Les déterminants de santé publique dans la prise en charge des personnes vivant avec une épilepsie en RDP Lao

Abstract : Epilepsy is one of the most common neurological diseases worldwide. It is a public health issuein developing countries, where the medical and economic resources are poor for the case management. This doctoral work was set-up as a public health research, assessing the progressive implementation of the management of people living with epilepsy (PWE) in Lao People’s Democratic Republic (Lao PDR). Our research was conducted first through observational research and produces five scientific publications on the health staff,antiepileptic drugs, management of pediatric cases and treatment adherence. Secondly, interventional research focused on a one-year PWE’s follow-up using active screening and domestic health visitors. This work has identified the challenges of the management of epilepsy in Lao PDR: the socio-cultural beliefs, the low qualification of health staff for epilepsy management, the low antiepileptic drug supply and the high price of the drugs. Our interventions were successful, increasing the number of PWEs treated in the healthcare system. The extension of effective management for epilepsy at a national level requires the strengthening of capacity of healthcare at community level, the governance, the contributions of civil society and research actors.
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Phetvongsinh Chivorakul. Les déterminants de santé publique dans la prise en charge des personnes vivant avec une épilepsie en RDP Lao. Médecine humaine et pathologie. Université de Limoges, 2015. Français. ⟨NNT : 2015LIMO0120⟩. ⟨tel-01413772⟩

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