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With the recent launch of the joint Global Campaign to reduce the burden of headache by the World Headache Alliance (WHA), the International Headache Society (IHS), the European Headache Federation (EHF), and WHO, a welcome focus on the management of migraine is expected. Migraine management is influenced by numerous factors that are regionally different around the world. Through a discussion of the "barriers to care" of migraine in India, I attempt to appraise the academic headache community of the need for region-specific guidelines derived from the standard guidelines.

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