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Journal of Pregnancy
Volume 2011, Article ID 481095, 6 pages
http://dx.doi.org/10.1155/2011/481095
Review Article

Public Health Perspectives of Preeclampsia in Developing Countries: Implication for Health System Strengthening

1Department of Health Policy and Management, Faculty of Public Health, College of Medicine and University College Hospital, University of Ibadan, P.M.B. 5017 General Post Office, Ibadan, Nigeria
2Department of Community Medicine, University College Hospital, P.M.B. 5116, Ibadan, Nigeria

Received 13 October 2010; Revised 20 December 2010; Accepted 19 January 2011

Academic Editor: Sean Blackwell

Copyright © 2011 Kayode O. Osungbade and Olusimbo K. Ige. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. Review of public health perspectives of preeclampsia in developing countries and implications for health system strengthening. Methods. Literature from Pubmed (MEDLINE), AJOL, Google Scholar, and Cochrane database were reviewed. Results. The prevalence of preeclampsia in developing countries ranges from 1.8% to 16.7%. Many challenges exist in the prediction, prevention, and management of preeclampsia. Promising prophylactic measures like low-dose aspirin and calcium supplementation need further evidence before recommendation for use in developing countries. Treatment remains prenatal care, timely diagnosis, proper management, and timely delivery. Prevailing household, community, and health system factors limiting effective control of preeclampsia in these countries were identified, and strategies to strengthen health systems were highlighted. Conclusion. Overcoming the prevailing challenges in the control of preeclampsia in developing countries hinges on the ability of health care systems to identify and manage women at high risk.