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Thursday, March 1, 2007

Management of dementia in India, need of an acurate public health policy in India including senior care

Management of dementia in elderly in India.
Ms Hendi LINGIAH, Clinical Psychologist, France.

The increase of life expectancy goes with the increase of age related diseases from which Alzheimer Disease, and developing countries are not preserved. With the increase of longevity, the number of people 60+ suffering and searching for care, for domiciliary services, specific treatments and specific answers to their needs will increase.
If no appropriate responses are given, the citizen will suffer, discomfort will happen and dramatic consequences can occur, modifying and deteriorating not only the health of the person, his quality of life but also his family relations and his welfare in the society.
Then the trust and reliability on our society will be deteriorated, unsatisfaying, underlying the serious lacks of a public health policy.

To prevent that, health services specialists and politics have to make the absence of specialised structures provided an issue, if it is not yet. Else they will suffer people's anger, the increase in number of sick persons in the population in the next years, a more important obstruction in hospitals and aggravation of the cases because of no early detection and not enough solutions provided. In general, not enough drug and non-drug therapies.
When in the meantime, the developed countries have more care alternatives available, providing more informations to people, are still searching to improve the public health system; the developing countries risk to face a huge challenge, having everything to make.

It would be a hard task, knowing for example the number of the population in India. Following a plan in the public health policy become a necessity : Recognition of the early symptoms of dementia, Different models of interventions, research on disease, drug and Non-drug therapies, infrastructures; training of professional and home caregivers.

Such plan can also be applied with of course appropriate adaptations, regarding other disease like diabetis, differently physically challenged persons, people with mental health disorders…

This is a challenge for developing countries, more in emerging countries, effective public health services has to emerge.


Miss Hendi LINGIAH,
clinical psychologist

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