1. Intervention strategy for the management of epilepsy in South-East Asia
- Author
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Boumediene, F., Chivorakul, P., Chhour, C., Souvong, V., Odermatt, P., Ros, S., Chan, S., Gerard, D., Pierre-Marie Preux, Neuroépidémiologie Tropicale (NET), CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), Institut de la Francophonie pour la Médecine Tropicale (IFMT), Calmette Hospital [Phnom Penh], Swiss Tropical Institute (STI), Department Public Health and Epidemiology, Sanofi-Aventis R&D, SANOFI Recherche, Service de l'Information Médicale et de l'Évaluation [CHU Limoges] (SIME), CHU Limoges, Laboratoire de Biostatistique et d'Informatique Médicale, Université de Limoges (UNILIM), Grelier, Elisabeth, Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), and Université de Limoges (UNILIM)-Université de Limoges (UNILIM)-CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM)
- Subjects
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie - Abstract
International audience; Purpose:The prevalence of epilepsy is 7.7& in Laos and 5.8 & in Cambodia, the treatment gap exceeds 95% in both countries. Our researchprogram aims to measure the effectiveness of two new community-based health care approaches using two different types of Domestic HealthVisitors (DHV) trained to screen and follow patients with epilepsy (PWE): (1) in Laos DHV chosen from health center staff (2) an identicalstrategy in Cambodia where DHV duty was carried out by health volunteers residing in the villages.Method:Between 2015 and 2017, these two quasi-experimental studies were conducted in rural districts over a 12-months period comparing anintervention area and a control area. Our intervention included an Information, Education and Communication campaign, training of the DHVstaff, a number of surveys on general population about Knowledge, attitudes and practices (KAP) and regular monitoring.Results:In Laos after a 12-month intervention period, the treatment gap was reduced by 5.5% (20 to 43 cases under treatment of the 418expected) in the intervention vs. 0.5% (21 to 25 cases under treatment of the 788 expected) in the control area (p
- Published
- 2017