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Two decades ago, neurologic disorders in developing countries were not on the radar screen of governments, UN agencies, foundations, or voluntary health organizations. Today, awareness of the importance of these disorders is vastly improved, but this has yet to yield material gains for afflicted individuals in most low- and middle-income countries. There has been an evolution of increased awareness and increased recognition of some of the barriers inhibiting improved care for millions of affected individuals.
In the aggregate, brain disorders cause at least 25% of global death and disability. Factors contributing to the slow recognition and implementation of improved care for those in low- and middle-income countries include failure to organize and display existing data in an understandable way; the perception that neurologic and psychiatric disorders are too complex for stressed national health systems to address; ignorance of low-cost and effective preventative and treatment measures; failure to recognize the true cost of inaction; and, importantly, the stigma associated with many of these disorders.
The past.
As recently as the early 1980s, epidemiologic data describing neurologic disorders in the developing world were scarce. The international health community assumed that disorders common in wealthy countries were hardly present …
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