A/HRC/42/43/Add.2 in the cash transfer. In that context, she also stresses the need to ensure the expansion of free and reliable transport covering rural, urban and peri-urban areas. 109. While care is still largely considered a family matter, human mobility, accelerated levels of urbanization and societal changes have the potential to erode the traditional family home-care system. The Independent Expert stresses that the Government needs to make efforts in the health and care infrastructure so as to provide alternatives for older persons, particularly in rural areas. 110. The Independent Expert recommends that the Government develop programmes for home-based care support to ensure that older persons can remain in their own homes for as long as possible, receiving the necessary care, as needed. She also encourages Mozambique to increase the number and build on the experience of existing day-care centres for older persons in the community, to decrease loneliness and facilitate the involvement of older persons in community projects, including those relating to their human rights and self-care. 111. The Independent Expert recommends that a comprehensive study be carried out on the profile of informal caregivers to inform the development of a relevant policy. She notes that health services in the community are currently unsustainable owing to the heavy reliance on faith- and community-based organizations and the lack of adequate numbers of professional health and social workers, appropriate training, quality assurance and monitoring. Training for informal caregivers should include training in caring and in protecting the caregiver’s own physical and mental health. 112. Older persons have different patterns of disease presentation from younger adults, they respond to treatments and therapies in different ways and they frequently have complex social needs that are related to their chronic medical conditions. She also notes the need to pay particular attention to the post-menopausal sexual health rights of older women. It is therefore essential to ensure that the different categories of health workers and community members are sensitized to the needs of older persons and receive training in gerontology and geriatrics, and that policies and guidelines on the care of older persons are developed. 113. In view of the limited awareness in Mozambican society about dementia and associated cognitive health conditions, and the misinterpretation of its symptoms as a form of demonology and witchcraft, the Independent Expert strongly encourages the Government to make dementia a public health priority. There is a need, inter alia, to integrate dementia services at the primary health-care level, to further build the capacity of doctors, not only to diagnose and treat dementia but also with regard to biopsychosocial cultural interventions for dementia and to provide training in dementia care. Activities in care homes also need to be improved and standardized to cater for the specific needs of persons suffering from dementia. In addition, there is a need to expand care facilities for patients with psychiatric disorders. C. Recommendations to the international community 114. The Independent Expert acknowledges the commitment of Mozambique to ensuring the full enjoyment by older persons of their human rights and notes that the international community has a crucial role to play in providing assistance to and cooperating with the Government to ensure full implementation of existing international instruments and regional instruments relating to older persons. She supports the Government’s call for expertise to be provided on human rights and, inter alia, the deployment by OHCHR of staff members to the country to further the implementation of measures that help to promote and protect the human rights of older persons. 18