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An old woman with dementia getting support. Photo credit - AI Generated

Understanding Dementia in African Families and Communities

Introduction

In African local communities, when an elderly woman is found in the middle of the night disoriented, naked, scared, and seemingly lost, witchcraft is often blamed, overshadowing the likely cause: dementia. Instead of receiving help, the victim may have her name and that of her family tarnished, and in the most serious cases, death may befall her. Suddenly, all the misfortunes faced by the villagers, the unexplained death of livestock, persistent headaches, or the passing of community members, begin to make sense as everyone believes a culprit has been found. Despite being a common problem for many African families with elderly people, dementia is still widely misunderstood.

 

What is Dementia and What Are the Most Common Symptoms?

Dementia is a general term for the loss of memory, language, problem-solving, and cognitive abilities severe enough to interfere with daily life. It is caused by damage or loss of nerve cells and their connections in the brain. Symptoms vary from person to person depending on the severity of the condition. They may include memory loss that affects engagement in daily activities, new problems with words in speaking or writing, trouble understanding surroundings, difficulty performing familiar tasks, misjudging distances visually, feeling anxious or angry about memory loss, and being less interested in others’ feelings. Risk factors include age, dementia is more common in people 65 years and older, though not everyone in this age bracket develops it, high blood pressure, excessive alcohol consumption, physical inactivity, and depression.

 

Who Gets Dementia?

While many African communities perceive dementia as a problem linked to black magic, the truth is that anyone in the world can develop dementia. Reports indicate that over 50 million people worldwide live with dementia, with more than 60 percent of cases found in low- and middle-income countries.

 

What Are the Effects of Dementia?

Dementia can affect communities socially, economically, and politically. The impact is worse in societies where the condition is not understood, as patients may not receive necessary support. Economically, families may spend significant money hiring experienced caregivers. When a person develops dementia, they often stop working, resulting in lost income. Socially, families may struggle to provide care, especially when community members are preoccupied with their own households. Misunderstanding of dementia and its symptoms exacerbates these challenges.

 

Can It Be Cured?

Dementia cannot be cured, but it can be managed. Some risk factors can also be controlled to reduce the likelihood of developing the condition.

 

How to Help a Person with Dementia

When encountering a person with dementia, the first step is to remain kind and calm, reassuring them that they are in a safe environment. Offer water and clothing if they are naked. If the person’s home is unknown, immediately contact the nearest police station to help locate their family.

 

Conclusion

In conclusion, dementia is neither witchcraft nor a death sentence. With understanding communities, dementia patients can live full lives, and their daily experiences can be made easier and safer.

Flora Sibanda-Jerera

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