Scale-up of magnesium sulfate for treatment of pre-eclampsia and eclampsia in Nigeria
International Journal of Gynecology and Obstetrics, 2016
Findings: Including the community health extension workers in the administration of the treatment was a key element of project success. The development of national service delivery guidelines and training curricula for the use of magnesium sulphate to treat pre-eclampsia and eclampsia, and their subsequent integration into the national healthcare system, was found to be another key factor supporting scale-up efforts. Clear protocols for training of all levels of service providers, including community health extension workers, were important in supporting providers, and in introducing and scaling up magnesium sulphate use.
Other key elements that addresses supply chains in Nigeria were effective monitoring, requisitioning, and distribution of drugs at program facilities. However, challenges on the correct use of magnesium sulphate, supply, and referral persist, continuing the need for advocacy, provider trainings, and monitoring to ensure a supportive environment for it use.Download Summary