The majority of people with epilepsy in the world live in low or middle income countries (LMICs) [1]. These countries have high treatment gaps – the percentage of people with epilepsy not on treatment. These range from 50 to 90% and are larger in rural areas than in cities [2]. One of the reasons for large treatment gaps is an absence of doctors to treat and manage epilepsy [3–5]. This is much worse in rural areas where the great majority of these people live and where doctors generally neither live nor visit.

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