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Community health workers' knowledge and practice in relation to pre-eclampsia in ogun state, Nigeria: an essential bridge to maternal survival.

Authors: SOTUNSA John , Vidler , Akeju , Osiberu , Orenuga , Oladapo , Qureshi , Adetoro , Sawchuck , Von P, Dada , Dada Oa

Publication Type: Journal article

Journal: Reproductive Health

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Abstract

Background:Pre-eclampsia is a leading cause of maternal and fetal morbidity and mortality worldwide. Earlydetection and treatment have been instrumental in reducing case fatality in high-income countries. To achievethis in a low-income country, like Nigeria, community health workers who man primary health centres must haveadequate knowledge and skills to identify and provide emergency care for women with pre-eclampsia.This study aimed to determine community health workers’knowledge and practice in the identification andtreatment of pre-eclampsia, as they are essential providers of maternal care services in Nigeria.Methods:This study was part of a multi-country evaluation of community treatment of pre-eclampsia. Qualitativedata were obtained from four Local Government Areas of Ogun State, in south western Nigeria by focus groupdiscussions (N= 15) and in-depth interviews (N= 19). Participants included a variety of community-based healthcare providers - traditional birth attendants, community health extension workers, nurses and midwives, chiefnursing officers, medical officers–and health administrators. Data were transcribed and validated with field notesandanalysedwithNVivo10.0.Results:Community-based health care providers proved to be aware that pre-eclampsia was due to the developmentof hypertension and proteinuria in pregnant women. They had a good understanding of the features of the conditionand were capable of identifying women at risk, initiating care, and referring women with this condition. However,some were not comfortable managing the condition because of the limitation in their‘Standing Order’;theseguidelines do not explicitly authorize community health extension workers to treat pre-eclampsia in the community.Conclusion:Community-based health care providers were capable of identifying and initiating appropriate care forwomen with pre-eclampsia. These competencies combined with training and equipment availability could improvematernal health in the rural areas. There is a need for regular training and retraining to enable successful task-sharingwith these cadres.

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SOTUNSA,J. Vidler,M. Akeju,D. Osiberu,M. Orenuga,E. Oladapo,O. Qureshi,R. Adetoro,O. Sawchuck,D. Von,D.P Dada,O. Dada,O. . (2016). Community health workers' knowledge and practice in relation to pre-eclampsia in ogun state, Nigeria: an essential bridge to maternal survival., 13 (), 134-134.

SOTUNSA,J. Vidler,M. Akeju,D. Osiberu,M. Orenuga,E. Oladapo,O. Qureshi,R. Adetoro,O. Sawchuck,D. Von,D.P Dada,O. Dada,O. . "Community health workers' knowledge and practice in relation to pre-eclampsia in ogun state, Nigeria: an essential bridge to maternal survival." 13, no (), (2016): 134-134.

SOTUNSA,J. and Vidler,M. and Akeju,D. and Osiberu,M. and Orenuga,E. and Oladapo,O. and Qureshi,R. and Adetoro,O. and Sawchuck,D. and Von,D.P and Dada,O. and Dada,O. and . (2016). Community health workers' knowledge and practice in relation to pre-eclampsia in ogun state, Nigeria: an essential bridge to maternal survival., 13 (), pp134-134.

SOTUNSAJ, VidlerM, AkejuD, OsiberuM, OrenugaE, OladapoO, QureshiR, AdetoroO, SawchuckD, VonDP, DadaO, DadaO, . Community health workers' knowledge and practice in relation to pre-eclampsia in ogun state, Nigeria: an essential bridge to maternal survival.. 2016, 13 ():134-134.

SOTUNSA,John , Vidler,M , Akeju,Do , Osiberu,Mo , Orenuga,Eo , Oladapo,Ot , Qureshi,R , Adetoro,Oo , Sawchuck,D , Von,Dadelszen P, Dada,Oa , and Dada,Oa . "Community health workers' knowledge and practice in relation to pre-eclampsia in ogun state, Nigeria: an essential bridge to maternal survival.", 13 . (2016) : 134-134.

S.John V.M A.Do O.Mo O.Eo O.Ot Q.R A.Oo S.D V.Dadelszen P D.Oa & D.Oa , "Community health workers' knowledge and practice in relation to pre-eclampsia in ogun state, Nigeria: an essential bridge to maternal survival." vol.13, no., pp. 134-134, 2016.

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