First choice of treatment place in the pathways to epileptic care at the outpatient department of University of Gondar Hospital, Northwest Ethiopia: Cross-sectional institutional based study.

Journal: PloS one

Volume: 12

Issue: 8

Year of Publication: 2017

Affiliated Institutions:  University of Gondar College of Medicine and Health Science, Department of Nursing, Gondar, Ethiopia. University of Gondar College of Medicine and Health Science, Department of Epidemiology, Gondar, Ethiopia. University of Gondar College of Medicine and Health Science, Department of Psychiatry, Gondar, Ethiopia.

Abstract summary 

Epilepsy treatment gap range from 87% to 98%. In spite of this, there is a gross inadequacy of the availability, accessibility and affordability of Anti-Epileptic Drugs. In countries like Ethiopia, where most populations are less aware about mental health problems, most people seek help for their illness from traditional healers. Thus, the main purpose of this study was to assess the pathways to epilepsy care and associated factors.Cross-sectional study design utilized among 409 participants selected by systematic random sampling technique. Pathways to epilepsy care were assessed by using the WHO Pathway Study tool. Multivariable logistic regression was done to identify factors associated with pathways to epileptic care.Overall, 162 (39.6%) of participants first contacted with modern treatment. Two hundred and forty seven (60.4%) of participants counted traditional healers and religious healers were the most common (47.2%). Being men, attending higher education, urban residence, short duration of illness, social support and age at the onset of illness were factors associated with first contact with modern treatment.Modern treatment was not the first place of choice for the majority of the respondents. Strengthening awareness creation program about epilepsy and its treatment is highly recommended with special emphases to urban dwellers and less educated people.

Authors & Co-authors:  Bifftu Berhanu Boru BB Dachew Berihun Assefa BA Tiruneh Bewket Tadesse BT Alemu Wondale Getinet WG

Study Outcome 

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Citations :  Radha krishnan K. Challenges in the management of epilepsy in resource-poor countries. Nat Rev Neurol. 2009;5:323–30. doi: 10.1038/nrneurol.2009.53
Authors :  4
Identifiers
Doi : e0181310
SSN : 1932-6203
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
United States