Developing shared understanding of pre-eclampsia in Haiti and Zimbabwe using Theory of Change.

Journal: PLOS global public health

Volume: 2

Issue: 12

Year of Publication: 

Affiliated Institutions:  Department of Women & Children's Health, School of Life Course and Population Science, King's College London, St Thomas' Hospital, London, United Kingdom. Department of History, Heritage and Knowledge Systems, Faculty of Arts and Humanities, University of Zimbabwe, Harare, Zimbabwe. Department of Obstetrics and Gynaecology, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe. Hope Health Action, Cap-Haitien, Haiti. Centre for Global Mental Health, Health Service and Population Research Department, and WHO Collaborating Centre for Mental Health Research and Training, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

Abstract summary 

Pre-eclampsia, a complex and multi-system disorder specific to pregnancy, is a leading cause of preventable maternal and perinatal deaths in low-resource settings. Early detection and appropriate intervention with management of hypertension, prevention of eclampsia and timely delivery are effective at reducing mortality and morbidity. Outcomes can be greatly improved with the provision and uptake of good quality care. Cultural contexts of maternal care, social practices and expectations around pregnancy and childbirth profoundly shape understanding and prioritisation when it comes to seeking out care. Few studies have addressed health education specifically targeting pre-eclampsia in low resource settings. The existing literature has limited descriptions of contextual barriers to care or of the intervention development processes employed. More engaging, holistic approaches to pre-eclampsia education for women and families that recognise the challenges they face and that support a shared understanding of the disorder, are needed. We describe our experience of developing a Theory of Change (ToC) as part of the co-production of educational resources for pre-eclampsia in Haiti and Zimbabwe.

Authors & Co-authors:  Robbins Tanya T Musiyiwa Mickias M Gidiri Muchabayiwa Francis MF Mambo Violet V Hill Carwyn C Sandall Jane J Hanlon Charlotte C Shennan Andrew H AH

Study Outcome 

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Statistics
Citations :  Abalos E, Cuesta C, Grosso AL, Chou D, Say L. Global and regional estimates of preeclampsia and eclampsia: a systematic review. Eur J Obstet Gynecol Reprod Biol. 2013;170(1):1–7. doi: 10.1016/j.ejogrb.2013.05.005
Authors :  8
Identifiers
Doi : e0001352
SSN : 2767-3375
Study Population
Women
Mesh Terms
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Zimbabwe
Publication Country
United States