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Factors influencing the use of magnesium sulphate in pre-eclampsia/eclampsia management in health facilities in Northern Nigeria: a mixed methods study

Overview of attention for article published in BMC Pregnancy and Childbirth, June 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (91st percentile)
  • High Attention Score compared to outputs of the same age and source (90th percentile)

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26 X users
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1 Facebook page

Citations

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16 Dimensions

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174 Mendeley
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Title
Factors influencing the use of magnesium sulphate in pre-eclampsia/eclampsia management in health facilities in Northern Nigeria: a mixed methods study
Published in
BMC Pregnancy and Childbirth, June 2015
DOI 10.1186/s12884-015-0554-8
Pubmed ID
Authors

Olugbenga Oguntunde, Zulfiya Charyeva, Molly Cannon, William Sambisa, Nosakhare Orobaton, Ibrahim A Kabo, Kamil Shoretire, Saba’atu E Danladi, Nurudeen Lawal, Habib Sadauki

Abstract

Eclampsia remains a major cause of perinatal and maternal morbidity and mortality worldwide. We examined facilitators and barriers to the use of magnesium sulphate (MgSO4) in the management of pre-eclampsia/eclampsia (PE/E) in health facilities in Bauchi and Sokoto States in Nigeria. Data were collected from 80 health facilities using a cross-sectional, mixed method (quantitative and qualitative) design. We assessed health facility readiness to manage PE/E and use MgSO4 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 PE/E and use of MgSO4. The majority of health facility providers correctly mentioned MgSO4 as the drug of choice for the prevention and termination of convulsions in severe PE/E (65 %). Sixty-four percent of the health facilities had service registers available. About 45 % of providers had been trained on the use of MgSO4 for the management of PE/E. Regarding providers' practices, 45 % of respondents indicated that MgSO4 was used to prevent and treat convulsions in severe PE/E in their facilities. Barriers to management of PE/E included inadequate numbers of skilled providers, frequent shortages of MgSO4, 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. The study revealed that a constellation of factors adversely affect the management of PE/E and especially the use of MgSO4 by service providers. Efforts to improve the management of PE/E in facilities should include integrated programs that substantially improve provider and facility readiness to manage PE/E for better maternal and newborn health outcomes in Northern Nigeria.

X Demographics

X Demographics

The data shown below were collected from the profiles of 26 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 174 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 <1%
Kenya 1 <1%
Nigeria 1 <1%
Unknown 171 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 28 16%
Student > Bachelor 21 12%
Researcher 20 11%
Student > Postgraduate 18 10%
Student > Ph. D. Student 16 9%
Other 33 19%
Unknown 38 22%
Readers by discipline Count As %
Medicine and Dentistry 64 37%
Nursing and Health Professions 28 16%
Social Sciences 12 7%
Business, Management and Accounting 7 4%
Agricultural and Biological Sciences 6 3%
Other 16 9%
Unknown 41 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 20. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 May 2016.
All research outputs
#1,823,278
of 24,946,857 outputs
Outputs from BMC Pregnancy and Childbirth
#441
of 4,646 outputs
Outputs of similar age
#22,914
of 272,372 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#6
of 52 outputs
Altmetric has tracked 24,946,857 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 92nd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,646 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.2. This one has done particularly well, scoring higher than 90% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 272,372 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 91% of its contemporaries.
We're also able to compare this research output to 52 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 90% of its contemporaries.