Community Perception and Support of Epileptic Patients in Rural Areas of Rusizi District

TWAHIRWA Jean Claude^1, , MUSABENDE Louise¹, UWUMUGISHA Marie Claire Salome¹, NYIRANSABIMANA Marcelline¹, NTAGANIRA Josue Michel¹, HAVUGITANGA Placide², Iradukunda Protogene¹ and HITAYEZU Elyzee¹

¹Department of General Nursing, Faculty of Health Sciences, Faculty of Education, Kibogora Polytechnic

²King Faisal Hospital, Rwanda

Cite this paper:
TWAHIRWA Jean Claude, MUSABENDE Louise, UWUMUGISHA Marie Claire Salome, NYIRANSABIMANA Marcelline, NTAGANIRA Josue Michel, HAVUGITANGA Placide, Iradukunda Protogene and HITAYEZU Elyzee. Community Perception and Support of Epileptic Patients in Rural Areas of Rusizi District. American Journal of Clinical Medicine Research. 2025; 13(1):6-12. doi: 10.12691/ajcmr-13-1-2

Abstract

Background: Epilepsy is a prevalent non communicable neurological disorder of the brain, affecting approximately 50 million individuals globally. Around of 80% people living with epilepsy are in low- and middle-income countries. Beyond the medical aspects, epilepsy poses significant social burdens, including stigma and discrimination, which impact patients' quality of life. Problem Statement: In low-income countries, where the majority of epileptic patients reside, support systems are often inadequate, and stigma towards epilepsy remains pervasive. Community perceptions often view epileptic patients as dangerous or possessed by demons, leading to social isolation and discrimination. Methodology: This study aims to assess the community perception and support towards epileptic patients in the local area of Rusizi District. A quantitative research approach was adopted, utilizing a descriptive design. Data collection involved the administration of a questionnaire to individuals attending outpatient departments over three consecutive days. Ethical approval was obtained from the Kibogora Polytechnic Ethical Committee. Conclusion: The findings of this study provide valuable insights into the prevailing attitudes and support systems towards epileptic patients in the local community. Addressing misconceptions and stigma surrounding epilepsy for improving the quality of life and social integration of affected individuals.

Keywords:
Community Perception Support Epileptic Patients Rural

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References:

[1]	Biset G, Abebaw N, Gebeyehu NA, Estifanos N, Birrie E, Tegegne KD. Prevalence, incidence, and trends of epilepsy among children and adolescents in Africa: a systematic review and meta-analysis. BMC Public Health. 2024; 24(1): 1–14.
[2]	Espinosa-Jovel C, Toledano R, Aledo-Serrano Á, García-Morales I, Gil-Nagel A. Epidemiological profile of epilepsy in low income populations. Seizure. 2018; 56: 67–72.
[3]	Hu C, Zhao Y, Xiao Z. Effects of stigma on the quality of life in patients with epilepsy. Acta Epileptol [Internet]. 2024; 6(1).
[4]	Tan CT. Commentary: ILAE Definition of Epilepsy. Epilepsia. 2014; 55(4): 483–4.
[5]	Bifftu BB, Dachew BA, Tiruneh BT. Perceived stigma and associated factors among people with epilepsy at Gondar university hospital, northwest Ethiopia: A cross-sectional institution based study. Afr Health Sci. 2015; 15(4): 1211–9.
[6]	Malik NI, Fatima R, Ullah I, Atta M, Awan A, Nashwan AJ, et al. Perceived stigma, discrimination and psychological problems among patients with epilepsy. Front Psychiatry. 2022; 13.
[7]	Tirukelem H, Nigatu SG, Angaw DA, Azale T. Community attitude towards epilepsy patients and associated factors in south Achefer district, northwest Ethiopia: A mixed-methods study. Neuropsychiatr Dis Treat. 2021; 17: 365–77.
[8]	Dolo H, Mandro M, Wonya’Rossi D, Ngave F, Fraeyman J, Siewe JN, et al. Community perceptions of epilepsy and its treatment in an onchocerciasis endemic region in Ituri, Democratic Republic of Congo 11 Medical and Health Sciences 1117 Public Health and Health Services (1) Robert Colebunders, (2) Robert Ryder, (3) Patrick Suyk. Infect Dis Poverty. 2018; 7(1): 1–9.
[9]	Makasi CE, Kilale AM, Ngowi BJ, Lema Y, Katiti V, Mahande MJ, et al. Knowledge and misconceptions about epilepsy among people with epilepsy and their caregivers attending mental health clinics: A qualitative study in Taenia solium endemic pig-keeping communities in Tanzania. Epilepsia Open. 2023; 8(2): 487–96.
[10]	Fisher RS, Cross JH, French JA, Higurashi N, Hirsch E, Jansen FE, et al. Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology. Epilepsia. 2017; 58(4): 522–30.
[11]	Kassa GM, Arowojolu AO, Odukogbe AA, Yalew AW. Prevalence and determinants of adolescent pregnancy in Africa: A systematic review and Meta-analysis. Reprod Health. 2018; 15(1): 1–17.
[12]	Owolabi LF, Adamu B, Jibo AM, Owolabi SD, Imam AI, Alhaji ID. Neurocysticercosis in people with epilepsy in Sub-Saharan Africa: A systematic review and meta-analysis of the prevalence and strength of association. Seizure [Internet]. 2020; 76(January): 1–11.
[13]	Idro R, Marsh K, John CC, Newton CRJ. Cerebral malaria: Mechanisms of brain injury and strategies for improved neurocognitive outcome. Pediatr Res. 2010; 68(4): 267–74.
[14]	Adal O, Abebe A. First aid knowledge and practice toward students with epileptic seizure among governmental high school teachers in Addis Ababa, Ethiopia: Cross-sectional study. Epilepsy Behav [Internet]. 2022; 134: 108767.
[15]	Di Noia S, Bonezzi L, Accorinti I, Bartolini E. Diagnosis and Classification of Pediatric Epilepsy in Sub-Saharan Africa: A Comprehensive Review. J Clin Med. 2024; 13(21).
[16]	Yeni K. Stigma and psychosocial problems in patients with epilepsy. Explor Neurosci. 2023; 2(6): 251–63.
[17]	Waqas A, Malik S, Fida A, Abbas N, Mian N, Miryala S, et al. Interventions to Reduce Stigma Related to Mental Illnesses in Educational Institutes: a Systematic Review. Psychiatr Q. 2020; 91(3): 887–903.
[18]	Mushi VP, Kidima W, Massawe IS, Magili PF, Bhwana D, Kaaya RE, et al. Attitudes and perceptions towards epilepsy in an onchocerciasis-endemic region of Tanzania: a mixed approach to determine the magnitude and driving factors. BMC Public Health. 2024; 24(1): 2608.
[19]	Al-Attas AA, Alshehri OK, Malhan AG, Alabdaly HM, Alfentokh OK, Bawazir AA. Knowledge, attitudes and practices of the Saudi population toward people with epilepsy: narrow or wide? Acta Epileptol. 2023; 5(1).
[20]	Lenaerts E, Mandro M, Mukendi D, Suykerbuyk P, Dolo H, Wonya’Rossi D, et al. High prevalence of epilepsy in onchocerciasis endemic health areas in Democratic Republic of the Congo. Infect Dis Poverty. 2018; 7(1): 1–14.
[21]	Maguire M, Ben-Menachem E, Patten A, Malhotra M, Ngo LY. A post-approval observational study to evaluate the safety and tolerability of perampanel as an add-on therapy in adolescent, adult, and elderly patients with epilepsy. Epilepsy Behav [Internet]. 2022; 126: 108483.
[22]	Lee JW, Kim JA, Kim MY, Lee SK. Evaluation of persistence and healthcare utilization in patients treated with anti-seizure medications as add-on therapy: A nationwide cohort study in South Korea. Epilepsy Behav [Internet]. 2022; 126: 108459.
[23]	Javed T, Awan HA, Shahzad N, Ojla D, Naqvi HB, Arshad H, et al. Unraveling the Myths Around Epilepsy: A Cross-Sectional Study of Knowledge, Attitude, and Practices Among Pakistani Individuals. Cureus. 2023; 15(5): 1–6.
[24]	Willie MM, Africa S. Epilepsy stigma and healthcare disparities. 2024; (November).
[25]	Price P, Kobau R, Buelow J, Austin J, Lowenberg K. Improving understanding, promoting social inclusion, and fostering empowerment related to epilepsy: Epilepsy Foundation public awareness campaigns — 2001 through 2013. Epilepsy Behav. 2015 Feb 25; 44.