Promoting dementia-inclusive communities : a strategic communications toolkit

Promoting dementia-inclusive communities A strategic communications toolkit Promoting dementia-inclusive communities A strategic communications toolkit Version 1.0 © World Health Organization 2020 ISBN 978 92 9061 931 4 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY- NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. (http://www.wipo.int/amc/en/mediation/rules/) Suggested citation Promoting dementia-inclusive communities: a strategic communications toolkit. Manila: World Health Organization Regional Office for the Western Pacific; 2020. Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. 1. Communication. 2. Dementia. I. World Health Organization Regional Office for the Western Pacific (NLM Classification: WT155). Sales, rights and licensing. To purchase WHO publications, see http://apps.who.int/bookorders. To submit requests for commercial use and queries on rights and licensing, see http://www.who.int/about/licensing. For WHO Western Pacific Regional Publications, request for permission to reproduce should be addressed to Publications Office, World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000, Manila, Philippines, Fax. No. (632) 8521-1036, email: wpropuballstaff@who.int Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such as tables, figures or images, it is your responsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright holder. The risk of claims resulting from infringement of any third-party-owned component in the work rests solely with the user. General disclaimers. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement.
 
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Promoting dementia-inclusive communities Contents About this toolkit Introduction Strategic foundations Communication framework Communication activities Creative materials Campaign video Monitoring and evaluation 01 02 08 12 15 25 35 37 Promoting dementia-inclusive communities About this toolkit This toolkit aims to support the planning of a communication campaign to support dementia- inclusive initiatives at the community level. A dementia-inclusive community comprises groups, families and individuals who are able to: (a) identify people at risk for and with dementia; (b) provide support to people with dementia; (c) organize or provide dementia-related activities. Why this toolkit? How to get started? 01 Who is this toolkit for? This toolkit was designed for community leaders and organizers, programme managers, health advocates, and health promotion, education and communication specialists. MAKE A PLAN Set your goals and vision to promote a dementia-inclusive community. MAKE A TEAM Build a team and look for partners. MAKE IT HAPPEN Apply relevant toolkit strategies to your community context. MAKE IT SPREAD Establish partnerships with other organizations in the community (religious groups, nongovernmental organizations, neighbourhood associations, etc.) and encourage different members of the community to join. MAKE IT LAST Promote sustainability by measuring progress, evolving the programme and sharing success with others. Promoting dementia-inclusive communities Introduction01 02 Promoting dementia-inclusive communities Introduction As individuals age, they may undergo changes that impact their ability to perform normal daily activities. Healthy ageing refers to maintaining functional ability to support well-being into older age. For older adults, a healthy and fulfilling life is characterized by the following: •independence and autonomy; •sense of identity and role in their community; •sense of belonging to their community; •feeling of safety; •sense of being respected; and •potential for personal growth. Dementia is a syndrome characterized by deterioration in memory, thinking, behaviour and the ability to perform everyday activities. It is a major cause of disability and dependency among older people worldwide, affecting individuals, carer, families, communities and societies. It is important to note that dementia is not a normal part of ageing. People with dementia often live for many years after their symptoms begin, requiring long-term care and support. What is healthy ageing? What is dementia? Source: https://iris.wpro.who.int/handle/10665.1/14014 03 Promoting dementia-inclusive communities Introduction With the growth of ageing populations around the world, the number of people with dementia is rising rapidly. Dementia can be overwhelming not only for those who have it, but also for their carers and families. When resources are limited, especially in low- and middle- income countries, supporting carers and delegating tasks and responsibilities to community workers can improve the quality of life of people with dementia, their carers and families. How many people are affected by dementia? Source: https://www.who.int/news-room/fact-sheets/detail/dementia Around 50 million people have dementia worldwide. There are nearly 10 million new cases every year. The number of people with dementia is projected to reach 82 million in 2030. For every person with dementia, there are loved ones affected as well. 50M 10M 82M 04 Promoting dementia-inclusive communities Introduction How can we help people with dementia? There is no treatment currently available to cure dementia or to alter its progressive course. However, support can be given to improve the lives of people with dementia and their carers and families. Source: https://www.who.int/news-room/fact-sheets/detail/dementia Dementia care involves: Getting an early diagnosis in order to promote early and optimal management. Identifying and treating accompanying physical illness. Providing information and long-term support to carers. Optimizing physical health, cognition, activity and well-being. Detecting and treating challenging behavioural and psychological symptoms. 05 Promoting dementia-inclusive communities Introduction What is a dementia-inclusive community? A person’s quality of life is influenced by a sense of their self-worth, which includes feeling connected to their community. However, people with dementia may feel they are a burden to their communities. A dementia-inclusive community (or dementia- friendly community) possesses an inclusive and accessible community environment that optimizes opportunities for health, participation and security for all people, in order to ensure quality of life and dignity for people with dementia, their carers and families. Dementia-inclusive communities are vital in helping people live well with dementia and remain a part of their community.  Source: https://www.alzheimers.org.uk/get-involved/dementia- friendly-communities A community comes together to support its seniors The town of York in Western Australia was one of the first dementia-friendly communities in Australia. Together with various members of the community, the city established the following initiatives: •Elder home visit programme for high school students. •"Memory cafés", regular informal social gatherings in coffee shops across the city for people with dementia. •Redesigned public toilets to be more dementia and age friendly. •Training programme for dementia-friendly services for staff in local businesses. •Community-wide information campaign to raise awareness about dementia and how their community can be dementia friendly. Residents of York completely embraced the initiatives and now feel more confident and more empowered to support and involve people with dementia. People with dementia also feel a greater sense of inclusion and support from their community. The campaign Trained staff Memory café Dementia-friendly toilets For more information: https://www.alzheimerswa.org.au/consultancy-services/dementia-friendly-communities/ https://www.alzheimerswa.org.au/consultancy-services/dementia-friendly-communities/dementia-friendly-towns/dementia- friendly-towns-case-studies/ https://www.youtube.com/watch?time_continue=331&v=Dpa2RUlxsLM&feature=emb_title https://www.perthnow.com.au/community-news/hills-avon-valley-gazette/york-embraces-dementia-friendly-town-initiative- c-854942 06 Promoting dementia-inclusive communities Introduction What is a dementia-inclusive community? A dementia-inclusive community (or society) is one where people with dementia and their carers and families experience no stigma and discrimination and fully enjoy participation, inclusion, empowerment, respect, dignity, equality, freedom, accessibility, independent living, and quality of life. The World Health Organization (WHO) is committed to helping individuals and communities empower people with dementia to remain in, and be a significant part of, society. The WHO framework offers a structure to carrying out, integrating, evaluating and scaling dementia-inclusive initiatives. Among the three focus areas of the framework, this toolkit will zoom in on initiatives targeting the social environment. Source: https://worlddementiacouncil.org/sites/default/files/2019-10/DFI%20EXECUTIVE%20%20SUMMARY-1015501910-03b.pdf Social environment Developing awareness campaigns, capacity- building, civic participation Holistic Using technology for support, and developing dementia-friendly services Physical environment Enhancing accessibility and transport systems, improving safety Focus areas of dementia-friendly initiatives 07 Promoting dementia-inclusive communities Strategic foundations02 08 Promoting dementia-inclusive communities Strategic communications supports the establishment of dementia-inclusive communities. Communication reinforces bonds within the community and enables action through the exchange of information and the articulation of shared values, goals and aspirations. Communication can help change behaviour, rally support around a cause, and promote services. Using communication interventions at the community level, older people and people with dementia can experience the care and support they need. 09 Promoting dementia-inclusive communities Communication outcomes To support the establishment of a dementia-inclusive community, communication interventions should contribute to the following outcomes: Members of the community can accurately recognize the common signs and symptoms of dementia. People within the community who are living with dementia receive appropriate services (e.g. screening and referral). Community leaders and decision-makers signal their support for dementia-friendly activities and initiatives. Communication objectives: •Raise awareness and understanding of the common signs and symptoms of dementia. •Enhance community health literacy to support appropriate health-seeking behaviour. •Mobilize community support and participation in dementia-friendly activities and initiatives. 10 Promoting dementia-inclusive communities Intended audience segments K ey population Soc ial support Co mm unity support Older peop le Family, friends and nei ghb ors Local community acto rs Key population refers to older people, aged 60 years and above, both male and female, living in the community. Social support refers to families, carers, friends and neighbours of older people in the community. They play an active role in providing direct support to older people. Community actors refer to leaders and decision-makers, health workers, first responders, business owners, media personalities and health advocates in the community. They play a role in providing support for people with dementia and their families, mobilizing the community, and creating programmes for the community. 11 Promoting dementia-inclusive communities Communication framework03 12 Promoting dementia-inclusive communities Communication framework The L.I.VE. Framework is a three-part framework created to promote dementia-inclusive communities. Le ar n Value IdentifyRaising awareness and understanding of the common signs and symptoms of dementia. LEARN IDENTIFY Promoting appropriate health-seeking behaviour for screening and identification of people with dementia within the community. VALUE Mobilizing leaders, decision-makers and partners to support dementia- friendly activities and initiatives. 13 Promoting dementia-inclusive communities Key messages Learn L Everyone can help older people in the community. Knowing the signs and symptoms of dementia is the first step in providing the care and support needed by people with dementia. Signs and symptoms of dementia include: forgetfulness, confusion, and losing track of the time and space. Screening and identifying dementia in older people in the community enables the timely provision of services, which promotes good quality of life and dignity for people with dementia and their carers and families. Together we can create a dementia-inclusive community. Establishing programmes and services for older adults will help your community thrive while protecting and promoting the health of people with dementia. Identify I VE Value 14 Promoting dementia-inclusive communities Communication approach04 15 Promoting dementia-inclusive communities Communication activities L Learn Mount a public information drive that includes information on dementia such as signs and symptoms of dementia, how to identify someone with dementia, and how to offer support to someone with dementia. Provide materials such as leaflets and flyers to community members. Tap local channels such as radios, bulletin boards, and billboards. Hold an online event on National Seniors’ Day for older people and their families. Incorporate an information session through a webinar on dementia. Invite speakers such as people with dementia or families living with a person with dementia to talk about their experiences. Encourage interaction through a live question-and-answer portion. Integrate dementia in educational curricula in schools and universities. Debunk myths and misconceptions through school activities. Public information drive Seniors’ Day social media event School curriculum inclusion 16 Promoting dementia-inclusive communities Communication activities L Learn Public awareness campaigns Raising public awareness promotes a deeper understanding of dementia, the needs of people afflicted with the disease and how the community can offer support. Creating campaigns is key to raising public awareness and understanding of the disease. Campaigns can be done on a small scale through local channels such as local bulletins and posters. They can also be larger in scale via mass media such as television and radio or digital media such as social media. An online campaign hinging on Christmas to create awareness on dementia. Television ad created by the United Kingdom Department of Health and Social Care for dementia awareness. For more information: https://www.youtube.com/watch?v=Y9pd6F7Wojk https://www.youtube.com/watch?v=iR-cn1j7BVw Commemorative days Many public health issues have designated days for their commemoration. Creating activities hinging on these days have the potential to increase awareness and educate intended audiences regarding important public health issues. Mounting activities during designated health days or months is also an opportunity to bring together various partners and stakeholders. World Alzheimer’s Day is celebrated annually on 21 September. Missing Persons Day is an opportunity to raise awareness on the link between dementia and missing persons. For more information: https://missingpersons.gov.au/about/national-events/national-missing-persons-week https://act.alz.org/site/TR?fr_id=13035&pg=entry https://www.worldalzmonth.org/ https://www.alz.co.uk/sites/default/files/pdfs/national-plans-examples-2017.pdf The Longest Day is a campaign hinging on summer solstice to raise awareness for Alzheimer’s disease. World Alzheimer’s Month is a month-long celebration in September to encourage discussion on dementia. 17 Promoting dementia-inclusive communities Communication activities I Identify Create a campaign that regularly reminds seniors to get checked regularly for dementia. Activities can include providing a short checklist for dementia signs and symptoms in senior cards or speciality cards, or placing casual prompts in specialized senior lanes or locations older people frequent. Provide a kit for people with dementia. Include an “invisible illness marker” that acts as a symbol for others to identify people with dementia. Offer support pamphlets for carers to know how to give care to people with dementia and find support for themselves as well. In partnership with local telemedicine health-care workers, mount an online screening drive for members of the community. This allows the regularly screening of older people for signs and symptoms of dementia, while maintaining physical distance. Reminders for seniors Dementia kit Online community screening drive 18 Promoting dementia-inclusive communities Communication activities Telehealth for dementia Telehealth has allowed patients to be seen by specialists miles away, without the need to travel. Digital tools such as videoconferencing have allowed early diagnosis of dementia, especially for mild to moderate cases. Telehealth tools can also be used to provide support for both people with dementia and their carers and families. For more information: https://www.nextavenue.org/telemedicine-lifeline-rural-residents/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5970283/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654345/ https://www.healthrecoverysolutions.com/blog/telehealth-alzheimers-disease Invisible illness marker Not all health conditions are visible to the eye, including dementia. Invisible illness markers are small items that communicate important medical information to others. Markers can also help others understand one’s situation, and offer help and support. Medical ID in the United States. For more information: https://kidneyhi.org/medical-id-jewelry https://roomsbooms.com/what-is-help-mark/ https://www.facebook.com/AmericanMedicalID/ https://www3.nhk.or.jp/nhkworld/en/news/backstories/217/ “Help mark” badge in Japan. I Identify 19 Promoting dementia-inclusive communities Communication activities VE Value Create a symbol for public support for dementia in the community. Encourage use of the symbol among individuals through pins, stickers, and social media badges. The symbol can also be used for business establishments to signal dementia-friendly locations. Design low-cost city map handouts that contain important information pertinent to people with dementia. Integrate the map with local wayfinding systems (e.g. street signs and environmental design nudges) that can help people with dementia navigate through their surroundings. Equip front-line health-care workers, first responders, shop owners, religious leaders, and the like with skills necessary to interact with people with dementia. Offer online classes that educate front-line workers on dementia and what help can be given. Symbol for public support Dementia- friendly map of the community Front-liner capacity- building 20 Promoting dementia-inclusive communities Communication activities VE Value Set up community-wide groups on social media and messaging platforms. Promote use of these virtual communities as a platform for information dissemination and community mobilization. Partner with local schools to develop a volunteer programme for people with dementia. Encourage youth to correspond with people with dementia through online messaging platforms and apps. Recommend a volunteer drive among youth to deliver practical help to people with dementia. Improve ease of navigation around the community through wayfinding systems (e.g. street signs and markers) that are easy to spot and interpret. Social network and messaging app groups Volunteer programme Dementia wayfinding 21 Promoting dementia-inclusive communities Communication activities Memory café Memory or dementia cafés aim to be a safe and caring space for older people and their carers and families. It is a place for older people and carers to discuss their dementia diagnosis and learn from others’ experiences. Activities can include a question-and- answer portion with a health-care provider, exercise classes, social activities and educational talks. Memory cafés have been found effective in providing useful information and social interaction. For more information: https://www.macs.org.au/reap-health-benefits-macs-memory-lane-cafe/ https://www.rafflesmedicalgroup.com/asian-medical-foundation/our-work/2018 https://www.alzheimers.org.uk/get-support/your-support-services/dementia-cafe Wayfinding and signs People with dementia often suffer wayfinding problems, which causes anxiety, distress, and decreased interaction. Research has shown that properly designed environments and signs can help with wayfinding among people with dementia, ultimately offering support. For more information: https://pictosign.co.uk/project/haven-court/ https://www.straitstimes.com/singapore/yishun-set-to-be-first-dementia-friendly-town https://www.cbc.ca/radio/spark/how-urban-design-can-help-people-with-dementia-navigate- neighbourhoods-and-public-spaces-1.5298810 Dementia-friendly facility support in Singapore VE Value Dementia café in Victoria, Australia Memories café in Singapore Wayfinding sign in a hospital in the United Kingdom 22 Promoting dementia-inclusive communities Sample activities Le ar n Value Identify Seniors’ Day Social Media Event Dementia-friendly Businesses Mount an online information session on dementia both for older people and their carers and families. Link with a telehealth provider to allow online consultations and screening during the event. Enable bannering of support through sharing of online materials, stickers and pledges. Provide posters to be displayed by local businesses. These posters can provide information on dementia. Offer training for businesses to identify and provide support for people with dementia. Encourage businesses to regularly mount memory cafés. Provide them with tools necessary to mount one. 23 Promoting dementia-inclusive communities Sample programmes Use these resources to guide you in developing your own online event. Seniors’ Day Social Media Event Activity Duration Description Webinar sessions Live Q&A Telehealth consultation Support link 1 hour (per session) 30 minutes All day All day Discuss dementia, signs and symptoms, care, and support strategies. Engage online users through a question-and-answer portion. Link online users to medical professionals for consultation and screening. Provide a support link with details on how to show support for dementia. Sample activity Description Volunteer activities Online correspondence Regular socialization with people with dementia through messaging platforms and videoconferencing. Errands drive Provide practical help to people with dementia, such as running errands or delivering groceries. Play time Engage people with dementia through multiplayer games and puzzles available online. 24 Promoting dementia-inclusive communities Creative materials05 25 Promoting dementia-inclusive communities Campaign logo and branding Key visuals 26 Promoting dementia-inclusive communities Campaign logo and branding Key visuals Dementia-inclusive RationaleBrand Guide The image is a simplified graphic represntation of the human brain. The hemispheres are used to visually communicate two people facing each other and seemingly connected with a suggestive line formed by their smiles and gives the illusion of a singular smiling face. The image is then tilted 10° counter-clockwise to symbolize the imbalance brought about by dementia. The roundness of the image is then continued on to the typeface to convey the feeling of care and friendliness. Poetsen One ABCDEFGHIJKLMNOPQRSTUVWXYZ abcdefghijklmnopqrstuvwxyz 0123456789 `~!@#$%^&*()-_=+[]\{}|;':",./<>? Rockwell regular ABCDEFGHIJKLMNOPQRSTUVWXYZ abcdefghijklmnopqrstuvwxyz 0123456789 `~!@#$%^&*()-_=+[]\{}|;':",./<>? Roboto Condensed ABCDEFGHIJKLMNOPQRSTUVWXYZ abcdefghijklmnopqrstuvwxyz 0123456789 `~!@#$%^&*()-_=+[]\{}|;':",./<>? Roboto Bold Condensed ABCDEFGHIJKLMNOPQRSTUVWXYZ abcdefghijklmnopqrstuvwxyz 0123456789 `~!@#$%^&*()-_=+[]\{}|;':",./<>? Typography Colors CMYK 55c 67m 0y 0k RGB 130r 102g 173b CMYK 55c 67m 0y 0k RGB 130r 102g 173b CMYK 55c 67m 0y 0k RGB 130r 102g 173b CMYK 55c 67m 0y 0k RGB 130r 102g 173b Logo variants Logo spacing 1 x 0.25 x 0.25 x 0.25 x 1 x 27 Promoting dementia-inclusive communities Campaign branding Key visuals 28 Promoting dementia-inclusive communities Campaign posters Key visuals 29 Building a dementia-inclusive community starts within the family If a family member is having difficulty doing familiar tasks, consider having them screened for dementia. Visit https://www.who.int/westernpacific for more information. Involving people with dementia in family activities will help them feel loved and valued. It’s everyone’s business to take care of one another Promoting supportive and welcoming settings and environments is a key step towards a dementia-inclusive community. Commercial and other public establishments play an important role in ensuring people with dementia are secure and supported as they go about with daily activities. Visit https://www.who.int/westernpacific for more information. Physical activity and healthy living will help people with dementia improve their overall well-being. Encourage older adults to be active NEIGHBOURS Organizing community activities is a great way to involve community members and keep older adults active. Visit https://www.who.int/westernpacific for more information. Promoting dementia-inclusive communities Social media cards Key visuals 30 Let’s Help Older persons stay Active and Safe An active lifestyle promotes good health, well-being and community engagement. Let's help older adults stay productive With simple activities, older adults can remain productive and contribute to the community. Let's help families living with dementia Assisting with day-to-day tasks and other practical concerns can help families cope with dementia. I support A dementia-inclusive COmmunity We all have a role in promoting a dementia-inclusive community. Let's show people living with dementia that we care People living with dementia may experience distress and confusion. Expressing understanding will help them feel cared for and reassured. Promoting dementia-inclusive communities (Sample materials only) Wayfinding and out-of-home signs 31 Promoting dementia-inclusive communities (Sample materials only) Campaign materials Brochure 32 Checklist Promoting dementia-inclusive communities Campaign materials Branded merchandise 33 (Sample materials only) Branded merchandise and medical ID Promoting dementia-inclusive communities Using the Dementia-Inclusive Community creative materials For more information about these creative resources, including requests for adaptation, please write to: Mental Health and Substance Abuse Unit Division of Programmes for Disease Control WHO Regional Office for the Western Pacific wpromhs@who.int Visit https://www.who.int/westernpacific/ and search for “dementia” for more information and resources. 34 Promoting dementia-inclusive communities Campaign video06 35 Promoting dementia-inclusive communities Campaign video 36 Visit https://www.facebook.com/whowpro/posts/1671161819721573 to watch the full video. Promoting dementia-inclusive communities Monitoring and evaluation07 37 Promoting dementia-inclusive communities Monitoring and evaluation Measurements allow us to determine the short-term and long-term effects of our communication efforts. With a monitoring and evaluation (M&E) framework, we will be able to assess our communication efforts, from the inputs to their impact. It is important to note that overall impact is often a result of multiple strategies working together, with contribution from communication. Why do we need to monitor and evaluate communication? An impact framework can be used to guide M&E of communication activities. What framework do we use to monitor and evaluate communication? Input refers to resources used to produce outputs. These include physical and human resources, policies, and finances. Activities refer to the processes, tools, events, technology and/or actions that are carried out to achieve the objectives. Outputs refer to the direct result of the activities of a project, including goods, infrastructure, services or people reached by services. Outcomes refer to changes in specific knowledge, attitudes, behaviours or conditions that result from the activities. Impact refers to the long-term effects, including development outcomes, policy changes, and changes in funding. INPUT ACTIVITIES OUTPUTS OUTCOMES IMPACT 38 Promoting dementia-inclusive communities Monitoring and evaluation A wide range of tools can be used to set metrics and measure communication activities and effects. The following are some examples of tools that can be used for M&E. What tools do we use to monitor and evaluate communication? OUTPUTS Media monitoring tools and services, digital analytics, trend and sentiment analysis, event recording and official documentation 39 OUTCOMES Rapid assessment, audience panels, stakeholder surveys and consultations, trend and sentiment analysis IMPACT Health service research, KAP (knowledge, attitude, practice) research Promoting dementia-inclusive communities M&E framework Main goal: Support the establishment of dementia-inclusive communities Communication outcome 1: Members of the community can accurately recognize the common signs and symptoms of dementia. Communication outcome 2: People within the community who are living with dementia receive appropriate services (e.g. screening and referral). Communication outcome 3: Community leaders and decision-makers signal their support for dementia-friendly activities and initiatives. K ey population Soc ial support Co mm unity support Older peop le Family, friends and nei ghb ors Local community acto rs Target audiences 40 Promoting dementia-inclusive communities M&E framework (Sample framework) Data on community health demographics Community resources (personnel, funding, physical sites) dedicated to the activities Listing of community partners Baseline survey of awareness of dementia and its signs and symptoms Develop information, education, and communication (IEC) materials (brochures, flyers, posters, social media cards) Set up advocacy and public relations (PR) events Mobilize community partners IEC materials for intended audience segments produced and disseminated Advocacy and PR events mounted Networks among community partners established Leaders and decision- makers are engaged Awareness of the common signs and symptoms of dementia is increased People with dementia in the community are recognized by its members INPUTS ACTIVITIES OUTPUTS OUTCOMES IMPACT 41 Promoting dementia-inclusive communities M&E framework (Sample framework) Data on community health demographics Community resources (personnel, funding, physical sites) dedicated to the activities Listing of community partners Baseline data on health service utilization Develop information, education, and communication (IEC) materials and training modules for community health workers Develop IEC materials for people with dementia and their carers and families Set up dementia screening drives and events IEC materials and training modules for community health workers produced and disseminated IEC materials for people with dementia and their carers and families produced and disseminated Dementia screening drives and events rolled out in the community Community health workers are trained to conduct screening for dementia Increased awareness of available health services for people with dementia Sustained utilization of community health services for people with dementia Older persons and people with dementia receive appropriate services in the community (e.g. screening, referral and social support) INPUTS ACTIVITIES OUTPUTS OUTCOMES IMPACT 42 Promoting dementia-inclusive communities M&E framework (Sample framework) Community resources (personnel, funding, physical sites) dedicated to the activities Stakeholder mapping of leaders and decision- makers Landscape scan of current policies, programmes and initiatives at the community level for people with dementia Develop advocacy materials for leaders and decision-makers (policy briefs, presentations, etc.) Mount public relations (PR) and advocacy events Advocacy materials for leaders and decision- makers produced PR and advocacy events mounted Initiatives created Community leaders tapped Increased awareness of leaders and decision- makers on the public health aspect and response to dementia Community leaders have shown their support Leaders and decision- makers have signalled their support through their own platforms Political support for dementia-friendly activities and initiatives are in place and are being supported by community leaders and decision-makers INPUTS ACTIVITIES OUTPUTS OUTCOMES IMPACT 43 Promoting dementia-inclusive communities Note on COVID-19 and older people In the context of COVID-19, older people face considerable health challenges. Older people are at a significantly increased risk of severe disease following infection from COVID-19. They may also face mental and physical health risks from social isolation during this time. Campaigns promoting dementia inclusiveness should consider how they can contribute to promoting the health of older people during this time, while protecting them from the risks of the disease. For all communication activities, it is important to remember and emphasize six simple preventive measures for COVID-19: •Clean your hands often. •Cough or sneeze into your bent elbow – not your hands! •Avoid touching your eyes, nose and mouth. •Limit social gatherings and time spent in crowded places. •Avoid close contact with someone who is sick. •Clean and disinfect frequently touched objects and surfaces. For more information, visit: https://www.who.int/westernpacific/emergencies/covid-19/information/high-risk-groups Source: https://www.who.int/news-room/feature-stories/detail/who-delivers-advice-and-support-for-older-people-during-covid-19 https://www.un.org/development/desa/ageing/wp-content/uploads/sites/24/2020/05/COVID-Older-persons.pdf 44 Promoting dementia-inclusive communities: A strategic communications toolkit