Lost opportunities to improve health literacy: Observations in a chronic illness clinic providing care for patients with epilepsy in Cape Town South Africa

► Observation used to gain a picture of health literacy factors affecting epilepsy ► Lack of knowledge on type of information to be recorded on a seizure diary ► Epilepsy poster information is confusing and inappropriate due to lack of evaluation. ► Poor attention to and dismissal of patients' concerns due to language barriers ► Structured epilepsy support group for self-management is lacking.