Strategies utilized and challenges faced by stakeholders while managing epilepsy in African schools : a scoping review

Abstract

Even though education is an essential element in the development of society, the educational experiences of students living with epilepsy tend to be challenging. This review aimed to map the strategies utilized and challenges faced by stakeholders (teachers, school nurses, and parents) in managing students with epilepsy at school. The six-stage framework of Arksey and O’Malley (2005) was employed in this scoping review. Six electronic databases (PsycINFO, PubMed Central, Scopus, Embase, Dimensions AI, and Medline) and other internet-based resources were searched from 2000 to 2024. Twenty-two articles were found to be eligible and included in this review. Findings reveal critical challenges faced by stakeholders while managing students with epilepsy in schools, including a lack of adequate epilepsy targeted training, cultural beliefs laced with misconceptions, stigma and social isolation, and medication access difficulties. To manage these challenges, strategies utilized included improved access to healthcare and medications, as well as education focusing on epilepsy and first aid. Parents, teachers, and school nurses should collaborate, being guided by clear management guidelines, to manage students with epilepsy in school settings effectively. HIGHLIGHTS • This study reveals challenges faced by stakeholders managing students with epilepsy. • Inadequate epilepsy training and misconceptions were found. • There is need for epilepsy specific training programs for teachers and parents. • Schools should work with health professionals and parents to manage students with epilepsy. • Availability of guidelines for epilepsy will improve epilepsy management in schools.