Home|Journals|Articles by Year Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Original Article



Epilepsy Care in Nigeria: Factors Influencing Default

Emmanuel Okechukwu Ezunu, Muyiwa Owolabi, Adesola Oguinniyi, Uduak Williams.

Abstract
"Introduction: Epilepsy is a common cause of neurologic disability in developing countries where very few patients with the condition have organized regular follow up. This study was conducted to identify factors influencing default of adult epileptic patients in Ibadan.
Methodology: This is a prospective study of subjects with epilepsy seen at the out-patient neurology clinic, University College Hospital, Ibadan Nigeria. A total of 147 patients with epilepsy were recruited consecutively. A structured questionnaire for obtaining in-formation on their demographic characteristics, cost of transporta-tion, estimated distance to the clinic, monthly clinic attendance and seizure frequency was initially applied to each patient who was assigned to be seen monthly for the next six months. Those that defaulted from any subsequent visit were identified and the questionnaire was applied to obtain the reason for default from them.
Results: Male gender (p=0.0001), estimated distance (p=0.010), cost of transportation (p=0.013) and age below 40 years (p = 0.01) were identified to have influence on clinic default. But gender is the only significant predictors on clinic default at the multivariate analysis level.
Conclusions: Creating more advocacy visits on dangers of clinic default, subsidising transportation and decentralising epilepsy care may improve clinic attendance and seizure control. "

Key words: Epilepsy-Care-Nigeria-Default


Full-text options

Full-text Article




Advertisement
Journal of Molecular Pathophysiology

SUBMIT YOUR ARTICLE NOW




ScopeMed.com
BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.