+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Case-control and qualitative study of attrition in a community epilepsy programme in rural India

Case-control and qualitative study of attrition in a community epilepsy programme in rural India

Seizure 9(2): 119-123

Dropout from epilepsy programmes is a serious problem in developing countries and has not been systematically studied before. We set up a community-based programme for children with epilepsy in rural India. The aim of this study was to assess reasons for dropout. We assessed medical and sociodemographic variables for their effect on dropout at 12 months using an unmatched case-control design on 32 cases and 62 controls. We also interviewed the parents of 32 children who dropped out of treatment, using a topic schedule. Two-thirds of the dropouts occurred within the first 6 months of treatment. Severely impaired children were more likely to drop out (odds ratio 4.60, 95% CI: 1.0-21.0) and families who had tried AEDs before were less likely to do so (odds ratio 0.12, 95% CI: 0.015-0.88). Denial of diagnosis, access problems and symptom resolution were the other main reasons underlying attrition. Active ascertainment methods should be reconsidered in community programmes. Very poor families without a male head or with long journey times are at high risk of dropout. People with severe impairments need appropriate integrated rehabilitation.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 045454244

Download citation: RISBibTeXText

PMID: 10845735

DOI: 10.1053/seiz.1999.0357

Related references

Health-seeking behaviour and community perceptions of childhood undernutrition and a community management of acute malnutrition (CMAM) programme in rural Bihar, India: a qualitative study. Public Health Nutrition 18(17): 3234-3243, 2016

Prevalence of Epilepsy and its Association with Exposure to Toxocara canis: A Community Based, Case-control Study from Rural Northern India. Annals of Indian Academy of Neurology 21(4): 263-269, 2018

Burden of potentially preventable epilepsy: A community-based prevalence study in rural India (comprehensive rural epilepsy study south India, Cressi). 2007

Treatment gap and possible reasons: a community-based study in rural India (comprehensive rural epilepsy study, south India). 2007

Impact of Epilepsy on Adolescents in a Rural Nigerian Community: A Case-Control Study. West African Journal of Medicine 35(2): 61-69, 2018

Cysticercosis and epilepsy in rural Tanzania: a community-based case-control and imaging study. Tropical Medicine & International Health 20(9): 1171-1179, 2015

Risk factors for epilepsy in a rural area in Tanzania. A community-based case-control study. Neuroepidemiology 20(4): 242-247, 2001

Integrated rural development programme in India: a case study of a poverty eradication programme. Case studies on poverty programmes in Asia: 210-243, 1985

Impact of the integrated rural development programme on the rural poor - a case study of the Cuttack district in India. Asia Pacific Journal of Rural Development 4(1/2): 118-145, 1994

Too far, too little, too late: a community-based case-control study of maternal mortality in rural west Maharashtra, India. Bulletin of the World Health Organization 76(6): 591-598, 1999

An experience of rural intervention. A case study of CHSDC-Rural Community Development Programme. An experience of rural intervention A case study of CHSDC Rural Community Development Programme: 11, 1982

A community-based health education programme for bio-environmental control of malaria through folk theatre (Kalajatha) in rural India. Malaria Journal 5: 123-123, 2006

Community perceptions of pre-eclampsia in rural Karnataka State, India: a qualitative study. Reproductive Health 13 Suppl 1(): 35-35, 2016

Post-partum depression in the community: a qualitative study from rural South India. International Journal of Social Psychiatry 56(1): 94-102, 2010

Psycho-socio-economic stress as a risk factor for preterm labour: a community-based, case-control study from rural South India. National Medical Journal of India 23(3): 184-185, 2010