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Published on: September 20, 2024
Childhood epilepsy
Muhammad Akbar Malik1, Rana Muhammad Akram, Muhammad Arif Tarar
1Department of Paediatric Neurology, The Children's Hospital, and Department of Paediatrics, King Edward Medical University, Lahore. docmalikpk2000@yahoo.co.in
Insights
Childhood epilepsy affects 7.0/1000 children in Gujranwala, Pakistan, with an 88% treatment gap. Area vaccinators can help bridge this gap in underserved communities.
Area of Science:
- Neurology
- Public Health
- Pediatrics
Background:
- Childhood epilepsy presents a significant public health challenge globally.
- Understanding community-based prevalence and treatment access is crucial for effective interventions.
Purpose of the Study:
- To determine the community-based prevalence of childhood epilepsy.
- To assess the treatment gap in rural and urban populations in Punjab, Pakistan.
Main Methods:
- A cross-sectional study was conducted in Gujranwala District, Pakistan.
- Door-to-door surveys were performed in randomly selected Union Councils.
- Active epilepsy cases were confirmed by qualified pediatricians and neurologists.
Main Results:
- The prevalence of childhood epilepsy was 7.0/1000 children.
- Prevalence was similar in urban and rural areas.
- An 88% treatment gap was identified, with 66% of patients managed by unqualified personnel.
Conclusions:
- Childhood epilepsy is prevalent in both urban and rural Gujranwala.
- Integrating area vaccinators into screening and referral programs can help reduce the treatment gap.
- Utilizing existing resources like vaccinators offers a cost-effective approach to improve epilepsy care.
Objective:
To determine the community-based prevalence of childhood epilepsy and its treatment gap in rural and urban population in Punjab, Pakistan.
Study Design:
Cross-sectional study.
Place And Duration Of Study:
Gujranwala District, from March to June 2007.
Methodology:
Ten out of 52 Union Councils of District Gujranwala, Pakistan, were randomly selected. Field officers, specifically trained for screening children with active epilepsy, performed a door-to-door survey in the selected Union Councils using area vaccinators as key informants. Final confirmation of active epilepsy and treatment details were ascertained by a qualified paediatrician and a paediatric neurologist, where required. Treatment gap was defined as relative (when treated inappropriately) and complete (complete lack of treatment).
Results:
Among a total, under 16 years population of 92254, prevalence of childhood epilepsy was found to be 7.0/1000 (n=643) with similar distribution between urban and rural residents. Up to 66% (n=424) patients were being managed by an unqualified person including paramedics and faith healers. Treatment gap was found in 88% (n=566) patients.
Conclusion:
Childhood epilepsy is common in both urban and rural areas of District Gujranwala. Area vaccinators may be incorporated into screening and referral program to bridge the treatment gap utilizing minimum available resources.
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