Adjunct Professor Trinity College Dublin and Honorary Professor in Dementia, Centre for Economic and Social Research on Dementia, National University of Ireland, Galway, Ireland.
Aging Ment Health. 2020 Feb;24(2):197-199. doi: 10.1080/13607863.2018.1544213. Epub 2019 Jan 2.
WHO's global action plan on the public health response to dementia (GAPD) approved by the World Health Assembly in May 2017 when fully implemented should make a tangible difference to the lives of people affected by dementia since it identifies seven priority actions areas, sets out parallel targets for countries to achieve and provides governments with the required framework to develop their own national dementia plans. The Plan reflects global solidarity on the world dementia stage: it is heavily embedded in rights-based principles and augurs much hope for people living with dementia and their family members. But what practical steps will be required of countries committed to ensuring that their policy plans comply with the GADP? What are some of the tensions and contradictions embedded in the Plan? Who are the winners and losers in this Plan and what action will be required of civic society to ensure that countries step up to the challenge of dementia and develop and implement their own policy plans? How likely is that all of the targets set out in the Plan will be achieved by 2025? This paper discusses the relevance of the GAPD for policy makers and civic society and critically reviews aspects of the Plan highlighting some of the key challenges and opportunities the Plan is likely to pose.
世界卫生组织（WHO）的全球行动计划（GAPD）于 2017 年 5 月获得世界卫生大会批准，该计划如果得到全面实施，应该会对受痴呆症影响的人的生活产生明显影响，因为它确定了七个优先行动领域，为各国设定了平行目标，并为各国政府制定自己的国家痴呆症计划提供了所需的框架。该计划反映了全球在世界痴呆症舞台上的团结：它深深植根于基于权利的原则，并为与痴呆症患者及其家属带来了很大的希望。但是，致力于确保其政策计划符合 GADP 的国家需要采取哪些实际步骤？该计划中存在哪些紧张局势和矛盾？在这个计划中谁是赢家，谁是输家，以及公民社会需要采取什么行动来确保各国迎接痴呆症的挑战并制定和实施自己的政策计划？该计划设定的所有目标到 2025 年全部实现的可能性有多大？本文讨论了 GAPD 对政策制定者和公民社会的相关性，并批判性地审查了该计划的各个方面，强调了该计划可能带来的一些关键挑战和机遇。
