NDLI: Community perceptions of pre-eclampsia and eclampsia in southern Mozambique

Content Provider	Springer Nature : BioMed Central
Author	Boene, Helena Vidler, Marianne Sacoor, Charfudin Nhama, Abel Nhacolo, Ariel Bique, Cassimo Alonso, Pedro Sawchuck, Diane Qureshi, Rahat Macete, Eusébio Menéndez, Clara von Dadelszen, Peter Sevene, Esperança Munguambe, Khátia
Abstract	Background Sub-Saharan Africa has the highest maternal mortality ratio at 500 deaths per 100,000 live births. In Mozambique maternal mortality is estimated at 249-480 per 100,000 live births and eclampsia is the third leading cause of death. The objective of this study was to describe the community understanding of pre-eclampsia and eclampsia, as a crucial step to improve maternal and perinatal health in southern Mozambique. Methods This qualitative study was conducted in Maputo and Gaza Provinces of southern Mozambique. Twenty focus groups were convened with pregnant women, partners and husbands, matrons and traditional birth attendants, and mothers and mothers-in-law. In addition, ten interviews were conducted with traditional healers, matrons, and a traditional birth attendant. All discussions were audio-recorded, translated from local language (Changana) to Portuguese and transcribed verbatim prior to analysis with QSR NVivo 10. A thematic analysis approach was taken. Results The conditions of “pre-eclampsia” and “eclampsia” were not known in these communities; however, participants were familiar with hypertension and seizures in pregnancy. Terms linked with the biomedical concept of pre-eclampsia were high blood pressure, fainting disease and illness of the heart, whereas illness of the moon, snake illness, falling disease, childhood illness, illness of scaresand epilepsy were used to characterizeeclampsia. The causes of hypertension in pregnancy were thought to include mistreatment by in-laws, marital problems, and excessive worrying. Seizures in pregnancy were believed to be caused by a snake living inside the woman’s body. Warning signs thought to be common to both conditions were headache, chest pain, weakness, dizziness, fainting, sweating, and swollen feet. Conclusion Local beliefs in southern Mozambique, regarding the causes, presentation, outcomes and treatment of pre-eclampsia and eclampsia were not aligned with the biomedical perspective. The community was often unaware of the link between hypertension and seizures in pregnancy. The numerous widespread myths and misconceptions concerning pre-eclampsia and eclampsiamay induceinappropriatetreatment-seeking and demonstrate a need for increased community education regarding pregnancy and associated complications. Trial Registration NCT01911494
Related Links	https://reproductive-health-journal.biomedcentral.com/counter/pdf/10.1186/s12978-016-0135-y.pdf
Ending Page	37
Page Count	11
Starting Page	27
File Format	HTM / HTML
ISSN	17424755
DOI	10.1186/s12978-016-0135-y
Journal	Reproductive Health
Issue Number	1
Volume Number	13
Language	English
Publisher	BioMed Central
Publisher Date	2016-06-08
Access Restriction	Open
Subject Keyword	Reproductive Medicine Public Health Maternal and Child Health Africa South of the Sahara Eclampsia Hypertension Maternal mortality Attitudes Mozambique Pre-eclampsia Seizures África subsaariana Eclâmpsia Hipertensão Mortalidade materna Atitudes Moçambique Pré-eclâmpsia Convulsões
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology Reproductive Medicine
Journal Impact Factor	3.6/2023
5-Year Journal Impact Factor	4/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Maternal mortality due to arterial hypertension in São Paulo City (1995-1999)

Pre-eclampsia/Eclampsia

Community perceptions of pre-eclampsia and eclampsia in Ogun State, Nigeria: a qualitative study

Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique

O que é pré-eclâmpsia?

Community health worker knowledge and management of pre-eclampsia in southern Mozambique

Maternal near miss in the intensive care unit: clinical and epidemiological aspects

Community perceptions of pre-eclampsia in rural Karnataka State, India: a qualitative study

Feasibility of task-sharing with community health workers for the identification, emergency management and referral of women with pre-eclampsia, in Mozambique

Community perceptions of pre-eclampsia and eclampsia in southern Mozambique

Similar Documents

Maternal mortality due to arterial hypertension in São Paulo City (1995-1999)

Pre-eclampsia/Eclampsia

Community perceptions of pre-eclampsia and eclampsia in Ogun State, Nigeria: a qualitative study

Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique

O que é pré-eclâmpsia?

Community health worker knowledge and management of pre-eclampsia in southern Mozambique

Maternal near miss in the intensive care unit: clinical and epidemiological aspects

Community perceptions of pre-eclampsia in rural Karnataka State, India: a qualitative study

Feasibility of task-sharing with community health workers for the identification, emergency management and referral of women with pre-eclampsia, in Mozambique

Community perceptions of pre-eclampsia and eclampsia in southern Mozambique