PMID: 2496864Mar 25, 1989Paper

A model for managing epilepsy in a rural community in Africa

BMJ : British Medical Journal
A E Watts

Abstract

As most Malawians with epilepsy consider treatment of seizures to be the domain of traditional healers and attend hospital only when they require treatment for burns which they suffer during fits, steps were taken to encourage people with epilepsy to attend hospital for regular treatment with anticonvulsant drugs. At first only a few patients attended, but within two years 461 had registered at the hospital and two mobile clinics. Publicity was spread through the area action committee, which was organised by the area chief. The main drug used was phenobarbitone. After treatment was given for six months seizures were fully controlled in 40 (56%) out of 71 patients. A further 20 (28%) had greatly improved. As news of the clinics spread other health units adopted the model, and eventually over 3000 patients with epilepsy were receiving regular treatment at 45 units throughout Malawi.

References

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Citations

Nov 1, 1995·Burns : Journal of the International Society for Burn Injuries·N Karacaoĝlan, A Uysal
Apr 1, 1991·Epilepsy Research·A T FeksiS D Shorvon
Sep 1, 1996·Seizure : the Journal of the British Epilepsy Association·M C Walker, J W Sander
Feb 1, 2003·Epilepsia·J M K Murthy
Nov 9, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Young Chul JangTae Hyung Han
Sep 11, 2008·Epilepsia·Andre Pascal KengneJean Claude Mbanya
Mar 1, 1994·Journal of Neurology, Neurosurgery, and Psychiatry·M PlacenciaS D Shorvon
Apr 21, 2010·Globalization and Health·Ama de-Graft AikinsLem L Atanga
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Sep 13, 2012·PloS One·Elisa BrunoGuy Farnarier
Jun 12, 2014·Journal of Burn Care & Research : Official Publication of the American Burn Association·Laura P BoschiniAnthony G Charles
Oct 9, 2002·Annals of Tropical Paediatrics·R M Sykes
Feb 18, 2009·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Leon Eisenberg, Myron Belfer
Jan 29, 2013·Epilepsia·Dismand HouinatoPierre-Marie Preux
Jul 12, 1997·Lancet·L Eisenberg
Apr 19, 2016·Epilepsy & Behavior : E&B·Archana A PatelJurriaan M Peters
Aug 8, 2001·Seizure : the Journal of the British Epilepsy Association·B MacDonald
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Jan 17, 2015·Neurology India·Chamroeun HunDevender Bhalla
Apr 1, 1990·Tropical Doctor·G Hosking
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Apr 1, 1990·Tropical Doctor·A E Watts
Mar 16, 2004·Acta Neurologica Scandinavica·A MillogoP M Preux

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