ArticleFrontiers in neurology
Headache service quality in Egypt: current status, identified gaps, and strategic directions.
Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Headache disorders are a leading cause of disability worldwide, yet service delivery in low- and middle-income countries (LMICs) like Egypt remains understudied. This study aimed to assess the national landscape of headache care in Egypt, focusing on provider training, treatment access, medication availability, and systemic disparities. Methods: This cross-sectional study is part of a larger multinational initiative conducted under the auspices of the International Headache Society (IHS). The study included 321 Egyptian neurologists. The data collection process was carried out through both electronic surveys and in-person interviews. The surveys included questions covering the following items: profile of headache patients, characteristics of healthcare services available for headache patients, headache medication choices and affordability, and perceived barriers to proper headache management. Results: Based on the neurologists' perspective, the primary headaches accounted for 85% (65-90%) of all headache cases, whereas secondary headaches accounted for 10% (5-20%) of headache cases. About 91.9% of the neurologists reported that anxiety was the most common comorbidity with headache, followed by depression (81.9%). Approximately 80.1% ( Conclusion: This study identifies urgent gaps in the equity, affordability, and structure of headache care in Egypt. Policy action is needed to implement structured headache services, expand provider training, and improve access to essential and newly developed medications.
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