scholarly journals The third millennium dementia epidemic

Author(s):  
Richard Tjan

The global dementia epidemic now and in the future is mainly caused by the steady increase in the population of older persons, where around 2 billion people will be 60 years of age and older by 2050.<sup>(1,2)</sup> As a consequence, in that year  there will be 135 million people with dementia, particularly in low- and middle-income countries where 60% of the more than 47 million cases (2015 estimate) are living now.<sup>(2)</sup>

2021 ◽  
Vol 5 (2) ◽  
pp. 549
Author(s):  
Verisca Marciana Kesuma ◽  
Ediasri Toto Atmodiwirjo ◽  
Rita Markus Idulfilastri

WHO called suicide become a global phenomenon. There are at least 800,000 people who commit suicide each year or at least one death every 40 seconds. In fact, 79% of suicide occur in low and middle income countries from ages 15-29. Suicides have also increased in Indonesia at least in January to September 2019 by 302 cases. According to Beck et al. individuals who want to commit suicide are preceded by the suicide ideation so its appropriate to assess suicide in predicting suicide risk later in life. According to Beck et. al. it’s appropriate to assess suicide ideation to predicting suicide risk in the future. Scale For Suicide Ideation (BSS) is one of the measuring tools to assess someone’s suicide ideation by Beck et al. Some researchers in Indonesia use or refer to indicators in BSS. There are 4 studies that use BSS. 2 of them, use three indicators, 1 of them use five indicators, and other only use BSS without mentioning the indicator. Based on this, researchers want to test the factor structure of the construct in BSS. Participants in this study were 158. The results obtained from testing the factor structure are that there are 3 indicators with the model classified as fit. The first indicator has 10 significant items, the second indicator has 6 significant items, while the third indicator has 3 significant items. WHO menyebutkan bunuh diri menjadi suatu fenomena yang global. Terdapat setidaknya lebih dari 800 ribu orang yang melakukan bunuh diri tiap tahunnya atau setidaknya 1 kematian setiap 40 detik. Faktanya 79% bunuh diri terjadi pada negara-negara dengan pendapatan rendah dan menengah dari usia 15-29 tahun. Kasus bunuh diri juga bertambah di Indonesia setidaknya pada Januari sampai September 2019 sebanyak 302 kasus. Menurut Beck et al. individu yang ingin bunuh diri didahului oleh ide untuk bunuh diri sehingga tepat untuk menilai bunuh diri dalam memprediksi risiko bunuh diri di kemudian hari.  Scale for Suicide Ideation (BSS) merupakan salah satu alat ukur untuk menilai ide bunuh diri seseorang yang disusun oleh Beck et al. Beberapa peneliti di Indonesia menggunakan atau mengacu pada indikator dalam BSS. Terdapat 4 penelitian yang menggunakan BSS, 2 diantaranya menggunakan tiga indikator, 1 peneliti menggunakan lima indikator dan yang lainnya hanya menggunakan alat ukur BSS tanpa menyebutkan indikator yang digunakan. Berdasarkan hal ini, peneliti ingin menguji struktur faktor pada konstruk BSS. Partisipan dalam penelitian ini sebanyak 158 partisipan. Hasil yang didapatkan dari pengujian struktur faktor adalah terdapat 3 indikator dengan model yang tergolong fit. Indikator pertama memiliki 10 butir yang signifikan, indikator ke 2 memiliki 6 butir yang signifikan, sedangkan indikator ke 3 memiliki 3 butir yang signifikan.


2016 ◽  
Vol 10 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Julia Hussein

Apart from the risks of obstetric complications like haemorrhage and eclampsia, a large number of medical conditions affect pregnancy and result in adverse outcomes for both the mother and offspring. Non-communicable diseases in pregnancy are becoming increasingly important in contributing to death and poor health. Changes in the patterns and distribution of these conditions mean that we need new perspectives and ways of dealing with these challenges for the future. This article reviews the burden of ill-health due to non-communicable diseases during pregnancy in low and middle income countries and presents some paradigms relevant to public health and health system needs of the future.


2017 ◽  
Author(s):  
Kia-Chong Chua ◽  
Jan R. Böhnke ◽  
Martin Prince ◽  
Sube Banerjee

The global burden of dementia is disproportionately higher in low-and-middle income countries yet systematic assessments of health-related quality-of-life (HRQL) mostly rely on measures developed in the UK/US. A recent systematic review of dementia-specific HRQL measures concluded that none could be recommended without further linguistic validation. Using a unique dataset from the 10/66 Dementia Research Group, we conducted one of the first in-depth studies to investigate the measurement invariance of dementia-specific HRQL measures for low-and-middle income countries. HRQL of people with dementia was assessed by self-report (DEMQOL) and informant-report (DEMQOL-Proxy) in a community memory clinic in the UK and population cohort surveys of the 10/66 Dementia Research Group in the Dominican Republic, Mexico, Cuba, Peru and Venezuela. Measurement invariance between the UK English and Ibero-American Spanish versions was investigated using multiple-group confirmatory bifactor modelling. Our findings showed that UK and Latin America older adults differ in how they respond to “positive emotion” items in the DEMQOL and DEMQOL-Proxy. The remaining items of DEMQOL and DEMQOL-Proxy showed no major difference in conceptual meaning, sensitivity to individual differences, and standards of difficulty between the UK English and Ibero-American Spanish versions. Furthermore, we found that the core components of self- and informant appraisal of HRQL may differ. Negative emotion may be a core component in self-appraisal of HRQL whereas social functioning may be a core component in how informants appraise HRQL of people with dementia. Measurement invariance of translated HRQL assessment warrant continued investigation, particularly in low-and-middle income countries, where the societal and fiscal impact of dementia needs urgent attention.


2019 ◽  
Vol 79 (2) ◽  
pp. 123-137 ◽  
Author(s):  
Sapphire Crosby ◽  
Katie Laird ◽  
Sarah Younie

Objective: Using a participatory action research (PAR) model, this paper reports on findings from a mixed-methods study which aimed to discover whether specifically developed health education resources ( A Germ’s Journey) aid children’s understanding of health-hygiene principles, and how these findings can inform the future development of culturally relevant resources to teach children in low- and middle-income countries about the association between bacteria, handwashing and disease. Design: Educational health-hygiene workshops were conducted at 13 case study sites ( n = 651) in collaboration with local organisations in Ahmedabad, India. During Phase 1 of the study, children’s and teacher–trainer workshops were conducted using UK resources. Following suggestions from local teachers, a Gujarati book was co-created and in Phase 2, workshops (using the Gujarati book) were delivered. Methods: Data were collected from children using quasi-experimental methods, using pre-workshop questions, follow-up questions, observations and baseline and post-workshop assessments. Data were collected from teachers using questionnaires. Results: Following teacher–trainer workshops during Phase 1 of the study, 100% of teachers stated that they would use the resources with their pupils in the future. Two months after participating in the workshops, 60%–73% of children knew how germs can cause illness, and 76%–80% knew how to remove germs from hands. When assessed during Phase 2 of the study, 54% of children scored higher after the intervention, showing an increased understanding of microbiology after using the resources. Conclusion: The results indicate that children had an improved understanding of the causes of bacterial disease and the health implications of not using adequate health-hygiene practices. Recommendations for the future development of resources include the use of a PAR model of research, co-creation with end users, and working alongside local organisations and participants in order to access ‘hard-to-reach’ areas.


2021 ◽  
Author(s):  
Sung Jin Park ◽  
Alisa Wai ◽  
Keechilat Pavithran ◽  
Beena Kunheri ◽  
Koravangattu Valsraj

Author(s):  
Simone Fanelli ◽  
Fiorella Pia Salvatore ◽  
Gianluigi De Pascale ◽  
Nicola Faccilongo

Abstract Background: Despite growing support for the private sector involvement in the provision of public health services in Low- and Middle-Income Countries (LMICs), a lack of clear information on the future of the provision of such services restricts the ability of policy-makers to assess how feasible integration between public and private actors may be, especially in LMICs.Methods: This paper presents a structured literature review performed to comprehend the dynamics and boundaries of public-private partnerships for the healthcare sector in LMICs. A total of 723 articles indexed in Scopus were initially submitted to bibliometric analysis. Finally, 148 articles published in several academic journals were selected for independent full-text review by two researchers. Content analysis was made in order to minimise mistakes in interpreting the findings of studies in the sample.Results: Public-private partnerships identified through the content analysis were categorised into four research areas: 1) Transfer of resources; 2) Co-production of goods, services and health practices; 3) Governance networks; 4) Criteria for successful partnership development. The results provide a useful overview of the phenomenon and a useful baseline for policy implications of evolution of partnerships in LMIC healthcare sectors.Conclusions: The structured literature Review thus carries out a mapping of the areas and sectors where governments need support, and a careful analysis of all those factors which may or not facilitate a public-private partnership in LMICs.


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