[Evolution of the epilepsy treatment gap in 6 peripheral care units in Togo].
OBJECTIVE
To reduce, less than, 50 % the therapeutic gap of the epilepsy in six peripheral care units (PCU).


METHODS
A prospective study was carried out from May 2006, to July 2007 in 1 PCU selected in each of the 6 sanitary regions of Togo. The strategy we used went through the staff training, sensitization of communities and availability of antiepileptic drugs.


RESULTS
For 15 months, we managed 816 epileptics. The treatment observance rate was 98,33 %. The therapeutic gap varied from 90 % to less than 50 % in the majority of PCU. On July 2007, 757 patients (92,7%) had suppression of seizures for at least 3 months. The mortality rate was 9 per thousand.


CONCLUSIONS
The therapeutic gap pulled down than 50 % in the rural areas. The project in urban PCU failed. It is important to work about a specific strategy in urban areas.
Koffi
Balogou Agnon Ayélola
BA
Service de neurologie de Lomé. abalogou@yahoo.fr
Kodjo
Grunitzky Eric
GE
Adodo
Aboki
A
Komi
Assogba
A
Mofou
Belo
B
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004827:Epilepsy / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D054625:Healthcare Disparities; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014037:Togo / Q000453:epidemiology; D055815:Young Adult