Integration and Evaluation of a Community-Level Dementia Screening Program in Kenya (DEM-SKY): A Protocol

Area of Science:

• Gerontology
• Public Health
• Neuroscience

Background:

• Dementia is prevalent in Kenya, often undiagnosed and attributed to aging.
• Lack of dementia screening hinders diagnosis and access to support services.
• Community Healthcare Workers (CHWs) are vital for health interventions in Kenyan communities.

Purpose of the Study:

• To integrate and evaluate a community-level dementia screening program for older adults in rural Kenya.
• Assess the feasibility and effectiveness of the DEM-SKY program.

Main Methods:

• A 6-month process evaluation of the DEM-SKY program in Makueni County, Kenya.
• Involves older adults (≥60 years) and CHWs.
• Utilizes quantitative and qualitative measures to assess adoption, implementation, and continuation.

Main Results:

• The study protocol focuses on understanding the implementation process.
• Aims to identify factors influencing program success or failure.

Conclusions:

• Gathering diverse participant perspectives (older adults, CHWs, staff, trainers) is crucial.
• Understanding these insights will inform successful dementia care delivery in Kenya.