Epilepsy in rural South Africa: Patient experiences and healthcare challenges

Author:

Makhado Lufuno1ORCID,Maphula Angelina2ORCID,Ngomba Richard Teke3ORCID,Musekwa Ofhani Prudance4ORCID,Makhado Thendo Gertie5ORCID,Nemathaga Muofheni5ORCID,Rammela Mukovhe1ORCID,Munyadziwa Muimeleli1ORCID,Striano Pasquale67ORCID

Affiliation:

1. Department of Public Health, Faculty of Health Sciences University of Venda Thohoyandou Limpopo Province South Africa

2. Department of Psychology, Faculty of Health Sciences University of Venda Thohoyandou Limpopo Province South Africa

3. School of Pharmacy University of Lincoln, Joseph Banks Laboratories Lincolnshire UK

4. Department of Psychology, Faculty of Humanities University of Johannesburg Johannesburg South Africa

5. Department of Advanced Nursing Sciences, Faculty of Health Sciences University of Venda Thohoyandou Limpopo Province South Africa

6. Pediatric Neurology and Muscular Diseases Unit IRCCS Istituto Giannina Gaslini Genoa Italy

7. Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health University of Genova Genoa Italy

Abstract

AbstractObjectiveThis study investigates the prevalent issues of healthcare access and the impact of antiseizure treatments among people with epilepsy (PWE) in rural Limpopo and Mpumalanga, South Africa, where healthcare facilities and affordable treatments are often inadequate.MethodsUsing a cross‐sectional survey, 162 PWE were selected using multistage sampling across the provinces. Data were collected via a structured questionnaire and analyzed descriptively using SPSS v27.ResultsMost of the participants experienced seizures intermittently, with 70.6% in Limpopo and 53.3% in Mpumalanga reporting occasional episodes, whereas a significant minority in both regions—20.6% and 40%, respectively—suffered from frequent seizures. A notable portion of PWE also reported recurring side effects from antiseizure drugs, which led to consequential life disruptions, including educational dropout and unemployment.SignificanceThe findings underscore an urgent need for enhanced educational programs and increased awareness to improve the understanding and management of epilepsy in these underserved areas. Optimizing care for PWE requires a multifaceted approach, including evaluating healthcare accessibility, affordability, and societal beliefs influencing treatment adherence. The study advocates for government and policy interventions to mitigate the quality of life deterioration caused by epilepsy and its treatment in rural communities.Plain Language SummaryIn Limpopo and Mpumalanga, many individuals with epilepsy experience seizures occasionally, while a significant minority have them frequently. Numerous people also suffer recurring side effects from antiseizure medications, impacting their lives severely by causing school dropouts and job losses. This underscores the urgent need for improved education and awareness programs to manage epilepsy in these provinces effectively. The study urges government action and policy reforms to enhance care and support for people with epilepsy in rural areas, aiming to improve their quality of life.

Publisher

Wiley

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