International Journal of Medical Science and Public Health 628 2017 | Vol 6 | Issue 3 International Journal of Medical Science and Public Health 628 2017 | Vol 6 | Issue 3
Perceptions of the community about epilepsy in rural Tamil Nadu, India
Prasad Tukaram Dhikale, Muruganandham R, Amol Rambhau Dongre
Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Madagadipet, Puducherry, India
Correspondence to: Prasad Tukaram Dhikale, E-mail: drdpkem@gmail.com
Received: October 26, 2016; Accepted: November 14, 2016
INTRODUCTION
Epilepsy is one of the most common serious brain disorder
throughout the world.
[1,2]
A large cross-sectional study
conducted in Kerala found the prevalence of epilepsy
as 4.9/1000 population.
[3]
Although 70% of people with
epilepsy can live normal lives with proper treatment,
more than 80% people with epilepsy, living in developing
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DOI: 10.5455/ijmsph.2017.1061014112016
International Journal of Medical Science and Public Health Online 2016. © 2016 Prasad Tukaram Dhikale et al. This is an Open Access article distributed under the terms of the Creative
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countries, including India, do not receive appropriate
treatment.
[1,4]
Misconceptions about epilepsy act as the greatest barrier to
treatment of persons with epilepsy.
[5]
Fear and misunderstanding
about epilepsy in the community and among caregivers lead to
stigma, social isolation and discrimination of epileptic patients.
[6]
The stigma associated with epilepsy can be minimized by health
education of the community.
[7,8]
According to the World Health
Organization, the first aspect of the models of epilepsy control is
to assess the knowledge and attitudes of the population, correcting
misinformation, and increasing awareness of epilepsy.
[6]
There is no qualitative research on community’s perception
about epilepsy available from India. However, some
Background: There is no qualitative research on community’s perception about epilepsy available from India. However,
some quantitative surveys were done among school children, local community, and patients of epilepsy. Caregivers and
family members support is crucial for better compliance and care of epileptic patients. Objectives: The purpose was
to study the perceptions of the community members of the age group 18-60 years about epilepsy in rural Villupuram,
India. This can improve the quality of life of epileptic patients. Materials and Methods: It was a qualitative descriptive
study in which four Focus Group Discussions were conducted; two among male and female group each. A vignette was
used as a stimulus material to evoke discussion among participants. Results: The text information was coded using 22
codes which were merged into 5 major categories which were (1) perceived causes, (2) modes of spread, (3) perceived
prognosis, (4) suggested treatment options, and (5) social inclusions and exclusions. Although participants felt that the
epileptic patients can undergo education, earn a livelihood by employment and seek allopathic medication for treatment,
there were some misconceptions about the causes of epilepsy. Patients with female gender were reported to experience
more stigma and discrimination than male. Conclusion: The study gives insight into the variety of perceptions on different
aspects of epilepsy. The misconceptions in the community about epilepsy can affect nutrition, maternal and child health,
hygiene, health care seeking, compliance to treatment of the epileptic patients leading to poor quality of life. The results
demonstrated a need for educational and awareness programs among family and community members about the causes,
modes of spread, treatment of epilepsy. The findings of the present study can direct the future quantitative research in
community settings in India.
KEY WORDS: Social Perception; Epilepsy; Qualitative Research and Focus Groups
ABSTRACT
Research Article