Understanding dementia care pathways for policy development and service planning in Kenya.
Dementia (London)
; 22(5): 1027-1037, 2023 Jul.
Article
em En
| MEDLINE
| ID: mdl-37036049
ABSTRACT
BACKGROUND:
In Kenya, there is lack of evidence on existing dementia care pathways, with minimal or no presentation for dementia-related symptoms in health care settings. Understanding the services available for people with dementia as well as how communities access the services could offer a practical pattern for policy makers to identify strategies that encourage early detection, care and support for people with dementia and their families.OBJECTIVES:
To elucidate initial responses of individuals and their families to dementia and challenges encountered in help seeking through care pathways to inform dementia care-related policies and practice.METHODS:
The Strengthening Responses to dementia in Developing Countries (STRiDE) Kenya team adapted case vignettes (brief hypothetical stories meant to elicit responses on how the characters would behave) developed by the entire STRiDE team. A total of 29 stakeholders were then asked to provide feedback on the completed vignettes and summarize a common pathway to dementia care in Kenya while using the proposed case vignettes.FINDINGS:
We found four initial responses to dementia suspicion in Kenya where individuals(i) Perceive symptoms as normal part of ageing, (ii) Consult a spiritual or traditional healer, (iii) Visit a private clinic or primary health care facilities, or (iv) No action taken. These were the first points within the care pathways which determined the care trajectory the person with dementia would follow.CONCLUSIONS:
Identification of dementia care pathways could form a basis for improving the way communities perceive dementia etiology and establish standard pathways to care whilst ensuring that some pathways do not further pose an impediment to care and treatment for dementia.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Demência
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Screening_studies
Limite:
Humans
País/Região como assunto:
Africa
Idioma:
En
Revista:
Dementia (London)
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Quênia