Factors influencing the use of @entity2400 in @entity1468 / XXXX management in health facilities in Northern Nigeria: a mixed methods study.

@entity410 @entity5029 @entity2400 @entity3036 @entity1468
BACKGROUND: Eclampsia remains a major cause of perinatal and maternal morbidity and mortality worldwide. We examined facilitators and barriers to the use of @entity2400 ( @entity2400 ) in the management of @entity1468 / @entity3036 ( @entity5029 ) in health facilities in Bauchi and Sokoto States in Nigeria. METHODS: Data were collected from 80 health facilities using a cross-sectional, mixed method (quantitative and qualitative) design. We assessed health facility readiness to manage @entity5029 and use @entity2400 as the drug of choice, through provider interviews, in-depth interviews with facility managers and an inventory of equipment and supply in facilities. Bivariate and qualitative data analyses were performed to isolate the principal enabling factors and barriers to the management of @entity5029 and use of @entity2400 . RESULTS: The majority of health facility providers correctly mentioned @entity2400 as the drug of choice for the prevention and termination of @entity410 in severe @entity5029 (65  %). Sixty-four percent of the health facilities had service registers available. About 45  % of providers had been trained on the use of @entity2400 for the management of @entity5029 . Regarding providers' practices, 45  % of respondents indicated that @entity2400 was used to prevent and treat @entity410 in severe @entity5029 in their facilities. Barriers to management of @entity5029 included inadequate numbers of skilled providers, frequent shortages of @entity2400 , lack of essential equipment and supplies, irregular supply of electricity and water, and non-availability of guidelines and clinical protocols at the health facilities. Technical support to providers was inadequate. CONCLUSION: The study revealed that a constellation of factors adversely affect the management of @entity5029 and especially the use of @entity2400 by service providers. Efforts to improve the management of @entity5029 in facilities should include integrated programs that substantially improve provider and facility readiness to manage @entity5029 for better maternal and newborn health outcomes in Northern Nigeria.
