Default and non-compliance among adult epileptics in Zaria, Nigeria. The need to restructure continued care.
Forty five epileptics were observed for non-compliance or default over 2 1/2 years. There were 39 episodes of non-compliance among 19 patients. Six patients had 3 or 4 episodes of non-compliance. Thirteen patients gave their reasons as non-availability of drugs or excessive cost of drugs. Drowsiness or confusion over drug dosages was the reason given by 3 others. Three other patients unilaterally suspended medication. Eighteen patients had defaulted. Twelve of them were males. Three had defaulted after only a single clinic attendance. Seizures in 9 patients were in temporary control immediately prior to default. It is suggested that otherwise well epileptics should be managed in their local community. As a matter of urgency governments need to provide drugs at subsidised rates and provide a mechanism for distributing them efficiently.
Elechi
C A
CA
Department of Medicine, Ahmadu Bello University Hospital, Zaria, Nigeria.
D000328:Adult; D000927:Anticonvulsants / Q000008:administration & dosage / Q000009:adverse effects / Q000191:economics; D003153:Community Health Services; D003266:Continuity of Patient Care; D004827:Epilepsy / Q000188:drug therapy*; D005260:Female; D006801:Humans; D008297:Male; D009549:Nigeria; D016312:Treatment Refusal
D000927:Anticonvulsants