Epilepsy - World Health Organization

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16 PROFESSIONALS ALLIED TO MEDICINE 52 Introduction ◆ The respondents were asked about the number of professionals allied to medicine such as neurological nurses, psychologists and social workers involved for 50% or Salient findings ◆ A total number of 19 732 neurological nurses, psychologists and social workers are reported to be involved predominantly in providing epilepsy care in the responding countries. ◆ Neurological nurses are involved predominantly in providing epilepsy care in 56.5% of the responding countries (N=92). A total of 2036 neurological nurses involved predominantly in epilepsy care are reported to be available in 52 countries. In these countries, the median number per 100 000 population is 0.11 (interquartile range 0.06– 0.36). ◆ While the median number of neurological nurses per 100 000 population in Europe is 0.19, it is 0.03 in South- East Asia. ◆ The median number of neurological nurses per 100 000 population involved predominantly in epilepsy care is 0.07 for low-income countries; it is 0.17 and 0.11, respectively, for higher middle-income and high-income countries. Limitations ◆ Some countries were unable to provide data regarding various professionals allied to medicine as they do not have a separate register. ◆ Information about the distribution within countries of professionals allied to medicine is not available but, like all other specialist human resources, the majority are likely to be concentrated in urban areas. ◆ The number of professionals allied to medicine is greater in higher middle-income countries than in high-income Conclusions ◆ For many chronic disorders such as epilepsy, nurses can be important providers of primary care and liaison services at community level. Emphasis is needed to give them appropriate training and facilities for providing care to people with epilepsy. ◆ In spite of the limitations of the data set, it is clear that the number of social workers working in the field of more of their time in providing epilepsy care. This figure is used as a marker of their predominant involvement in epilepsy care. ◆ Psychologists are involved predominantly in providing epilepsy care in 63.2% of the responding countries (N=106). A total of 10 342 psychologists involved predominantly in epilepsy care are reported to be available in 67 countries, in which the median number per 100 000 population is 0.05 (interquartile range 0.02–0.12). ◆ Social workers are involved predominantly in providing epilepsy care in 62% of the responding countries (N=100). A total of 7354 social workers involved predominantly in epilepsy care are reported to be available in 62 countries. The median number per 100 000 population is 0.07. This number varies widely across regions: it is 0.004 in South-East Asia, 0.03 in the Eastern Mediterranean, 0.07 in Africa, 0.09 in the Americas and Europe, and 0.27 in the Western Pacific. ◆ The percentage of professionals allied to medicine involved predominantly in epilepsy care is low, e.g. only 5% of the total numbers of psychologists are involved predominantly in providing epilepsy care (the data for the total number of psychologists refers to the Atlas of mental health resources in the world (4)). countries. This could be attributable to different definitions of the specialists, or there could be reporting errors. ◆ In significant number of countries where no formal training programme exists for neurological nursing, many nurses are informally trained in aspects of neurological care. This is not reflected in the data. ◆ It is possible that the job description of social workers differs among the countries, making comparison of numbers difficult. epilepsy is grossly inadequate. Efforts need to be made to improve the situation. ◆ Psychologists are important members of the multidisciplinary team providing comprehensive care to people with epilepsy. They have an important role in the diagnosis, treatment, presurgical evaluation and rehabilitation of people with epilepsy.
16.1 16.3 16.4 Median number of neurological nurses per 100 000 population involved predominantly in epilepsy care in WHO regions and the world N=52 Africa Africa 0.07 Americas 0.07 0.07 South-East Asia Americas 0.09 Median number of social workers per 100 000 population involved predominantly in epilepsy care in WHO regions and the world N=62 Number of professionals allied to medicine in WHO regions* South-East Asia 0.03 Europe Eastern Mediterranean 0.004 Europe 0.09 Western Pacific Eastern Mediterranean WHO 05.81 * For “N“, refer to 16.1-16.3 Americas 7548 0.19 Western Pacific 0.18 World 0.03 World PROFESSIONALS ALLIED TO MEDICINE 0.05 0.27 Africa 326 0.11 0.07 16.2 Eastern Mediterranean 119 Median number of psychologists per 100 000 population involved predominantly in epilepsy care in WHO regions and the world Africa N=67 0.05 0.002 0.06 0.04 0.02 0.02 0.05 Americas South-East Asia Europe Western Pacific Eastern Mediterranean Europe 11 109 South-East Asia 18 World Western Pacific 611 16 53
Page 3 and 4: Global Campaign Against Epilepsy Pr
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Page 52 and 53: 15 MEDICAL PROFESSIONALS 50 Introdu
Page 56 and 57: 17 TRAINING IN EPILEPTOLOGY 54 Intr
Page 58 and 59: 18 EDUCATION IN EPILEPTOLOGY 56 Pro
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Page 62 and 63: 20 60 LAY ASSOCIATIONS Introduction
Page 64 and 65: 21 62 ROLE OF ILAE IN FOSTERING EPI
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