This endline report documents a USAID-supported implementation research project carried out by the Population Council in one district in Sindh province, as part of the global—Bangladesh, Ethiopia, Kenya, Nigeria, Pakistan—Ending Eclampsia initiative. This project assessed community midwives’ (CMWs) abilities to screen and detect pre-eclampsia/severe pre-eclampsia/eclampsia (PE/SPE/E) in pregnant and postnatal women and provide a loading dose of magnesium sulfate (MgSO4) to clients suffering from SPE/E and referrals to facilities for further management. This study also explored opportunities to enhance collaboration between CMWs and lady health workers (LHWs), encouraging LHWs to refer pregnant women for group antenatal care (ANC) and postnatal care (PNC) sessions led by local CMWs, for improved ANC and PNC, as well as enhancing CMWs’ counseling skills and enabling their effective management of postnatal hypertension.
Mir, Ali M., Irfan Masood, Mumraiz Khan, Sharif M.I. Hossain, Tracy McClair, Pooja Sripad, and Charlotte E. Warren. 2019. "Expanding services to detect, manage, and prevent pre-eclampsia and eclampsia in Tando Allahyar District of Sindh Province, Pakistan," Ending Eclampsia Endline Report. Washington, DC: Population Council.
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