scholarly journals Bearing the brunt of covid-19: older people in low and middle income countries

BMJ ◽  
2020 ◽  
pp. m1052 ◽  
Author(s):  
Peter Lloyd-Sherlock ◽  
Shah Ebrahim ◽  
Leon Geffen ◽  
Martin McKee
2020 ◽  
Author(s):  
Gibran Cruz-Martinez ◽  
Gokce Cerev

Global AgeWatch Index and Insights by HelpAge International aim to contribute to achievement of long-term transformative change in respect to ageing and the lives of older people by advocating for better production of timely and good quality data to inform policy and program response.The Global AgeWatch Index is a composite index that measures quality of life of older people, and ranks countries based on four domains – income security, health status, enabling environment and capability. The index was developed in partnership with Professor Asghar Zaidi. The index was published during 2013-2015.The Global AgeWatch Insights is a research-based advocacy tool that examines situation of older people in low- and middle-income countries, assesses availability of relevant data and evidence to support the analysis, and identification of policy actions. The Insights are produced in partnership with AARP. The reports were launched in 2018 are planned to be released every three years with a different thematic focus. The first report focuses on the inequities of the health systems in twelve low- and middle-income countries.


2019 ◽  
Vol 11 (21) ◽  
pp. 6157 ◽  
Author(s):  
Mark Gorman ◽  
Sion Jones ◽  
Jeffrey Turner

Older populations are rising globally, which in high-income countries has helped to generate a growing literature on the impact of ageing on travel requirements and transport policy. This article aims to provide an initial assessment of the state of knowledge on the impact on transportation policy and usage of the increasing numbers of older people in low- and middle-income countries (LAMICs), through a review of the literature relating to older people and transportation. As both the academic and policy/practice-related literature specifically addressing ageing and transport in LAMICs is limited, the study looks beyond transportation to assess the state of knowledge regarding the ways in which older people’s mobility is affected by issues, such as health, well-being, social (dis)engagement and gender. We find significant knowledge gaps, resulting in an evidence base to support the implementation of policy is lacking. Most research in low-income countries (LICs) is either broad quantitative analysis based on national survey data or small-scale qualitative studies. We conclude that, although study of the differing contexts of ageing in LAMICs as they relate to older people’s mobilities and transport use has barely begun, institutions which both make and influence policymaking recognise the existence of significant knowledge gaps. This should provide the context in which research agendas can be established.


Author(s):  
K. S Jacob ◽  
Cleusa P. Ferri

Psychiatric presentations among older people living in low- and middle-income countries (LMICs) and their management pose many challenges. However, population ageing, which is being seen across nearly all countries and cultures and is the most significant social transformation of the twenty-first century, continues to receive limited attention and resources in LMICs. While the syndrome approach (with its inherent clinical heterogeneity) currently employed by international psychiatry is used in LMICs, the differences in environmental milieu mandate a contextual understanding. This chapter reviews common psychiatric presentations among older people with a focus on similarities and differences between LMICs and high-income countries (HICs), in order to achieve a contextual understanding of diagnosis and management across settings. It discusses dementia, mild cognitive impairment (MCI), delirium, late-onset psychosis, depression, anxiety, suicide, and substance use, and highlights issues related to burden of care, culture, and health systems. It emphasizes social, economic, political, and cultural contextual understanding.


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