Skip to main content

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

TitleCommunity health workers' knowledge and practice in relation to pre-eclampsia in Ogun State, Nigeria: an essential bridge to maternal survival.
Publication TypeJournal Article
Year of Publication2016
AuthorsSotunsa, J, Vidler, M, Akeju, D, Osiberu, M, Orenuga, E, Oladapo, O, Qureshi, R, Sawchuck, D, Olalekan, A, von Dadelszen, P, Dada, OA
Corporate AuthorsCLIP Nigeria Feasibility Working Group
JournalReprod Health
Volume13
IssueSuppl 2
Pagination108
Date Published2016 Sep 30
ISSN1742-4755
KeywordsClinical Competence, CLIP, Community Health Services, Community Health Workers, feasibility, Feasibility Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Maternal Mortality, Nigeria, Practice Guidelines as Topic, Pre-Eclampsia, Pregnancy, Qualitative Research, Survival Rate
Abstract

BACKGROUND: Pre-eclampsia is a leading cause of maternal and fetal morbidity and mortality worldwide. Early detection and treatment have been instrumental in reducing case fatality in high-income countries. To achieve this in a low-income country, like Nigeria, community health workers who man primary health centres must have adequate 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 and treatment 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. Qualitative data were obtained from four Local Government Areas of Ogun State, in south western Nigeria by focus group discussions (N = 15) and in-depth interviews (N = 19). Participants included a variety of community-based health care providers - traditional birth attendants, community health extension workers, nurses and midwives, chief nursing officers, medical officers - and health administrators. Data were transcribed and validated with field notes and analysed with NVivo 10.0.

RESULTS: Community-based health care providers proved to be aware that pre-eclampsia was due to the development of hypertension and proteinuria in pregnant women. They had a good understanding of the features of the condition and 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'; these guidelines 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 for women with pre-eclampsia. These competencies combined with training and equipment availability could improve maternal health in the rural areas. There is a need for regular training and retraining to enable successful task-sharing with these cadres.

TRIAL REGISTRATION: NCT01911494 .

DOI10.1186/s12978-016-0218-9
Alternate JournalReprod Health
Citation Key537
PubMed ID27719677
PubMed Central IDPMC5056496
Grant List001 / / World Health Organization / International