In the last three decades, global maternal mortality has decreased by almost 45 percent, but approximately 830 women still die daily from largely preventable pregnancy complications. Since 2015, the Ending Eclampsia project, with support from USAID, has been working to expand proven, underutilized interventions and commodities for pre-eclampsia/eclampsia (PE/E) prevention, early detection, and treatment, and to strengthen global partnerships for care of hypertensive disorders in pregnancy (HDP), of which PE/E are the severest forms. A systematic review of the literature identifies a number of articles reporting PE/E burdens within set populations, common risk factors, adverse outcomes, and mortality rates, but few discuss implementation research (IR) to improve PE/E prevention, detection, and timely management. Following the literature review and subsequent analysis of antenatal care and PE/E in seven Nigerian states in 2015, the project intensified its activities and IR in Cross River, Ebonyi, and Kogi states, emphasizing task sharing with primary health-care providers for the detection and management of HDP. This endline report describes the IR approach of the Population Council in Nigeria from 2016 to 2018 and its results.
Ishaku, Salisu Mohammed, Emmanuel Nwala, Gloria Adoyi, Charles Nwigwe, Solomon Kongyamba, Udochisom Anaba, Caroline Johnson, Karen Kirk, Pooja Sripad, and Charlotte E. Warren. 2019. "Post-intervention analysis of pre-eclampsia and eclampsia in three Nigerian states," Ending Eclampsia Landscape Endline Report. Washington, DC: Population Council.
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