Bridging the treatment gap and reducing the burden of epilepsy is not straightforward and faces many constraints. Cultural attitudes, a lack of prioritization, poor health system infrastructure, and inadequate supplies of antiepileptic drugs all conspire to hinder appropriate treatment.
Nevertheless, there have been successful attempts to provide treatment, which have shown the importance of community-based approaches and also indicate that provision for sustained intervention over the long term is necessary in any treatment programme. Approaches being adopted in the demonstration projects of the Global Campaign Against Epilepsyimplemented by the International League Against Epilepsy, the International Bureau for Epilepsy, and the World Health Organizationmay provide further advances. Much remains to be done but it is
hoped that current efforts will lead to better treatment of people with epilepsy in developing countries.
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