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Behavioural Neurology
Volume 2016, Article ID 6580416, 9 pages
http://dx.doi.org/10.1155/2016/6580416
Research Article

Determinants of Noncompliance to Clinic Appointments and Medications among Nigerian Children with Epilepsy: Experience in a Tertiary Health Facility in Enugu, Nigeria

1Department of Paediatrics, University of Nigeria, Enugu Campus, Enugu, Nigeria
2Department of Psychological Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria
3Department of Paediatrics, Ebonyi State University, Abakaliki, Nigeria

Received 27 August 2015; Accepted 12 January 2016

Academic Editor: Ahmad Beydoun

Copyright © 2016 Roland Chidi Ibekwe et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To determine the frequency and determinants of noncompliance to clinic appointment and medication among Nigerian children with epilepsy. Method. This is a cross-sectional survey of noncompliance to clinic appointments and medication among 113 consecutive children with epilepsy attending the Paediatric Neurology Clinic of University of Nigeria Teaching Hospital, Enugu, southeastern Nigeria. Results. Noncompliance to clinic appointment and medication was 23% and 15.3%, respectively. The major reasons given were lack of finance, clashing with school time, and forgetting to take the drugs. Children whose mothers were less educated and unemployed were more likely to miss clinic appointments. Noncompliance to medication was associated with poor seizure control. Children that were on phenobarbitone were more likely to be noncompliant with medication than those on sodium valproate and/or carbamazepine. Conclusion. Missed clinic appointment and medication noncompliance are common among Nigerian children with epilepsy and financial constraint is the most common reason.