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Quality of care in early detection and management of pre-eclampsia/eclampsia in health facilities in Afghanistan

Journal Article
(Published January, 2019)
Ansari, N. (Author),
Manalai, P. (Author),
Maruf, F. (Author),
Currie, S. (Author),
Stekelenburg, J. (Author),
van Roosmalen, J. (Author),
Kim, Y.M. (Author),
Tappis, H. (Author)
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Disorders of pregnancy, including pre-eclampsia and eclampsia (PE/E), are among the most common causes of maternal and neonatal complications in Afghanistan. Hypertensive disorders of pregnancy can lead to fatal complications for both the mother and fetus. The 2016 Afghanistan National Maternal and Newborn Health Quality of Care Assessment assessed quality of early detection and management of PE/E in health facilities and skilled birth attendants’ (SBAs) perceptions of their working environment.

Most facilities had supplies and medicines for early detection and management of PE/E. At public health facilities, 357 of 414 (86.2%) clients observed during ANC consultations had their blood pressure checked and 159 (38.4%) were asked if they had experienced symptoms of PE/E. Only 553 of 734 (72.6%) SBAs interviewed were able to correctly identify severe pre-eclampsia described in a case scenario.  Notable gaps in SBAs’ knowledge and clinical practices in detection and management of PE/E in various health facilities increase the risk of maternal and perinatal mortality. Continuing education of health care providers and increased investment in focused quality improvement initiatives will be critical to improve the quality of health care services in Afghanistan.

 

 

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Citation: 
Ansari N, Manalai P, Maruf F, Currie S, Stekelenburg J, van Roosmalen J, Kim YM, Tappis H. et al. Quality of care in early detection and management of pre-eclampsia/eclampsia in health facilities in Afghanistan. BMC pregnancy and childbirth. 2019;19(1):36.