Table 2

Realities and requirements for guidelines for low-income and middle- income countries

Reality

Requirement


Care is largely provided by non-physician healthcare workers with very basic or no neurological training

Clear case definition of epileptic seizures and simple algorithms tailored for the local circumstances


Limited access to medication

Guidelines recommending those medications that can be accessed


Indirect costs as a barrier to care-seeking and adherence

Priority for inexpensive affordable drugs delivered as close to the patient's residence as possible


High prevalence of infectious causes

Incorporate into guidelines testing/treating of common conditions such as HIV, neurotuberculosis, and parasitosis. Refer to existing treatment guidelines whenever possible unless comorbid conditions require care that differs from national guidelines


Katchanov and Birbeck BMC Medicine 2012 10:107   doi:10.1186/1741-7015-10-107

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