Children's access to treatment for epilepsy: experience from the Lao People's Democratic Republic.

Abstract:

:Epilepsy affects an estimated 10.5 million children worldwide, of whom 80% live in developing countries. The treatment gap is estimated at around 90% in the Lao People's Democratic Republic (Lao PDR). The present work analyses some of the reasons that could explain the low access to antiepileptic drugs (AED) for children with epilepsy in the Lao PDR. Epilepsy, the 'mad pig disease', is highly neglected. Traditional beliefs, fear and stigma are common among the general population and shared by 40% of health staff. Poor knowledge of the disease and its treatment, low trust in modern treatment, restricted access to AED and ignorance of long-term treatment explain the low access to AED. Improving understanding of epilepsy and its treatment, will improve the treatment gap for epileptic children in the Lao PDR.

journal_name

Arch Dis Child

authors

Barennes H,Sengkhamyong K,Sambany EM,Koffi PN,Chivorakul P,Empis G,Clavel S,Somphavong S,Wangkou N,Rajaonarivo C,Harimanana A

doi

10.1136/adc.2009.181255

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

309-13

issue

3

eissn

0003-9888

issn

1468-2044

pii

adc.2009.181255

journal_volume

96

pub_type

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