A person having a seizure is often subjected to social discrimination in developing countries and, therefore, the situation is improperly handled when it occurs. The purpose of this study was to determine the level of knowledge about seizures and the way to handle that situation, by school teachers in Nepal. All the teachers at three schools run by a private foundation were interviewed (census method) using a self-administered semi-structured questionnaire, together with a separate score sheet, to ascertain their level of knowledge and understanding about, seizures, and their practice to handle sufferers during seizures. It was found that more than 50% of them believed seizures are a result of brain disease. Their source of information about the problem and its management was basically from family members and friends (37%). Almost 45% were found to have inadequate knowledge about seizures and their cause, and almost 48% of the respondents described an inappropriate way of handling a seizure case that might occur at school. The Chi square associations showed that the presence of a health care facility at the school was statistically significant with the management of sick children (= 14.25 and p-value < 0.05), however, teachers’ educational status had no relationship with their knowledge about seizures (= 6.5 and p-value > 0.05). This obviously raises question regarding health safety of children at school. Our findings strongly suggest that school should provide facilities for proper handling of seizure affected children and an intervention program for every school teacher is essential to ensure the proper care of the child suffering from seizure attack at school. This supports to create a safe and non-discriminatory environment for them at school.
Keywords: Knowledge and Practice Level, Seizure in Children, School Teachers, Seizure Management
Baker, G. A. (2002). People with Epilepsy: What do They Know and Understand, and How Does this Contribute to Their Perceived Level of Stigma? Epilepsy & Behavior, 3(6S2), 26–32.
Bansal, A. B., Pakhare, A. P., Kapoor, N., Mehrotra, R., & Kokane, A. M. (2015). Knowledge, Attitude, and Practices Related to Cervical Cancer among Adult Women: A Hospital-Based Cross-Sectional Study. Journal of Natural Science, Biology and Medicine, 6(2), 324–328.
Buffo, T. H., Guerreiro, M. M., Tai, P., & Montenegro, M. A. (2008). Seizure Related Accidents and Injuries in Childhood. Arquivos de Neuro-Psiquiatria, 66(3-A), 458-461.
Christopher, F. L., & Westermeyer II, R. R. (2017). Seizures in Children. Retrieved from https://www.
de Boer, H. M., Mula, M., & Sandar, J. W. (2008). The Global Burden and Stigma of Epilepsy. Epilepsy & Behavior, 12(4), 540–546.
Elhassan, M. A., Alemairy, A. A., Amara, Z. M., Hamadelneel, A. A., Mohamed, A. H., & Elaimeri, A. A. (2017). Epilepsy: Knowledge, Attitude, and Practice among Secondary School Teachers in Khartoum State. Neurology and Therapy, 6(2), 225–235.
Epilepsy Action Australia. (n.d.). Facts and Statistics. Retrieved from https://www.epilepsy.org.au/about-epilepsy/facts-and-statistics/
Epilepsy Foundation. (n.d.). What is a Seizure? Retrieved from https://www.epilepsy.com/learn/about-epilepsy-basics/what-seizure
Ezeala-Adikaibe, B. A., Achor, J. U., Nwabueze, A. C., Agomoh, A. O., Chikani, M. C., Ekenze, O. S., Onwuekwe, I. O., & Orakwue, M. (2014). Knowledge, Attitude and Practice of Epilepsy among Community Residents in Enugu, South East Nigeria. Seizure, 23(10), 882–888.
Friedman, M. J., & Sharieff, G. Q. (2006). Seizures in Children. Pediatric Clinics of North America, 53(2), 257-277.
Kaleyias, J., Tzoufi, M., Kotsalis, C., Papavasiliou, A., & Diamantopoulos, N. (2005). Knowledge and Attitude of the Greek Educational Community toward Epilepsy and the Epileptic Student. Epilepsy & Behavior, 6(2), 179-186.
Madsen, L. P. (1996). Danish Primary School Teachers’ Knowledge about Epilepsy in Children. Ugeskrift for Laeger, 158(14), 1977-1980.
Mott, J., Shellhass, R. A., & Joshi, S. M. (2012). Knowledge of Epilepsy and Preferred Sources of Information among Elementary School Teachers. Journal of Child Neurology, 28(6), 740-744.
Mustapha, A. F., Odu, O. O., & Akande, O. (2013). Knowledge, Attitudes and Perceptions of Epilepsy among Secondary School Teachers in Osogbo South-West Nigeria: A Community Based Study. Nigerian Journal Clinical Practice, 16(1), 12-18.
Neni, S. W., Latif, A. Z. A., Wong, S. Y., & Lua, P. L. (2010). Awareness, Knowledge and Attitudes towards Epilepsy among Rural Populations in East Coast Peninsular Malaysia: A Preliminary Exploration. Seizure, 19(5), 280–290.
Ojha, A. R., Shakya, K. N., & Aryal, U. R. (2012). Recurrence Risk of Febrile Seizures in Children. Journal of Nepal Pediatric Society, 32(1), 32-36.
Olson, A. L., Seidler, A. B., Goodman, D., Gaelic, S., & Nordgren, R. (2004). School Professionals’ Perceptions about the Impact of Chronic Illness in the Classroom. Archives of Peditrics and Adolescent Medicine, 158(1), 53-58.
Scott, R. A., Lhatoo, S. D., & Sandar, J. W. A. S. (2001). The Treatment of Epilepsy in Developing Countries: Where do we go from Here? Policy and Practice: Bulletin of the World Health Organization, 79(4), 344–351.
Sharma, I., & Chalise, S. (2018). The Knowledge and Attitude Regarding the Health Effect of Smoking among Secondary Level Students in Nepal. Asian Journal of Humanities and Social Studies, 6(2), 83-90.
Wang, R., Yang, Y., Chen, R., Kan, H., Wu, J., Wang, K., Maddock, J. E., & Lu, Y. (2015). Knowledge, Attitudes and Practices (KAP) of the Relationship between Air Pollution and Children’s Respiratory Health in Shanghai, China. International Journal of Environmental Research and Public Health, 12(2), 1834-1848.
World Health Organization (WHO). (2018). Epilepsy. Retrieved from http://www.who.int/news-room/fact-sheets/detail/epilepsy