Global Dementia Legacy Event: Dr Shekhar Saxena

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Dr Shekhar Saxena, Director of the Department of Mental Health and Substance Abuse at World Health Organization (WHO) & Technical Advisor to the World Dementia Council

Health & Medicine

Public Health
Perspective on
Dementia:
World Health Organization

Reducing
the
Burden of
Dementia
Prevention
Treatment
Care and
Services
Research
Agenda
Knowledge
Transfer
WHO's Support to Global Action Against
Dementia

Commitment 2 : Expand dementia
research funding
• Norms and standards and mapping of dementia
research funding: with OECD
– Diverse systems and nomenclature being used by different
agencies
– Comprehensive and accurate information on R&D resource
flows will enable comparison and benchmarking
– Will enable strategic investments, improved coordination
and reduced duplication
• Create an innovative system to translate and map
the diverse research classification systems into a
common standard

Commitment 4 : Develop a coordinated
international research action plan
• Developing Dementia Research Priorities and
Setting the Agenda
• Core role of WHO in shaping the research agenda and
stimulating the generation, translation and dissemination
of valuable knowledge
• Research prioritization important for
– maximizing disease burden reduction in equitable and cost-
effective way
– improved health system efficiency and intervention delivery
– discovery and development of new interventions
– education regarding controllable risks

Health and
Social Care
System
Country
Policy and
Planning
Epidemiology
Advocacy and
Awareness
Caregiver
SupportEconomic
Impact
Tools
Commitment 3: Improve information sharing and open access

Commitment 10 : Support improvements in
care and services
Dementia risk reduction
programme focusing on
healthy lifestyle
– Healthy diet
– Reducing hypertension
– Lowering cholesterol
– Reducing smoking
– Promoting physical activity
– Promoting cognitive
stimulation
• Use of mHealth
WHO's programme for
prevention of NCDs

Commitment 10 : Support improvements
in care and services
Dementia drugs and treatment: Creating demand
and improving access and equity
• Important role of WHO in the area of medicines
Regulatory Support
– Development of norms, standards and guidelines
– Open access innovation
– Provision of guidance and support to national
regulatory authorities to implement global guidelines

Commitment 10 : Support
improvements in care and services
Information and
Communication Technology
for Dementia caregivers:
iSupport
• Most care for people with
dementia is provided by family
caregivers
• Dementia is overwhelming for
the caregivers – physically,
emotionally and economically
• Support is required from the
health, social, financial and legal
systems

Global Dementia Observatory
Commitment 3: Improve information sharing and open access
• Observatory will provide
data and analyses highlights
on dementia burden and
response
– Global epidemiological trends
– Policy formulation and
adoption
– Country implementation
through health and social care
system
– Partnerships

October 7, 2019 On October 7, 2019, the Harvard Global Health Institute will host a one-day symposium to explore what enabled this visionary program, and to showcase how it has transformed not just the worldwide HIV/AIDS response but global health delivery more broadly. There are many lessons learned in PEPFAR’s story - from what it took to build a supply chain where there was none, to establishing the use of generic antiretroviral therapies (ARTs) and leveraging human capacity. This event convened the early architects of PEPFAR as well as experts and implementers currently leading the charge. We took a historically informed look at what it will take to stop global transmission, and shared tools useful for others hoping to move the needle on vexing problems in global health. For more information, visit our website at https://petrieflom.law.harvard.edu/events/details/15-years-of-pepfar

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