The Gambia’s adoption of its first National Dementia Plan for 2027–2031 marks an important step towards addressing a growing but often overlooked public health challenge. As the first country in the World Health Organization (WHO) African Region to adopt a dedicated national plan of this kind, The Gambia has an opportunity to demonstrate how policy can translate into meaningful support for vulnerable people and their families.
Dementia affects memory, thinking and the ability to perform everyday activities. Yet, in many communities, its symptoms are dismissed as a normal part of ageing. Stigma, misconceptions and limited access to diagnosis often leave affected individuals without appropriate care, while families shoulder the responsibility with little professional assistance.
The estimated 3,800 to 4,000 people living with dementia in The Gambia, projected to rise to nearly 13,000 by 2050, underline the urgency of the challenge. These figures demand sustained attention from policymakers, health professionals and communities.
However, adopting a national plan is only the beginning. Its success will depend on adequate funding, trained health workers, accessible diagnostic services and reliable support systems for caregivers. Public awareness campaigns must also challenge stigma and encourage families to seek medical advice when symptoms emerge.
The government should integrate dementia services into existing mental health and primary healthcare programmes while strengthening coordination among health, social welfare and disability services. Clear implementation targets, regular monitoring and public reporting will be essential to ensure accountability.
Equally important is recognising the dignity and rights of people living with dementia. They should not be isolated or excluded from their communities because of their condition. Caregivers also deserve information