Considering the maternal deaths associated with pre-eclampsia and eclampsia (PE/E), the Bangladesh Ministry of Health and Family Welfare, with technical assistance from the Obstetrical and Gynecological Society of Bangladesh, developed a national protocol allowing community providers to provide a magnesium sulphate (MgSO4) loading dose. With the approval of the National Technical Committee of the Directorate General of Family Planning, this study operationalized and assessed the ability of community providers to detect and treat PE/E, and administer the loading dose of MgSO4 before referral to higher-level facilities. The study results presented in this brief indicate that with national protocol, training, and mentorship, health providers at diverse levels of the healthcare system can detect PE/E, provide the loading dose of MgSO4, and refer patients to higher level facilities for further management. Despite this, further improvements are needed, and are presented in the brief.
"Operationalizing national protocol for preventing and managing PE/E in community facilities in Bangladesh," Ending Eclampsia Research Brief. Washington, DC: Population Council, 2016.