{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:41:52Z","timestamp":1789864912504,"version":"4.0.1"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Epilepsia Open"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>Epilepsy is a significant public health problem. More than 50 million people worldwide live with epilepsy, and over three\u2010quarters of them are in low\u2010 and middle\u2010income countries. The situation in Chad regarding people with epilepsy is challenging to assess, starting from the shortage of scientific data, the inadequacy of technical facilities, the lack of human resources, and the inadequacy of government action. The Ministry of Health and Chadian Society of Neurology are looking forward to prioritizing epilepsy as well as improving the living conditions of persons with this disease.<\/jats:p><jats:p>The epilepsy treatment issue is also problematic. Most of the patients are either off treatment or under\u2010medicated. Few antiseizure medications (ASMs) are available, notably carbamazepine, phenobarbital, and valproic acid. Epilepsy remains little\u2010known and does not seem to be a priority for decision\u2010makers. We describe the current situation in Chad, to improve the conditions under which epilepsy is treated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Plain Language Summary<\/jats:title><jats:p>Epilepsies is a chronic brain problem that is common in poorer settings. The daily lives of people with epilepsy are chaotic in Chad. The challenges are numerous, particularly those related to health infrastructures, due to the lack of adequate diagnostic means and the lack of neurologists. The cultural and language challenges, especially since epilepsy is still considered the devil's disease and the name differs according to the dialects. Stigmatization is also frequent and is often responsible for school dropout, refusal, or dismissal from work. Care and prevention are daily challenges that require government action. Social coverage is insufficient and almost absent in rural areas. It is urgent to prioritize epilepsy in future action plans and also to increase awareness of the conditions to overcome these challenges.<\/jats:p><\/jats:sec>","DOI":"10.1002\/epi4.13087","type":"journal-article","created":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T15:39:38Z","timestamp":1730734778000},"page":"2049-2054","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Epilepsy in CHAD: Realities, constraints, and prospects"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8839-4152","authenticated-orcid":false,"given":"Foksouna","family":"Sakadi","sequence":"first","affiliation":[{"name":"Neurology Unit National Reference Teaching Hospital  N'djamena Chad"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madjirabe Ngardidjim","family":"Christian","sequence":"additional","affiliation":[{"name":"Neurology Unit Renaissance Teaching Hospital  N'djamena Chad"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toure Mohamed","family":"Lamine","sequence":"additional","affiliation":[{"name":"Neurology Department Ignace Deen Teaching Hospital  Conakry Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamis","family":"Dakisia","sequence":"additional","affiliation":[{"name":"Neurology Unit National Reference Teaching Hospital  N'djamena Chad"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nderbe Melom","family":"Christelle","sequence":"additional","affiliation":[{"name":"Neurology Unit National Reference Teaching Hospital  N'djamena Chad"},{"name":"Neurology Unit Mother and Son Teaching Hospital  N'djamena Chad"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diponbe","family":"Doufene","sequence":"additional","affiliation":[{"name":"Neurology Unit Sino\u2010Chadian Friendship Hospital  N'djamena Chad"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lintel Anicet","family":"Foksia","sequence":"additional","affiliation":[{"name":"Neurology Unit National Reference Teaching Hospital  N'djamena Chad"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Othon","family":"Nguelngar","sequence":"additional","affiliation":[{"name":"Neurology Department Ignace Deen Teaching Hospital  Conakry Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anatole","family":"Balanmo","sequence":"additional","affiliation":[{"name":"Neurology Unit National Reference Teaching Hospital  N'djamena Chad"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kobada","family":"Babing\u2010ne","sequence":"additional","affiliation":[{"name":"Neurology Unit National Reference Teaching Hospital  N'djamena Chad"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desire","family":"Nalire","sequence":"additional","affiliation":[{"name":"Neurology Unit National Reference Teaching Hospital  N'djamena Chad"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cisse","family":"Amara","sequence":"additional","affiliation":[{"name":"Neurology Department Ignace Deen Teaching Hospital  Conakry Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,4]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Organisation mondiale de la neurologie; Charge mondiale de l'\u00e9pilepsie et n\u00e9cessit\u00e9 d'une action coordonn\u00e9e au niveau des pays pour influer sur ses cons\u00e9quences sanitaires et sociales et sensibiliser l'opinion publique; Rapport du secr\u00e9tariat SOIXANTE\u2010HUITI\u00c8ME ASSEMBL\u00c9E MONDIALE de LA SANT\u00c9. 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