Harden Briony, Mao Yinuo, Weiss Justin, Hsuan Selina, McDermott Orii, Funk Michelle, Drew Natalie, Seeher Katrin, Dua Tarun, Orrell Martin
Candidate based at the World Health Organization Collaborating Centre for Mental Health, Disability and Human Rights at the Institute of Mental Health, University of Nottingham, England.
Master's graduate from the Mailman School of Public Health, Columbia University, New York, United States.
Health Hum Rights. 2025 Jun;27(1):43-57.
The World Health Organization has set a target for 75% of member states to have national dementia plans by 2025. These plans should align with human rights standards, such as the Convention on the Rights of Persons with Disabilities. The aim of this study was to complete a review of global national dementia plans and their human rights content according to the convention's principles. A categorization matrix of preidentified human rights themes was produced prior to data collection and extensive inclusion criteria were adopted to ensure thorough assessment using deductive content analysis. Each dementia plan was reviewed by at least two independent assessors. Forty plans were included in the final analysis. We found that basic human rights were covered by the plans, with community inclusion acknowledged in 39 plans (97.5%). However, there was less coverage of non-coercive practices and the participation of people with dementia in the design and delivery of services or policies, with only 24 plans (60%) mentioning these aspects. This is the first global review of human rights content within national dementia plans. More must be done to ensure that all such plans align with human rights standards so that the human rights of persons with dementia are respected, protected, and promoted.
世界卫生组织设定了一个目标，即到2025年，75%的成员国要制定国家痴呆症计划。这些计划应符合人权标准，如《残疾人权利公约》。本研究的目的是根据该公约的原则，对全球国家痴呆症计划及其人权内容进行综述。在数据收集之前，编制了一个预先确定的人权主题分类矩阵，并采用了广泛的纳入标准，以确保使用演绎性内容分析法进行全面评估。每个痴呆症计划至少由两名独立评估员进行审查。最终分析纳入了40个计划。我们发现，这些计划涵盖了基本人权，39个计划（97.5%）认可社区融入。然而，非强制性措施以及痴呆症患者参与服务或政策的设计与实施方面的内容较少，只有24个计划（60%）提及了这些方面。这是首次对国家痴呆症计划中的人权内容进行全球综述。必须采取更多措施，以确保所有此类计划符合人权标准，从而尊重、保护和促进痴呆症患者的人权。
