International Research Journal of Public and Environmental Health


Assessing the readiness of the health district system facing epilepsy: health workers knowledge and health system support for epilepsy case management in the Region of Hauts Bassins, Burkina Faso

Z Clément Méda*1,2,3,5,6, Issiaka Sombié2,4, GB Léon Sawadogo1,2, M Hervé Hien5, Youl Yéri Traoré3, Salifou Sougué3, Ouo Mireille Coulibaly3, Issa Konaté3, Léonel Hien2, Isidore Traoré5, Oumar N’Do3, Ghislain Bouda3, Léticia Sakana5, Traoré Brahima3, Athanase Millogo1 and S Edouard Tianhoun6


1Centre hospitalier universitaire Souro Sanou, Bobo Dioulasso, Burkina Faso
2Institut supérieur des sciences de la santé, Université Nazi Boni, Bobo Dioulasso, Burkina Faso
3Direction régionale de la santé des Hauts Bassins, Burkina Faso
4Organisation ouest africaine de la santé, Bobo Dioulasso, Burkina Faso
5Centre Muraz, Bobo Dioulasso, Burkina Faso
6TIC Burkina, Burkina Faso

* Corresponding Author Email: medacle1(at)yahoo.fr

Z Clément Méda

Issiaka Sombié

GB Léon Sawadogo

M Hervé Hien

Youl Yéri Traoré

Salifou Sougué

Ouo Mireille Coulibaly

Issa Konaté

Léonel Hien

Isidore Traoré

Oumar N’Do

Ghislain Bouda

Léticia Sakana

Traoré Brahima

Athanase Millogo

S Edouard Tianhoun


Article Number: irjpeh.20.005  |   Pages: 30-36  |   Vol. 7 (2), March-April 2020   |   DOI: https://doi.org/10.15739/irjpeh.20.005

 Received: November 23, 2019  Accepted: January 15, 2020  Published: March 21, 2020

Abstract

Like all non-communicable-diseases in low-income-countries, epilepsy is insufficiently taken into account by health-services. This research aimed to study the knowledge (and related factors) and experiences of health workers regarding epilepsy-management in health-districts from Region of Hauts Bassins (Burkina Faso). Cross-sectional study was conducted from June to September 2015. Health-workers (nurses, care-providers from district-teams and ward supervisors of district-hospitals) were interviewed. Knowledge-score on epilepsy was calculated based on 34 questions, using the median as the threshold. Factors associated (socio-demographic, experiences and organization of services) with good epilepsy-knowledge score were identified by logistic-regressions using SPSS 20.0 software. About 214 health-workers were included. Mean-age of respondents was 36.8 (± 6.2) years; 92.5% were male. Mean epilepsy-knowledge score was 20.5 (95%CI: 20.0-20.9); and 38.8% of respondents had less than the mean epilepsy-knowledge score. Factors influencing the good epilepsy-knowledge score included duration as health worker (p=0.025), having already taken care of an epileptic-seizure (p=0.024), having already sensitized population on epilepsy (p=0.028), and having already prescribed anti-epileptics drugs (p=0.007). Regarding organization and management of health-services for epilepsy cases, our study shows that health-workers were underinformed, untrained and unprepared for epilepsy case management. Health-care services environment was not supportive and not enabled. It is crucial to strengthen the capacity of health-workers and to improve the health facility environment to become friendly with epilepsy-management.


Non-communicable disease, health system, epilepsy, knowledge score, Burkina Faso

How to Cite this Article

Méda ZC, Sombié I, Sawadogo GBL, Hien MH, Traoré YY, Sougué S, Coulibaly OM, Konaté I, Hien L, Traoré I, N’Do O, Bouda G, Sakana L, Brahima T, Millogo A, Tianhoun SE(2020). Assessing the readiness of the health district system facing epilepsy: health workers knowledge and health system support for epilepsy case management in the Region of Hauts Bassins, Burkina Faso. Int. Res. J. 112Public Environ. Health.7 (2):30-36.

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