The feasibility of community level interventions for pre-eclampsia in South Asia and Sub-Saharan Africa: a mixed-methods design

Asif Raza Khowaja; Rahat Najam Qureshi; Diane Sawchuck; Olufemi T. Oladapo; Olalekan O. Adetoro; Elizabeth A. Orenuga; Mrutyunjaya Bellad; Ashalata Mallapur; Umesh Charantimath; Esperança Sevene; Khátia Munguambe; Helena Edith Boene; Marianne Vidler; Zulfiqar A. Bhutta; Peter von Dadelszen

doi:10.1186/s12978-016-0133-0

The feasibility of community level interventions for pre-eclampsia in South Asia and Sub-Saharan Africa: a mixed-methods design

Asif Raza Khowaja, Rahat Najam Qureshi, Diane Sawchuck, Olufemi T. Oladapo, Olalekan O. Adetoro, Elizabeth A. Orenuga, Mrutyunjaya Bellad, Ashalata Mallapur, Umesh Charantimath, Esperança Sevene, Khátia Munguambe, Helena Edith Boene, Marianne Vidler, Zulfiqar A. Bhutta, Peter von Dadelszen

Women & Children's Health

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Abstract

Globally, pre-eclampsia and eclampsia are major contributors to maternal and perinatal mortality; of which the vast majority of deaths occur in less developed countries. In addition, a disproportionate number of morbidities and mortalities occur due to delayed access to health services. The Community Level Interventions for Pre-eclampsia (CLIP) Trial aims to task-shift to community health workers the identification and emergency management of pre-eclampsia and eclampsia to improve access and timely care. Literature revealed paucity of published feasibility assessments prior to initiating large-scale community-based interventions. Arguably, well-conducted feasibility studies can provide valuable information about the potential success of clinical trials prior to implementation. Failure to fully understand the study context risks the effective implementation of the intervention and limits the likelihood of post-trial scale-up. Therefore, it was imperative to conduct community-level feasibility assessments for a trial of this magnitude.

Original language	English
Article number	56
Number of pages	97
Journal	Reproductive Health
Volume	13
Issue number	1
DOIs	https://doi.org/10.1186/s12978-016-0133-0
Publication status	Published - 8 Jun 2016

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The feasibility of community_KHOWAJA_Published8June2016_GOLD VoR (CC BY)Final published version, 3.54 MBLicence: CC BY

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Khowaja, A. R., Qureshi, R. N., Sawchuck, D., Oladapo, O. T., Adetoro, O. O., Orenuga, E. A., Bellad, M., Mallapur, A., Charantimath, U., Sevene, E., Munguambe, K., Boene, H. E., Vidler, M., Bhutta, Z. A., & von Dadelszen, P. (2016). The feasibility of community level interventions for pre-eclampsia in South Asia and Sub-Saharan Africa: a mixed-methods design. Reproductive Health, 13(1), Article 56. https://doi.org/10.1186/s12978-016-0133-0

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title = "The feasibility of community level interventions for pre-eclampsia in South Asia and Sub-Saharan Africa: a mixed-methods design",

abstract = "Globally, pre-eclampsia and eclampsia are major contributors to maternal and perinatal mortality; of which the vast majority of deaths occur in less developed countries. In addition, a disproportionate number of morbidities and mortalities occur due to delayed access to health services. The Community Level Interventions for Pre-eclampsia (CLIP) Trial aims to task-shift to community health workers the identification and emergency management of pre-eclampsia and eclampsia to improve access and timely care. Literature revealed paucity of published feasibility assessments prior to initiating large-scale community-based interventions. Arguably, well-conducted feasibility studies can provide valuable information about the potential success of clinical trials prior to implementation. Failure to fully understand the study context risks the effective implementation of the intervention and limits the likelihood of post-trial scale-up. Therefore, it was imperative to conduct community-level feasibility assessments for a trial of this magnitude.",

author = "Khowaja, {Asif Raza} and Qureshi, {Rahat Najam} and Diane Sawchuck and Oladapo, {Olufemi T.} and Adetoro, {Olalekan O.} and Orenuga, {Elizabeth A.} and Mrutyunjaya Bellad and Ashalata Mallapur and Umesh Charantimath and Esperan{\c c}a Sevene and Kh{\'a}tia Munguambe and Boene, {Helena Edith} and Marianne Vidler and Bhutta, {Zulfiqar A.} and {von Dadelszen}, Peter",

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Khowaja, AR, Qureshi, RN, Sawchuck, D, Oladapo, OT, Adetoro, OO, Orenuga, EA, Bellad, M, Mallapur, A, Charantimath, U, Sevene, E, Munguambe, K, Boene, HE, Vidler, M, Bhutta, ZA & von Dadelszen, P 2016, 'The feasibility of community level interventions for pre-eclampsia in South Asia and Sub-Saharan Africa: a mixed-methods design', Reproductive Health, vol. 13, no. 1, 56. https://doi.org/10.1186/s12978-016-0133-0

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T1 - The feasibility of community level interventions for pre-eclampsia in South Asia and Sub-Saharan Africa

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AU - Khowaja, Asif Raza

AU - Qureshi, Rahat Najam

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AU - Oladapo, Olufemi T.

AU - Adetoro, Olalekan O.

AU - Orenuga, Elizabeth A.

AU - Bellad, Mrutyunjaya

AU - Mallapur, Ashalata

AU - Charantimath, Umesh

AU - Sevene, Esperança

AU - Munguambe, Khátia

AU - Boene, Helena Edith

AU - Vidler, Marianne

AU - Bhutta, Zulfiqar A.

AU - von Dadelszen, Peter

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AB - Globally, pre-eclampsia and eclampsia are major contributors to maternal and perinatal mortality; of which the vast majority of deaths occur in less developed countries. In addition, a disproportionate number of morbidities and mortalities occur due to delayed access to health services. The Community Level Interventions for Pre-eclampsia (CLIP) Trial aims to task-shift to community health workers the identification and emergency management of pre-eclampsia and eclampsia to improve access and timely care. Literature revealed paucity of published feasibility assessments prior to initiating large-scale community-based interventions. Arguably, well-conducted feasibility studies can provide valuable information about the potential success of clinical trials prior to implementation. Failure to fully understand the study context risks the effective implementation of the intervention and limits the likelihood of post-trial scale-up. Therefore, it was imperative to conduct community-level feasibility assessments for a trial of this magnitude.

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JO - Reproductive Health

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The feasibility of community level interventions for pre-eclampsia in South Asia and Sub-Saharan Africa: a mixed-methods design

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