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FIELD ACTION REPORT
Open Access

Management of Preeclampsia, Severe Preeclampsia, and Eclampsia at Primary Care Facilities in Bangladesh

Anna Williams, Marufa Aziz Khan, Mohammed Moniruzzaman, Sk Towhidur Rahaman, Imteaz Ibne Mannan, Joseph de Graft-Johnson, Iftekhar Rashid and Barbara Rawlins
Global Health: Science and Practice September 2019, 7(3):457-468; https://doi.org/10.9745/GHSP-D-19-00124
Anna Williams
aSave the Children, Dhaka, Bangladesh.
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  • For correspondence: annacw@gmail.com
Marufa Aziz Khan
bPathfinder, Dhaka, Bangladesh.
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Mohammed Moniruzzaman
aSave the Children, Dhaka, Bangladesh.
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Sk Towhidur Rahaman
aSave the Children, Dhaka, Bangladesh.
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Imteaz Ibne Mannan
cJhpiego, Kabul, Afghanistan.
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Joseph de Graft-Johnson
dSave the Children, Washington, DC, USA.
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Iftekhar Rashid
eUnited States Agency for International Development/Bangladesh, Dhaka, Bangladesh.
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Barbara Rawlins
fJhpiego, Washington, DC, USA.
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Figures & Tables

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  • FIGURE 1
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    FIGURE 1

    MaMoni HSS Project's Maternal Health Interventions in Bangladesh

    Abbreviations: ANC, antenatal care; CEmONC, comprehensive emergency obstetric and neonatal care; HSS, Health Systems Strengthening; PE/SPE/E, preeclampsia, severe preeclampsia, or eclampsia.

  • FIGURE 2
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    FIGURE 2

    Case Definitions of Preeclampsia, Severe Preeclampsia, and Eclampsia According to National Protocol, Bangladesh

    Abbreviation: dBP, diastolic blood pressure.

  • FIGURE 3
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    FIGURE 3

    Pictorial Algorithm for the Management of Women With PE/SPE/E Developed by the Ministry of Health and Family Welfare, Bangladesh

    Abbreviations: BP, blood pressure; MgSO4, magnesium sulfate; PE/SPE/E, preeclampsia, severe preeclampsia, or eclampsia.

  • FIGURE 4
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    FIGURE 4

    Map of Bangladesh Showing the Intervention Focus Districts

  • FIGURE 5
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    FIGURE 5

    Cascade Training Model

    Abbreviations: FWV, family welfare visitor; SACMO, sub-assistant community medical officer.

  • FIGURE 6
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    FIGURE 6

    Client Flow Chart

    Abbreviation: ANC, antenatal care; BP, blood pressure; HSS, Health Systems Strengthening; MgSO4, magnesium sulfate; MNCH, maternal, newborn, and child health; PE/SPE/E, preeclampsia, severe preeclampsia, or eclampsia; PNC, postnatal care.

Tables

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    TABLE 1.

    Facility Readiness Survey Results, July–September 2017

    Readiness IndicatorsAvailability in the Facilities
    PE/SPE/E pictorial algorithmPresent at all 35 facilities
    Test tube for albumin testPresent at all 35 facilities
    Urine strip for albumin testPresent at all 35 facilities
    BP machine
    • 2 facilities did not have a BP machine; FWVs used their personal BP machines instead.

    • 3 facilities reported having a BP machine that gave incorrect readings.

    MgSO4Missing at 2 facilities
    • Abbreviations: BP, blood pressure; FWV, family welfare visitor; MgSO4, magnesium sulfate. PE/SPE/E, preeclampsia, severe preeclampsia, or eclampsia.

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    TABLE 2.

    Age Distribution of Women Who Received ANC, Delivery Services, and/or PNC (N=13,346)

    Mother's AgeNo. (%)
    <201,728 (13)
    20–245,802 (43)
    25–294,096 (31)
    ≥301,564 (12)
    Not recorded156 (1)
    • Abbreviations: ANC, antenatal care; PNC, postnatal care.

    • Source: Maternal, newborn, and child health register.

    • View popup
    TABLE 3.

    Distribution of Pregnant Women by Total Number of ANC Consultations Received (N=13,031)

    ANC VisitsNo. (%)
    18,462 (65)
    22,211 (17)
    31,787 (14)
    ≥4571 (4)
    • Abbreviation: ANC, antenatal care.

    • Source: Maternal, newborn, and child health register.

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Global Health: Science and Practice: 7 (3)
Global Health: Science and Practice
Vol. 7, No. 3
September 23, 2019
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Management of Preeclampsia, Severe Preeclampsia, and Eclampsia at Primary Care Facilities in Bangladesh
Anna Williams, Marufa Aziz Khan, Mohammed Moniruzzaman, Sk Towhidur Rahaman, Imteaz Ibne Mannan, Joseph de Graft-Johnson, Iftekhar Rashid, Barbara Rawlins
Global Health: Science and Practice Sep 2019, 7 (3) 457-468; DOI: 10.9745/GHSP-D-19-00124

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Management of Preeclampsia, Severe Preeclampsia, and Eclampsia at Primary Care Facilities in Bangladesh
Anna Williams, Marufa Aziz Khan, Mohammed Moniruzzaman, Sk Towhidur Rahaman, Imteaz Ibne Mannan, Joseph de Graft-Johnson, Iftekhar Rashid, Barbara Rawlins
Global Health: Science and Practice Sep 2019, 7 (3) 457-468; DOI: 10.9745/GHSP-D-19-00124
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