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Dementia care in low and middle-income countries

Fam, Johnson; Mahendran, Rathi; Kua, Ee Heok

doi: 10.1097/YCO.0000000000000523
GERIATRIC PSYCHIATRY: Edited by Orestes Forlenza and Claudia Cooper

Purpose of review Recent reports from low and middle-income countries (LMICs) on the care of person with dementia (PWD).

Recent findings Detection of PWDs in the community in LMICs is still problematic because of inappropriate screening questionnaires. Early diagnosis of dementia is also handicapped by lack of awareness, knowledge and stigma. The family is the main caregiver in LMICs and there is a paucity of community dementia services.

Summary In LMICs, the burden of care of PWDs rests on the family and there is an urgent need to improve and expand community services. The digital media could be a platform for e-learning and assessment of cognitive impairment. Innovative ideas to link specialist care with primary care doctors and nongovernmental organisations will be beneficial.

Department of Psychological Medicine, National University of Singapore, Singapore

Correspondence to Ee Heok Kua, MBBS, MD, FRCPsych, Department of Psychological Medicine, National University Singapore, 1E Kent Ridge Road, Singapore 119228, Singapore. Tel: +65 67724517; e-mail:

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