Vignettes - Mrs B and her family, current experience

Mrs. B is in her 70s and lives in mid-size town. When her son got married, she moved in with her son and his wife. For the last few years, she helped the family by looking after the grandchildren and doing housework and cooking while her children were working in the business they own. About two years ago, Mrs. B’s family became worried about her behaviour and memory. Now Mrs. B mostly stays at home. She does not go out unless someone of the family accompanies her. Mrs. B also stopped cooking, which she always enjoyed. Her daughter-in-law reminds her to take medication she needs for other health issues and helps with dressing. Mrs. B does not like being left alone in the house. Mrs. B’s daughter-in-law is worried about her hygiene, but having to look after the business, taking over the cooking and shopping for the family as well as making sure that Mrs. B is safe and well during the day takes a lot of her energy and so she postpones thinking about this aspect. Once a week Mrs. B’s son takes his mother to [church].

Brazil

It has been two years since Mrs. Beatriz changed behaviour and has not been taken to a doctor. This means she might have never been taken to a consultation and, as the disease progresses, her nuclear family would just try to adapt themselves to the situation, somehow sharing Mrs. Beatriz’s care needs between them, but […]

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Kenya

Staying at her son’s place has helped Mrs. Bahati get the basic support she needs since the daughter in law, being the primary care giver (unpaid), is able to attend to her basic needs like personal hygiene, feeding and emotional needs. As Mrs Bahati lives in a fairly urban area, she’s first likely to be […]

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Jamaica

Mrs Beverley’s location in an urban area will likely offer her more opportunities to receive a dementia-related diagnosis. However, she will likely seek assistance from the General Practitioner (GP) who is currently treating her other health challenges. Though there is a possibility that Mrs Beverley will receive either no diagnosis or misdiagnosis, given the location […]

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India

Mrs Bhatt is in her 70s and lives in mid-size town in North India. She was a homemaker and lived with her husband in a small flat until he died twelve years ago. She receives a small government pension scheme. When her son got married eight years ago, she moved in with her son and […]

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Mexico

In mid-size towns/cities in Mexico, two factors are crucial in determining the possible pathways to care: income and affiliation/insurance with a social security institution. We assume that Mrs Beatriz had little formal education and did not have formal employment, therefore, she does not have access to any social security institution that would provide her with […]

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Indonesia

In this case, Mrs. Bunga relocated from her old home to her son’s family home in a mid-size town (such as Salatiga or Malang). In the JKN scheme, one has to go to a designated local Puskesmas/primary care clinic, which is based on the address in one’s National ID card. This means Mrs. Bunga’s family […]

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