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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The reasons for the epilepsy treatment gap in Kilifi, Kenya: Using formative research to identify interventions to improve adherence to antiepileptic drugs
Epilepsy and Behavior, Volume 25, No. 4, Year 2012
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Description
Many people with epilepsy (PWE) in resource-poor countries do not receive appropriate treatment, a phenomenon referred to as the epilepsy treatment gap (ETG). We conducted a qualitative study to explore the reasons for this gap and to identify possible interventions in Kilifi, Kenya. Focus group discussions (FGDs) were carried out of PWE and their caregivers. Individual interviews were conducted of PWE, their caregivers, traditional healers, community health workers and leaders, nurses and doctors. In addition, a series of workshops was conducted, and four factors contributing to the ETG were identified: 1) lack of knowledge about the causes, treatment and prognosis of epilepsy; 2) inaccessibility to antiepileptic drugs; 3) misconceptions about epilepsy derived from superstitions about its origin; 4) and dissatisfaction with the communication skills of health providers. These data indicated possible interventions: 1) education and support for PWE and their caregivers; 2) communication skills training for health providers; 3) and improved drug provision. © 2012 Elsevier Inc.
Authors & Co-Authors
Carter, Julie Anne
Unknown Affiliation
Molyneux, Catherine S.
Unknown Affiliation
Mbuba, Caroline K.
Unknown Affiliation
Jenkins, Jo
Unknown Affiliation
Newton, Charles R.J.C.
Unknown Affiliation
Hartley, Sally D.
Unknown Affiliation
Statistics
Citations: 48
Authors: 6
Affiliations: 6
Identifiers
Doi:
10.1016/j.yebeh.2012.07.009
e-ISSN:
15255069
Study Design
Exploratory Study
Study Approach
Qualitative
Study Locations
Kenya