Lived experiences of young people with epilepsy in a resource-constraint setting: Contemporary findings from Cape

Akwasi Appiah1, Kwasi Agyen-Mensah2, Akua Afriyie Karikari3

  • 1School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana.

Insights

Young people with epilepsy face significant challenges accessing care and managing their condition in resource-limited areas. However, adaptive coping strategies, strong support systems, and faith help them navigate these difficulties and pursue future goals.

Area of Science:

  • Neurology
  • Psychology
  • Public Health

Background:

  • Epilepsy is a chronic neurological disorder impacting millions globally, particularly young individuals.
  • Resource-limited settings present unique challenges including healthcare access, medication availability, and social stigma for young people with epilepsy (YPWE).

Purpose of the Study:

  • To explore the lived experiences of young people with epilepsy in Ghana.
  • To understand their emotional responses to diagnosis, healthcare access, coping mechanisms, support networks, and future aspirations.

Main Methods:

  • A qualitative study utilizing in-depth, semi-structured interviews with 20 young people aged 12-25.
  • Thematic analysis was performed using Braun and Clarke's six-step method.

Main Results:

  • Six key themes emerged: emotional reactions to diagnosis (shock, fear, anxiety), challenges in accessing healthcare and medications (availability, cost, queues), significant psychosocial impact (education, social life, self-esteem), adaptive coping strategies (lifestyle changes, faith, recreation), reliance on social support systems (family, friends), and aspirations for education and careers.
  • YPWE in resource-constrained settings encounter multifaceted challenges.
  • Adaptive coping strategies, supportive relationships, and faith-based resilience help mitigate these challenges.

Conclusions:

  • Interventions should prioritize improving access to epilepsy medications and healthcare services.
  • Reducing stigma and strengthening psychosocial support are crucial for empowering YPWE.
  • Efforts should focus on enabling young people with epilepsy to achieve their educational and career aspirations.

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