Epilepsy in rural Haryana--prevalence and treatment seeking behaviour.
A community-based epidemiological study on epilepsy was conducted in rural North India in 1992-94 to estimate the extent of the problem and to study the treatment seeking behaviour of epilepsy patients. A key informant-based survey was conducted by a social worker to enlist suspect epilepsy cases in catchment population (30,000) spreading over in 40 villages of a primary health centre. These cases were verified by a neurologist. The prevalence of epilepsy was 4.2/1000 and it was more in males and in young children (> 6 to 15 years). Majority (81%) had already been diagnosed by qualified doctors. Many (57%) had a fit in last year. In 68% cases the disease onset was in childhood (up to 14 years). Half of the cases had the disease for 6 years or more. Multiple agencies were consulted by most (74%) of them. Faith healers and local practitioners (not medical graduates) were consulted as the first agency in 57% cases. Positive family history was elicited in 36% cases.
Singh
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Department of Community Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh.
Kaur
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D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries; D004827:Epilepsy / Q000453:epidemiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D007223:Infant; D008297:Male; D008519:Medicine, Traditional; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012424:Rural Population / Q000706:statistics & numerical data*