Primary Healthcare PE/E Model
In 2016, researchers initiated six additional implementation research studies in three countries – Bangladesh, Nigeria, Pakistan – to identify and assess additional components that, in conjunction with the Core Model, can further improve prevention, detection, and management of PE/E. This visual representation depicts the linkages between each component.
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Primary Healthcare for Pre-eclampsia and Eclampsia Model in Bangladesh: A cost analysis
Between 2016 and 2018, the Population Council, in collaboration with the Directorate General of Family Planning and Obstetrical and Gynecological Society of Bangladesh, implemented an intervention to confront pre-eclampsia and elcampsia (PE/E). This brief describes the true cost for implementing the two Components in Bangladesh and includes a brief description of the activities within each component.
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Primary Healthcare for Pre-eclampsia and Eclampsia Model in Nigeria: A cost analysis
Between 2016-2018, the Population Council, in partnership with the Nigerian Federal and State Ministries of Health, implemented an intervention to confront pre-eclampsia and eclampsia (PE/E) in Nigeria's Ebonyi, Cross River, and Kogi states. This brief describes the true cost for implementing each component
in Nigeria.
A systematic review of the treatment and management of pre-eclampsia and eclampsia in Pakistan
To fully appreciate the enormity of the problem at country level, researchers conducted a systematic review of published papers on pre-eclampsia and eclampsia (PE/E) in Pakistan from 2005-2015 in order to understand the key challenges, gaps and interventions related to the prevention and treatment of PE/E.
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Feasibility and acceptability of community health extension workers to identify and treat hypertension associated with pregnancy in Ebonyi State: Implementation research report
Task shifting essential health services to mitigate insufficient human resources is recommended to strengthen and expand the health work force to rapidly increase access to quality services. This study tested the feasibility and acceptability of community health extension workers at primary healthcare facilities in Ebonyi State to detect and manage pregnancy-associated hypertension using alpha methyldopa and magnesium sulphate where appropriate and refer for follow up.
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Engaging community women’s groups to improve maternal health care delivery in Cross River: Implementation research report
Women’s groups are associated with increased access to health services and improved health outcomes in low- and middle-income settings). In Nigeria and elsewhere, little is known about the effectiveness of existing women’s meeting forums or networks in raising awareness on maternal health and service options and promoting healthcare-seeking behaviors. This implementation research study was embedded within the broader Ending Eclampsia project being conducted in three states and focused on a community intervention in one state, in areas where the facility interventions were active.
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Retrospective cohort study: Clinical presentation and outcomes of pre-eclampsia and eclampsia at Kenyatta National Hospital, Nairobi, Kenya
There are very few studies comparing early onset versus late onset pre-eclampsia in a low and middle-income country setting. The goal of this study was to determine the profile of patients with hypertensive disorders in pregnancy, especially pre-eclampsia and eclampsia, over a two-year period at the national referral hospital in Kenya.
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Addressing barriers to quality of underutilized commodities and services for prevention and management of pre-eclampsia and eclampsia in Kenya
This report shares findings from a qualitative study aimed at exploring health system bottlenecks that prevent access to quality maternal and newborn health (MNH) care in two Kenyan counties, Kitui and Kakamega, with a specific focus on pre-eclampsia and eclampsia (PE/E).
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Exploring barriers and opportunities for pre-eclampsia and eclampsia prevention and management in Ethiopia
This study was conducted in Ethiopia to understand the relationships of women, communities, and health systems, as well as these factors shape the experience of pre-eclampsia and eclampsia (PE/E). The study investigated PE/E knowledge, attitudes, and practices, at numerous levels; described the barriers to the provision and utilization of PE/E prevention and management, including antenatal care (ANC), delivery, and postnatal care (PNC); and assessed the policy and health system environments for PE/E diagnosis, referral, and care, including potential supply chain bottlenecks.
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Assessing the effect of a primary health care intervention for improving pre-eclampsia and eclampsia knowledge and practice in Bangladesh
The Ending Eclampsia project scaled up pre-eclampsia and eclampsia early detection, prevention, and management in primary health care (PHC) facilities in Bangladesh to assess effectiveness and acceptability of under-utilized strategies and commodities to reduce morbidities and mortalities of mothers and their babies. This report shares results from this pre-post, cross-sectional research design that integrated qualitative and quantitative data collection methods at baseline (2015) and endline (2018).
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