دورية أكاديمية
Using community health workers as an alternative approach for epidemiological research on epilepsy in six health districts in Mali.
| العنوان: | Using community health workers as an alternative approach for epidemiological research on epilepsy in six health districts in Mali. |
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| المؤلفون: | Konipo FDN; International Center of Excellence in Research (ICER), Faculty of Medicine and Odontostomatology, Point G, Bamako, Mali; Unité de Recherche et de Formation sur les Filarioses (Research and Training Unit on Filarioses), Mali. Electronic address: konipoditenene@yahoo.fr., Dolo H; International Center of Excellence in Research (ICER), Faculty of Medicine and Odontostomatology, Point G, Bamako, Mali; Unité de Recherche et de Formation sur les Filarioses (Research and Training Unit on Filarioses), Mali; Faculty of Medicine and Odontostomatology, Point G, Bamako, Mali., Daou M; Neurology Department of the Gabriel Touré Teaching Hospital, Mali., Coulibaly YI; International Center of Excellence in Research (ICER), Faculty of Medicine and Odontostomatology, Point G, Bamako, Mali; Unité de Recherche et de Formation sur les Filarioses (Research and Training Unit on Filarioses), Mali; Faculty of Medicine and Odontostomatology, Point G, Bamako, Mali., Diallo H; Neurology Department of the Gabriel Touré Teaching Hospital, Mali., Sangare M; International Center of Excellence in Research (ICER), Faculty of Medicine and Odontostomatology, Point G, Bamako, Mali; Unité de Recherche et de Formation sur les Filarioses (Research and Training Unit on Filarioses), Mali; Faculty of Medicine and Odontostomatology, Point G, Bamako, Mali., Coulibaly SY; International Center of Excellence in Research (ICER), Faculty of Medicine and Odontostomatology, Point G, Bamako, Mali; Unité de Recherche et de Formation sur les Filarioses (Research and Training Unit on Filarioses), Mali., Sangare M; Faculty of Medicine and Odontostomatology, Point G, Bamako, Mali., Doumbia S; International Center of Excellence in Research (ICER), Faculty of Medicine and Odontostomatology, Point G, Bamako, Mali; Faculty of Medicine and Odontostomatology, Point G, Bamako, Mali., Maiga YM; Faculty of Medicine and Odontostomatology, Point G, Bamako, Mali; Neurology Department of the Gabriel Touré Teaching Hospital, Mali. |
| المصدر: | Epilepsy & behavior : E&B [Epilepsy Behav] 2021 Apr; Vol. 117, pp. 107842. Date of Electronic Publication: 2021 Feb 23. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Academic Press Country of Publication: United States NLM ID: 100892858 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1525-5069 (Electronic) Linking ISSN: 15255050 NLM ISO Abbreviation: Epilepsy Behav Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: San Diego, CA : Academic Press, c2000- |
| مواضيع طبية MeSH: | Community Health Workers* , Epilepsy*/diagnosis , Epilepsy*/epidemiology, Cross-Sectional Studies ; Female ; Humans ; Male ; Mali/epidemiology ; Phenobarbital |
| مستخلص: | Background: In Mali, the burden of epilepsy is underestimated due to socio-cultural barriers that keep most people with epilepsy out of the local health facilities. The objective of this study was to evaluate the performance of trained community health workers (CHWs) in identifying epilepsy cases (active case detection) as compared to the passive cases detection (PCD) during outpatient visits at the community health centers in the health districts (HDs) of Kolokani, Kayes, Kéniéba, Sikasso, Kadiolo, and Tominian. Methods: A two-phase cross-sectional study was conducted from February to December 2019. In phase 1, trained CHWs conducted a census in 1017 villages organized into 174 community health centers which are part of the six study HDs to identify suspected epilepsy cases (SEC). Investigators used a modified epilepsy screening questionnaire from a validated standard questionnaire with the following three (3) questions: (i) Does or did the subject have a loss of consciousness and/or a loss of urine and/or drooling? (ii) Does or did the subject have an uncontrollable shake or abnormal movements of limb(s) (convulsions), with sudden onset and duration of a few minutes? (iii) Has or had the subject ever been told that he or she has epilepsy? During phase 2, neurologists confirmed the supposedly SEC (censed by the CHWs) in the first 30 villages with the highest number of SEC in each HD that were reported during phase 1. Results: Of a total of 4830 SEC, 422 (10%) were identified by PCD during routine outpatient visits and 4408 (90%) through the active case detection (ACD) using the trained CHWs. The majority of SEC reported by the CHWs (PCD) were confirmed by neurologists, i.e. 82.9% (1645/1985). Phenobarbital was available in only 26 (14.9%) of the 174 surveyed health centers. Confirmed cases of epilepsy were reported in all the 174 health centers with prevalence varying from 91/100,00 to 285/100,000. Conclusion: Active case detection of epilepsy using trained CHWs is an effective approach for epidemiological studies of epilepsy in the community settings as compared to the passive approach. (Copyright © 2021 Elsevier Inc. All rights reserved.) |
| معلومات مُعتمدة: | D43 TW008652 United States TW FIC NIH HHS |
| فهرسة مساهمة: | Keywords: Epilepsy screening; Mali; Rural setting |
| المشرفين على المادة: | YQE403BP4D (Phenobarbital) |
| تواريخ الأحداث: | Date Created: 20210225 Date Completed: 20210420 Latest Revision: 20210420 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.yebeh.2021.107842 |
| PMID: | 33631436 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1525-5069 |
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| DOI: | 10.1016/j.yebeh.2021.107842 |