Ending Eclampsia Project
Ending Eclampsia seeks to expand access to quality underutilized interventions and commodities for the prevention and early detection and treatment of pre-eclampsia and eclampsia (PE/E) in USAID priority countries. The Ending Eclampsia project promotes the availability and correct use of antihypertensives and magnesium sulfate (MgSO4) for the detection and treatment of pre-eclampsia and eclampsia. In Bangladesh, Nigeria and Pakistan, Council research is demonstrating to policymakers that training health providers on the provision of MgSO4 results in fewer maternal and newborn deaths and reduces the contribution of eclampsia to maternal and newborn morbidity.
Population Council is seeking a public health expert with a research background to support development of two linked research protocols to:
1) synthesize evidence from a range of existing documents and national data sets about pre-eclampsia and eclampsia in Ethiopia
2) qualitative research to understand bottlenecks at policy, facility and community levels in prevention, early detection and treatment of pre-eclampsia and eclampsia
The main activities to be described in the research protocols is as follows:
A. Secondary analysis:
This protocol is expected to receive an expedited review as it will not involve any human subjects.
1. Clearly define the objective of the study and the main study question.
2. Use DHS data sets on maternal and newborn health seeking behaviour and experiences (2005, 2011 and 2016 DHS)
3. Ethiopia service provision assessment (SPA) data sets on antenatal care and availability of essential medicines and supplies in facilities
4. Emergency obstetric and newborn care assessment (due to be completed this year- further analysis will not take place until next year).
5. Any other data sets on health seeking behaviour around pregnancy and childbirth.
6. Desk review of all partners working in maternal and newborn health to understand the breadth and depth of support for pre-eclampsia and eclampsia.
7. This will include a review of the national policy documents: guidelines on maternal and newborn health particularly relating to the quality of ANC and treatment of PE/E, infection prevention (IP) guidelines and training materials for their content, completeness, consistency, etc.
8. Systematic review of published papers on PE/E in Ethiopia since 2000.
B. Qualitative research in one region:
This protocol will need to be submitted the Population Council IRB, USAID and
Regional Health Bureau.
1. In-depth interviews with policy makers at national, regional, woreda and kebele level to understand the bottlenecks in women not accessing/receiving timely care
2. In-depth interviews with health workers CHEWS, Nurses/Midwives and Drs/health officers etc at primary and secondary levels (Health posts, HCs and hospitals)
3. Focus group discussions with men and women at community level to understand perceptions around pre-eclampsia and eclampsia and health seeking behaviour
4. In-depth Interviews with women who have experienced pre-eclampsia and eclampsia – i.e their stories and care seeking pathways.
The Population Council IRB format will be shared. It includes a short literature review, description of research activities and how researchers will describe the benefits, risks to potential participants. Informed consent forms and study guides/questionnaires will also be included.
Location of the work:
It is expected that the consultant will be based in the Population Council Addis Ababa office. The consultant will also liaise with the Ending Eclampsia team based in Washington DC interacting closely with the project director.
Final version of research protocol for mini landscape analysis of PE/E in Ethiopia
The consultancy will be for 20 working days. The consultancy will start in October 2016 and all activities must be completed by November 30th 2016.