ADI Virtual Side Event and Report Launch Maintaining dementia as a priority in unprecedented times @AlzDisInt
Welcome and introductions Paola Barbarino CEO, Alzheimer’s Disease International (ADI) @AlzDisInt
Speakers • Kate Swaffer, Dementia Alliance International • Dévora Kestel, World Health Organization • Dr. Nasri Omar, Government of Kenya • Dr. Hanadi Khamis Mubarak Alhamad, Qatar Ministry of Public Health • Dr. Kanako Kitahara, Government of Japan • Dr. Jeewon Suh, National Institute of Dementia, Republic of Korea • Gudlaug Einarsdottir, Government of Iceland • Fumie Griego, International Federation of Pharmaceutical Manufacturers & Associations (IFPMA)
From plan to impact III: Maintaining dementia as a priority in unprecedented times • Reporting on progress towards WHO’s Global action plan on the public health response to dementia 2017-2025 − Some progress but national plan development behind schedule • The challenges and opportunities of COVID-19 for global dementia policy − Diagnosis, post diagnostic support, research, clinical trials − Residential care facilities • Expert essays and case studies • Calls on governments to heed to lessons from COVID-19
Kate Swaffer Chair, CEO, co-founder, Dementia Alliance International (DAI)
Dévora Kestel Director, Mental Health and Substance Abuse, World Health Organization (WHO)
Dr. Nasri Omar Focal Point for Mental Health System and Services, Mental Health Division, Ministry of Health, Government of Kenya
MINISTRY OF HEALTH PLAN TO IMPACT (TOWARDS A NATIONAL DEMENTIA ACTION PLAN IN KENYA) DR NASRI OMAR
Presentation O Outline MINISTRY OF HEALTH 1. Conception of the plan towards a dementia action plan 2. Prioritizing Dementia in the context of COVID 19 response 3. Plan to impact roadmap 4. Summary
Conception of the plan towards a dementia action plan MINISTRY OF HEALTH : 4 th African conference on dementia hosted for the 1 st time in Kenya 2017: § Commemoration of World Alzheimer's day starts on 21 st September 2017. Done § every year § Commitment made by Director of Mental Health to develop a national dementia action plan 2018 t to d date: : MOH involved in mind walk organized by ADOK § § May 2 2018: : Collaboration of the STRiDE team (Strengthening responses to dementia in developing countries) with Ministry of Health June 2 2018: : STRiDE Theory of Change Workshop where the Ministry of Health got to § interact with stakeholders involved in dementia care 20 2018-2020: 2020: Looking for funding from STRiDE partners and other contributors § including World Health Organization Kenya Country Office
Conception of the plan towards a dementia action plan MINISTRY OF HEALTH 2018 2018-2020: : Generation of local evidence by STRiDE Kenya team which will inform the § National Dementia Action Plan th March 2 § 5 th 2020: : The Ministry of Health formally requested for partner support on the development of a National Dementia Action Plan. 12 12 th th March 2 2020: : Kenya reported the first case of COVID 19. (shift of priority to COVID § 19) § All non-COVID related projects put on hold
Prioritizing Dementia in the context of COVID 19 response MINISTRY OF HEALTH May 2 2020: : The Director of Mental Health, Ministry of Health informs his team to begin § working on projects put on hold due to COVID 19. The National Dementia Action Plan was one of those priority projects. st June 2 1 st 2020: : Included slides on Dementia in Psychological Frist Aid training module § being offered as part of the national mental health and psychosocial support COVID 19 response: § Target groups: Health care workers, police officers, prison officers, palliative care specialists, community health volunteers among others June 2 2020: : First draft of the Situational analysis on overall health system, long term § care and dementia care by STRiDE Kenya shared to stakeholders th June 2 § 18 18 th 2020: : Submitted a concept note and updated budget (in the context of COVID 19 government directives) shared with partners including WHO June 2 2020: : Plans underway for Kenya to contribute to the Global Dementia § Observatory
Plan to impact roadmap MINISTRY OF HEALTH § June 2 2020: : Technical Working Group (with representation from service user organizations and families/carers) to spearhead the development and implementation of the National Dementia Action Plan (includes the National Advisory Group on STRiDE Kenya) June 2 2020: : National Dementia Action Plan and related activities is part of the annual § workplan for the Division of Mental Health, Ministry of Health § Timelines s set f for N National D Dementia A Action P Plan: June-July 2 Ju y 2020: : Planned first stakeholders meeting. Output: Draft zero of the § Action Plan. Ju July-November 2 2020: : Draft reviews and validation meetings. Output: Final Draft § of the Action Plan. November-December 2 No 2020: : Launch of National Dementia Action Plan § § January 2 y 2021-December 2 2021: : Dissemination of the National Dementia Action Plan across the 47 counties in Kenya *This is dependent on availability of funds
Ongoing work & priority activities (2020- 2021) MINISTRY OF HEALTH ■ National Dementia Action Plan (2020-2025) ■ Alzheimer awareness day /month § Public awareness campaign (Mind Walk and other strategy) § Data collection and reporting (GDO) § Caregiver support group and caregiving training § User friendly Clinics at KNH & MTRH, Counties target- Nyeri, Makueni, Mombasa, Nakuru and Kisumu § Social care services (Respite home, Palliative home, disability and older people support ) § Counselling and psychosocial support linkage and network (Pre and Post diagnosis counselling, Caregiver counselling) § Dementia friendly society (partnership and collaboration with Transport (Matatu sector, Employers, Police) § Access health products, equipment and technologies (through KEMSA- essential medicines and tracking gadget) § QualityRights dementia initiative ( Quality of care and human rights in community and health/social services)
Acknowledgements MINISTRY OF HEALTH § Ministry of Health § World Health Organization STRiDE Kenya team § National Advisory Group on STRiDE Kenya § § STRiDE collaborators including ADI and LSE
Dr. Hanadi Khamis Mubarak Alhamad National Lead for Healthy Ageing for the Qatar Ministry of Public Health, Medical Director – Rumalilah – QRI
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Qatar’s Progress against Global Action Plan Targets 22 Global Action Plan Description Status Targets Dementia Plan 75% of countries will have developed or updated national policies, strategies, plans or frameworks for dementia, either stand-alone or integrated into other policies/plans, by 2025 Dementia diagnostic In at least 50% of countries, as a minimum, 50% of the rate estimated number of people with dementia are diagnosed by 2025 Dementia carer 75% of countries provide support and training programmes support services for carers and families of people with dementia by 2025 Dementia awareness 100% of countries will have at least one functioning public- & risk reduction awareness campaign on dementia to foster a dementia- campaigns inclusive society by 2025 Dementia-friendly 50% of countries will have at least one dementia friendly initiatives initiative to foster a dementia-inclusive society by 2025 Dementia education 50% of countries will have at least one dementia-friendly and training for non- initiative to foster a dementia-inclusive society by 2025 health professionals Published dementia The output of global research on dementia doubles between research output 2017 and 2025
QNDP Progress against WHO Indicators and QNDP Action Areas 23 WHO Indicators Highlights Status (Policy) Dementia governance MoPH appointed Focal Lead National Dementia Stakeholder Group (MoPH) National Dementia Plan QNDP launched (Global Target for National Dementia public health priority Plan) under NHS2 Healthy Ageing Dementia legislation Draft Elderly law ready which includes protection of people with dementia Driving and Dementia –Initial Meeting at MOPH took place recently Dementia guidelines National Dementia Guidelines and practice recommendations Launched Dementia Care Coordination Care coordinator system in planning phase under NHS Integrated Care QNDP Action Area: Dementia as a Public Health Priority
WHO Indicators Highlights Status (Service Delivery) Progress against WHO Indicators and QNDP Action Areas Adequately trained Launched training for 600 PHCC Family 24 Physicians. In addition ongoing dementia health and social education delivered to physicians, care workforce nurses, allied health professionals, clinical social workers National Dementia Training Programme Launched ADI Certified CSW Training Initiated Dementia diagnostic rate Dementia Registry Project MRCGrant (Global target diagnostics) Approved Community based Expansion to 3 Memory Clinics in services for dementia PHCC Settings to improve early diagnosis Dementia health and Review of inpatient requirements social care facilities Expansion of RH Memory Clinics Dementia-specific Qatar Alzheimer’s Association nongovernmental application-Legal approved - organization undergoing approval checks QNDP Action Areas: Dementia diagnosis, treatment, care and support
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