Dementia Care and Provision in the Majority World

This novel volume offers a comprehensive examination of dementia epidemiology, diagnosis, and care across lower- and middle-income countries (LMICs), particularly exploring diverse and culturally inclusive perspectives on understanding, diagnosing, and managing dementia. Arguing that living well with dementia, tailoring research and interventions to local contexts, and prioritising primary and secondary prevention efforts are of critical importance to the health outcomes of those affected by dementia, this book goes beyond common approaches in high-health-resourced regions to explore health disparities, societal and cultural influences, and economic inequities often present in regions of LMICs. Truly international, these chapters champion a pluralistic and multi-dimensional approach, taking diverse and culturally relevant aspects into consideration to review the challenges and advancements in dementia care. Ultimately, the necessity for diverse and equitable approaches across regions is emphasised. This book will be of interest to scholars, researchers, and postgraduate students in the fields of dementia research, gerontology and ageing within LMICs, as well as the sociology of health and illness more broadly, including the global health ecosystem. The book may also appeal to clinicians who are developing dementia services.

Iracema Leroi is Professor in Geriatric Psychiatry, Trinity College Dublin (TCD), Ireland, Director of the Global Brain Health Institute (Trinity), and a consultant geriatric psychiatrist at St James' Hospital, Dublin. Kim-Huong Nguyen is Senior Lecturer and Health Economist at the School of Public Health, Faculty of Health, Medicine and Behaviour Science, the University of Queensland, Australia. Agustin Ibañez is Professor in Global Brain Health, Trinity College Dublin, and Director of Latin American Brain Health Institute (BrainLat) at Universidad Adolfo Ibanez (UAI), Chile. Hany Ibrahim is Assistant Professor of Geriatric Medicine at the Geriatric Medicine and Gerontology Department Faculty of Medicine - Ain Shams University, Cairo, Egypt.

Introduction PART 1 Introduction to dementia in the majority world 1 Epidemiology of dementia of the world's two-thirds 2 Historical development and current status of longitudinal studies of ageing with dementia relevance in the majority world: a critical overview 3 Situational analysis of global dementia risk scores per country by geographical subregions and income levels PART 2 Diagnosis and evaluation of dementia 4 Challenges to diagnosis of dementia: exemplars from Pakistan and Kenya 5 Cognitive assessment batteries for dementia: challenges and innovations PART 3 Interventions for dementia 6 Preventing dementia across contexts: the AFRICA-FINGERS and the risk dashboard approach 7 Drug interventions for cognitive and non-cognitive aspects of dementia 8 Adapting and implementing non-pharmacological interventions for dementia 9 Cognitive-oriented interventions to support dementia. 10 'Arts in Health' approaches to support dementia PART 4 Care and support for people with dementia 11 Advocacy, third-sector support, and community activation 12 Care partners in the dementia journey 13 Experiences from designing and implementing integrated health and social care systems for ageing populations in low-resource settings around the world 5 Research, policy, and education for dementia 14 Rethinking Health Economics and Outcome Research for Dementia 15 Research capacity and capability development for dementia research in majority-world settings 16 Education and training to develop leaders in dementia and brain health