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Social Protection Frameworks for Dementia Sufferers in
Low- and Middle-income Countries
The 10/66 Dementia Research Group – co-ordinated by the Institute of majority live with their children and are supported by them. In
Psychiatry, King’s College London, and funded by the Wellcome Trust – urban Beijing, findings reveal that many older people live alone or
was founded to improve population-based and social research into with their spouse, but pension coverage is good and children are
dementia in low- and middle-income regions. It is conducting available if needed.
prevalence and impact surveys in 15 catchment areas in India, China, • In all regions, primary healthcare services are used surprisingly
Nigeria, Cuba, Dominican Republic, Puerto Rico, Brazil, Venezuela, infrequently, probably because they fail to meet the long-term
Mexico, Peru and Argentina to improve epidemiological knowledge and needs of people with dementia and their care-givers. In the
aid future strategy. Coverage of Eastern and Central Europe is planned absence of any formal social care structures, families and
in the coming months. communities shoulder a considerable burden. ■
Findings So Far
Percentage of Dementia Sufferers without Children for
Support, Selected Regions
Research carried out by 10/66 suggests that dementia prevalence in
low- and middle-income regions may have been underestimated,
25
even though dementia is a dominant source of dependency and
No children
20
within 50 miles
care-giver strain. Social protection for sufferers depends on a critical
No children
interaction between income, living arrangements and availability of
15
children to provide care. %
10
• In the Dominican Republic, social protection is compromised by
5
both low pension coverage and a high proportion of older people
having no children living locally.
0
Cuba Dominican Venezuela China China India India
• In rural China, few older people have pensions, but the large
Republic
(urban) (rural) (urban) (rural)
Source: Alzheimer’s Association. For more information see www.alz.co.uk/1066 or email 1066drg@iop.kcl.ac.uk
EUROPEAN PSYCHIATRIC REVIEW 27