Table 2

Physicians’ knowledge attitude and practices about epilepsy according to health facilities in Lao PDR (2009)
Province Hospital District Hospital/Health Centers Total
n = 63 (43.7%) n = 81 (56.3%) n = 144
Knowledge
Epilepsy is a communicable disease * 27 (42.9) 21 (25.9) 48 (33.3)
  - Transmitted by saliva 15 (55.6) 14 (66.7) 29 (60.4)
  - Transmitted by genes 10 (15.9) 11 (13.6) 21 (14.6)
Does not know any causes of epilepsy* 26 (41.3) 55 (67.9) 81 (56.3)
Diagnosis needs EEG or CT scan * 14 (22.2) 42 (51.9) 56 (38.8)
Cannot describe or classify seizures * 51 (81.0) 79 (97.5) 130 (90.3)
Knows one differential diagnosis of E * 33 (52.4) 28 (34.6) 61 (42.4)
Knows more than one long term AED * 34 (54.0) 14 (17.3) 48 (33.3)
Knows at least one AED * 51 (81.0) 28 (34.6) 79 (54.9)
  - Knows Phenobarbital alone * 29 (46.0) 11 (13.6) 40 (27.8)
  - Does not know the correct doses of PB * 25 (39.7) 16 (19.8) 41 (28.5)
  - Knows Diazepam alone 6 (9.5) 4 (4.9) 10 (6.9)
  - Does not know the correct doses of diazepam 4 (6.4) 5 (6.2) 9 (6.3)
Aware that discontinuing AED is life threatening* 46 (73.0) 33 (40.7) 79 (54.9)
Practice
Prescription in case of overt epilepsy
  - Prescribe AED * 41 (65.1) 25 (30.9) 66 (45.8)
  - Prescribe Phenobarbital alone * 34 (54.0) 14 (17.3) 48 (33.3)
  - Prescribe Diazepam alone 4 (6.4) 6 (7.4) 10 (7.0)
  - Prescribe a polytherapy 3 (4.8) 5 (6.2) 8 (5.6)
Number of seizures before prescribing AED
  - Does not know * 16 (25.4) 45 (55.6) 61 (42.4)
  - After one or more seizures 16 (25.4) 18 (22.2) 34 (23.6)
  - After two or more seizures * 23 (36.5) 10 (12.4) 33 (22.9)
  - After 3 or more seizures 5 (7.9) 7 (8.6) 12 (8.3)
Duration of AED treatment
  - Does not know * 44 (69.8) 75 (92.6) 119 (82.6)
  - Less than one month 3 (4.8) 5 (6.2) 8 (5.6)
  - One month to one year * 9 (14.3) 0 9 (6.3)
  - More than two years * 7 (11.1) 1 (1.2) 8 (5.6)
Time to discontinue AED in seizure-free patients
  - Does not know * 29 (46.0) 56 (69.1) 85 (59.0)
  - Between 1 to 2 years 21 (33.3) 16 (16.8) 37 (25.7)
  - After 2 years 6 (9.5) 4 (4.9) 10 (6.9)
  - Never 7 (11.1) 5 (6.2) 12 (8.3)
Give any advice to PWE * 57 (90.5) 47 (58.0) 104 (72.2)
  - Explain about the disease 1 (1.6) 1 (1.2) 2 (1.4)
  - Observance * 25 (39.7) 15 (18.5) 40 (27.8)
  - Avoid risk factors * 44 (69.8) 38 (49.9) 82 (56.9)
  - Avoid danger * 43 (68.3) 37 (45.7) 80 (55.6)

* p < 0.05.

AED: antiepileptic drugs, CT: Computerized Tomography, E: epilepsy, EEG: electroencephalography, PB: Phenobarbital, PWE: People With Epilepsy.

Harimanana et al.

Harimanana et al. BMC Health Services Research 2013 13:41   doi:10.1186/1472-6963-13-41

Open Data