment%29%20Bill%2C%202019.pdf

No, and neither for older adults nor people with disabilities in general.