Parent’s Knowledge, Attitude and Pattern of Care for Children with Epilepsy in Lagos, Nigeria
DOI:
https://doi.org/10.30442/ahr.0802-05-164Keywords:
Knowledge, Anti-epileptic drugs, Children, Epilepsy, Lagos, Seizure disorders, Social classAbstract
Background: Epilepsy is a common paediatric neurologic disorder associated with stigmatisation due to a lack of understanding of the disease and wrong beliefs.
Objective: To assess parents’ knowledge about epilepsy, attitude towards the disease and care for the affected child in Lagos, Nigeria.
Methods: This was a descriptive cross-sectional study of parents of children with epilepsy presenting to the Paediatric Neurology Out-Patient Clinic in a tertiary facility between June and August 2019. Data collection was done using a semi-structured questionnaire.
Results: A total of 112 parent-child pairs participated in this study. The mean age of the fathers and mothers were 44.9 ± 10.4 years and 37.9 ± 9.0 years, respectively. Most (98.2%) of the parents had at least a secondary level of education, and about half (42.9%) belonged to the upper socioeconomic class. About three-quarters (73.2%) of parents have heard about epilepsy before presentation at the clinic. Twenty-eight (25%) parents had misconceptions or no idea of the causes of epilepsy. About a third of the parents did not know the correct measures to be taken during seizure attacks. Three-quarters (76.8%) of children received prescribed medication regularly, and one of the reasons given for non-compliance with medications was poor effectiveness of the medications. (15.4%).
Conclusions: The attitude and care of parents towards children living with epilepsy were poor. A period must be dedicated to educating all parents as soon as they present to the clinic with their children.
References
Stafstrom CE, Carmant L. Seizures and epilepsy: an overview for neuroscientists. Cold Spring Harb Perspect Med 2015; 5: a022426. https://doi.org/10.1101/cshperspect.a022426
Beghi E. The Epidemiology of Epilepsy. Neuroepidemiology. 2020; 54: 185-191. https://doi.org/10.1159/000503831
Carrizosa Moog J, Kakooza-Mwesige A, Tan CT. Epilepsy in the tropics: Emerging etiologies. Seizure 2017; 44: 108-112. https://doi.org/10.1016/j.seizure.2016.11.032
World Health Organization. Epilepsy. Available at: https://www.who.int/News/Fact sheets. Accessed 05 March 2019.
Zack MM, Kobau R. National and State Estimates of the Numbers of Adults and Children with Active Epilepsy - United States, 2015. Morb Mortal Wkly Rep 2017; 66: 821-825. https://doi.org/10.15585/mmwr.mm6631a1
Forsgren L, Beghi E, Oun A, Sillanpää M. The epidemiology of epilepsy in Europe - a systematic review. Eur J Neurol. 2005; 12: 245-53. https://doi.org/10.1111/j.1468-1331.2004.00992.x
Winkler AS, Kerschbaumsteiner K, Stelzhammer B, Meindl M, Kaaya J, Schmutzhard E. Prevalence, incidence, and clinical characteristics of epilepsy—a community-based door-to-door study in northern Tanzania. Epilepsia 2009; 50: 2310-2313. https://doi.org/10.1111/j.1528-1167.2009.02184.x
Owolabi LF, Owolabi SD, Taura AA, Alhaji ID, Ogunniyi A. Prevalence and burden of epilepsy in Nigeria: A systematic review and meta-analysis of community-based door-to-door surveys. Epilepsy Beh 2019; 92: 226-234. https://doi.org/10.1016/j.yebeh.2018.12.017
Wammanda RD, Onalo R, Adama SJ. Pattern of neurological disorder presenting at a paediatric neurology clinic in Nigeria. Ann Afr Med 2007; 6: 73-75. https://doi.org/10.4103/1596-3519.55712
Lagunju IA, Okafor OO. An analysis of disorders seen at the Paediatric Neurology Clinic, University College Hospital, Ibadan, Nigeria. West Afr J Med 2009; 28: 38-42. https://doi.org/10.4314/wajm.v28i1.48424
Izuora GI, Iloeje SO. A review of neurological disorders seen at the Paediatric Neurology Clinic of the University of Nigeria Teaching Hospital, Enugu. Ann Trop Paediatr 1989; 9: 185-190. https://doi.org/10.1080/02724936.1989.11748629
Kaddumukasa M, Kaddumukasa MN, Buwembo W, Munabi IG, Blixen C, Lhatoo S, et al. Epilepsy misconceptions and stigma reduction interventions in sub-Saharan Africa, a systematic review. Epilepsy Behav 2018; 85: 21-27. https://doi.org/10.1016/j.yebeh.2018.04.014
Herrmann L4K, Welter E, Berg AT, Perzynski AT, Van Doren JR, Sajatovic M. Epilepsy misconceptions and stigma reduction: Current status in Western countries. Epilepsy Behav 2016; 60: 165–173. https://doi.org/10.1016/j.yebeh.2016.04.003
Choi-Kwon S, Kim EK, Youn SM, Choi JM, Lee SK, Chung CK. Common misconceptions in people with epilepsy. J Clin Neurol. 2006; 2: 186-193. https://doi.org/10.3988/jcn.2006.2.3.186
Ogunlesi TA, Dedeke IOF, Kuponiyi OT. Socioeconomic classification of children attending Specialist Paediatric Centres in Ogun State, Nigeria. Niger Med Pract 2008; 54: 21-25. https://doi.org/10.4314/nmp.v54i1.28943
Ezeala-Adikaibe BA, Achor JU, Nwabueze AC, Agomoh AO, Chikani M, Ekenze OS, et al. Knowledge, attitude and practice of epilepsy among community residents in Enugu, Southeast Nigeria. Seizure 2014; 23: 882–883. https://doi.org/10.1016/j.seizure.2014.08.003
Frank-Briggs AI, Alikor E. Knowledge and attitudes of parents toward children with epilepsy. Ann Afr Med 2011; 10: 238-242. https://doi.org/10.4103/1596-3519.84706
Zaini LE, Atteyah DM, Aldisi W, Abdulkarim HA, Al-helo RF, Alhelali HA, et al. Parent’s Knowledge and Attitudes towards Children with Epilepsy. Pediat Therapeut 2015; 3: 157.
Ibekwe RC, Ndukuba AC, Aronu AE, Eke CB, Ibekwe MU, Ojinnaka NC. Determinants of non-compliance to clinic appointments and medications among Nigerian children with epilepsy: Experience in a tertiary health facility in Enugu, Nigeria. Behav Neurol 2016; 2016: 6580416. https://doi.org/10.1155/2016/6580416
Nazziwa R, Mwesige AK, Obua C, Ssenkusu JM, Mworozi E. Adherence to anti-epileptic drugs among children attending a tertiary health unit in a low resource setting. Pan Afr Med J 2014; 17: 44. https://doi.org/10.11604/pamj.2014.17.44.3399
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