It is estimated that there are at least 1.5 to 2.0 million epilepsy patients in Bangladesh. Epidemiological study was conducted at Epilepsy Clinic, Neurology foundation Hospital, Dhaka, Bangladesh, and a total of 2200 patients were included.
Causes for treatment failure include improper compliance, Incorrect diagnosis, Inappropriate drug, dose & duration, and lastly Refractory epilepsy.
Causes for non compliance N 428 (20%) include Non-affordability of drugs , Unavailability of drugs , inadequate Knowledge and attitude, Lack of counseling, Adverse effects of drug, Social factors.
Conclusions
Epilepsy is a common health problem in Bangladesh. 30-40% of patients are still treated by traditional healer. Superstitious belief is a stigmata in the community. The most common cause of non compliance is cost of drug. 50-60% patients remain symptoms free with 4 common drugs.
Recommendations
Community awareness is needed to reduce the burden of the disease. Training of GP & internist is necessary for appropriate approach. National guideline for treatment of epilepsy is needed. Community based clinic needed to treat the epileptic patient in rural areas.