Abstract

<div style="left: 80.7408px; top: 560.329px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.890161);" data-canvas-width="54.285000000000004"><strong><br /></strong></div><div style="left: 135.026px; top: 560.329px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.878143);" data-canvas-width="332.05499999999995">Africa is a region where a demographic transition</div><div style="left: 80.7408px; top: 583.658px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.923852);" data-canvas-width="386.355">from high child mortality and low life expectancy, to low</div><div style="left: 80.7408px; top: 606.988px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.917491);" data-canvas-width="386.3250000000001">child mortality and high life expectancy is only just beginning.</div><div style="left: 80.7408px; top: 630.317px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.90105);" data-canvas-width="386.325">Nevertheless, some countries already have a growing number</div><div style="left: 80.7408px; top: 653.647px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.86776);" data-canvas-width="386.36999999999995">of persons over the age of 60 – a number that is likely to</div><div style="left: 80.7408px; top: 676.976px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.910465);" data-canvas-width="386.29499999999985">increase rapidly. As a consequence, the number of older</div><div style="left: 80.7408px; top: 700.306px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.856441);" data-canvas-width="386.355">persons with mental disorders is likely to increase. To better</div><div style="left: 80.7408px; top: 723.635px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.876054);" data-canvas-width="386.3249999999999">understand the organisation of care for older persons, data</div><div style="left: 80.7408px; top: 746.965px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.904425);" data-canvas-width="386.32499999999993">are being collected to reduce the imbalance between ‘disease</div><div style="left: 80.7408px; top: 770.294px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.928667);" data-canvas-width="386.31">information’ and ‘resource information’ – information that</div><div style="left: 80.7408px; top: 793.624px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.886607);" data-canvas-width="386.28">addresses older persons’ needs in terms of mental health care.</div><div style="left: 80.7408px; top: 816.953px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.848252);" data-canvas-width="386.28">This review presents some results from the continent. Mental</div><div style="left: 80.7408px; top: 840.283px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.891655);" data-canvas-width="386.2500000000001">health problems among older adults are still not a public health</div><div style="left: 80.7408px; top: 863.612px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.911932);" data-canvas-width="386.3550000000001">priority in Africa, but careful examination of each country</div><div style="left: 80.7408px; top: 886.942px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.890423);" data-canvas-width="386.325">nevertheless reveals certain specificities, such as divergent life</div><div style="left: 80.7408px; top: 910.271px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.892481);" data-canvas-width="386.3550000000001">expectancy and different values regarding ageing. The authors</div><div style="left: 80.7408px; top: 933.601px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.862913);" data-canvas-width="386.355">present some recommendations for the development of care</div><div style="left: 80.7408px; top: 956.93px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.940383);" data-canvas-width="386.3249999999999">for old persons with mental disorders, based on the general</div><div style="left: 80.7408px; top: 980.26px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.903367);" data-canvas-width="386.32499999999993">recommendations made by the World Health Organization</div><div style="left: 80.7408px; top: 1003.59px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.961406);" data-canvas-width="386.3250000000001">(WHO) in the World Health Report 2001 (WHR 2001), and</div><div style="left: 80.7408px; top: 1026.92px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.928591);" data-canvas-width="386.325">by the WHO and the World Psychiatric Association (WPA) in</div>some consensus statements on psychiatry of the elderly.

Highlights

  • Current demographic transitions, which show that the population of several African countries is rapidly ageing, will lead to an increasing number of older persons with mental disorders

  • The first three data groups were taken from the World Health Report 2005.5 Data concerning the non-governmental organisations (NGOs) was obtained from the websites of the World Psychiatric Association,[6] the World Federation of Neurology,[7] the International Association of Gerontology and Geriatrics,[8] and Alzheimer’s Disease International.[9]

  • 4 countries had a national association of neurology. These results showed that 22% of African countries had at least one association able to represent the interests of professionals concerned with mental health in old age and the elderly themselves, which corresponds with the demographics and conditions of the region

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Summary

Data and analysis

Preliminary research conducted by the authors[1,2,3,4] has already produced the following information, by country:. The World Health Organization (WHO)’s Africa region comprises 46 countries. Some factors in this region that influence the population growth are:. The mean life expectancy at birth in 2003 for the entire region was 49.7 years, the lowest among all WHO regions. Life expectancy at birth was approximately 2.8 years more for women than men in almost all countries of the region. In 3 countries (Botswana, Niger and Zimbabwe), life expectancy at birth was lower for women than men. The countries with the highest health expenditure in the region were Seychelles (US$425), South Africa (US$206) and Botswana (US$171). The mean total expenditure on health as a percentage of the global burden of disease (GBD) for Africa was 5.3%. The creation and development of such NGOs is necessary to foster good mental health promotion and care for old people

Required actions for mental health in old age
Findings
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