Perceptions about mental healthcare for people with epilepsy in Africa.

Journal: Epilepsy & behavior : E&B

Volume: 127

Issue: 

Year of Publication: 2022

Affiliated Institutions:  Queen's University Belfast, School of Medicine, Dentistry and Biomedical Sciences, Belfast, UK. Queen's University Belfast, School of Medicine, Dentistry and Biomedical Sciences, Belfast, UK; Belfast Health and Social Care Trust, UK. Pretola Global Health Consulting Limited, Isle Of Wight, UK. Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria. KMTC College Loitoktok Kajiado, Kenya. Kakumbi Rural Health Clinic, Mfuwe, Zambia. Edward Francis Small Teaching Hospital, Banjul, Gambia. University of Plymouth, Peninsula School of Medicine, Truro, UK; Cornwall Partnership NHS Foundation Trust, Truro, UK. Electronic address: rohit.shankar@plymouth.ac.uk.

Abstract summary 

Mental illness is commonly comorbid with epilepsy. In sub-Saharan Africa there exists limited access to neurological and psychiatric services predisposing to a "treatment gap" in epilepsy and mental healthcare.To understand healthcare providers' knowledge, attitudes, and management practices toward epilepsy and comorbid mental illness in sub-Saharan Africa.A cross-sectional online survey following the STROBE guidance was conducted among healthcare providers in sub-Saharan Africa. Eleven questions looking to ascertain clinician demographics, knowledge of epilepsy, and comorbid mental illness as well as management practices were developed.Of 203 responses most (92%) respondents recognized a bi-directional relationship between mental health and epilepsy. However, mental illness screening in people newly diagnosed with epilepsy was infrequently performed (14%). Only 1 in 7 (16%) respondents had high confidence in their clinical competence at managing psychiatric comorbidities. Most would value further training (74%) and improvements to be made in current management practices within their local healthcare settings (94%).This pilot study highlights the need to improve the awareness of management of mental disorders in populations with epilepsy within sub-Saharan Africa in health providers there.

Authors & Co-authors:  Gilkinson Kinney Olaniyan Murtala Sipilon Malunga Joof Shankar

Study Outcome 

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Statistics
Citations : 
Authors :  8
Identifiers
Doi : 10.1016/j.yebeh.2021.108504
SSN : 1525-5069
Study Population
Male,Female
Mesh Terms
Africa South of the Sahara
Other Terms
COV;Education;Low-income countries;Mental disorders;Neurology;Seizures
Study Design
Study Approach
Country of Study
Kenya
Publication Country
United States