Quality of care and associated factors among patients with epilepsy at public hospitals in Arba Minch Town: a facility-based cross-sectional study

• Published in: BMC neurology 2024-12, Vol.24 (1), p.485-14
• Main Authors: Nigatu, Melkenesh, Endashaw, Gesila, Sorato, Mende Mensa, Tekalign, Tiwabwork, Mohammed, Trefa
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Anticonvulsants - therapeutic use; Arc Minch Town; Care and treatment; Cross-Sectional Studies; Epilepsy; Epilepsy - epidemiology; Epilepsy - therapy; Epilepsy management; Epilepsy treatment; Epileptics; Ethiopia - epidemiology; Evidence-based medicine; Female; Health care industry; Hospitals, Public; Hospitals, Public - statistics & numerical data; Humans; Male; Medical care; Middle Aged; Patient compliance; Patient education; Quality management; Quality of care; Quality of Health Care - standards; Quality of Health Care - statistics & numerical data; Seizures (Medicine); Surveys; Young Adult
• ISSN: 1471-2377; 1471-2377
• DOI: 10.1186/s12883-024-03946-z

Epilepsy is one of the most common neurologic disorders affecting approximately 51 million people globally and is associated with significant cases of age-standardized DALYs (182.6 per 100 000 people). The quality of health care services offered to people suffering from epilepsy often fails to meet standards in Ethiopia or internationally. This study was designed to assess the quality of care and associated factors among patients with epilepsy at public hospitals in Arba Minch Town, 2024. A facility-based cross-sectional study was conducted among 392 adult epileptic patients attending public hospitals in Arba Minch Town. Data entry was performed via Epi-data 3.1 software, and the data were analyzed via SPSS version 24 software. Binary logistic regression analysis was used to evaluate the associations between quality of care and sociodemographic, disease-related, and treatment-related factors. Multivariate logistic regression analysis was applied to identify factors independently associated with quality of care. Three hundred ninety-two adults with epilepsy participated in this study, for a response rate of 92.7%. More than one-half of the 237 (60.5%) patients were males, with a median age of 31 ± 12 years (interquartile range). Fewer than one-half (44.1%) of the patients adhered to antiepileptic medicines. The overall proportion of patients receiving quality care was 213 (54.3%). The seizure control rate was also low, at 130 (33.2%). Patients aged 18-29 years [AOR = 30.8 (95% CI, 8.22-35.616, p