Stigma, Silence, and the Nurse's Voice: Reshaping Dementia Care in Zimbabwe

Dementia is an emerging public health concern in Zimbabwe, yet it remains widely misunderstood, often attributed to aging, madness, or spiritual causes such as witchcraft. These cultural beliefs contribute to stigma, silence, delayed diagnosis, and lack of care for individuals and families affected by dementia. Nurses, as trusted professionals embedded within communities, are well-positioned to challenge these narratives and lead a transformative shift in dementia care. However, systemic gaps in education, training, and policy have limited their visibility and influence in dementia discourse. This commentary explores how Zimbabwean nurses can reclaim their voice and take on expanded roles as educators, advocates, cultural mediators, and policy influencers. Strategies include integrating dementia care into nursing curricula, promoting culturally sensitive public education, implementing community-based nursing models, and engaging in ethical leadership and policy advocacy. The article highlights the importance of reflective practice and the need for investment in specialist training, partnerships, and nursing-led research. By addressing stigma and promoting dignity, nurses can reshape how dementia is understood and experienced in Zimbabwe.