Pre-Eclampsia/ Eclampsia: Prevention, Detection and Management Toolkit

As maternal mortality ratios have declined globally, there have been accompanying shifts in the leading causes of maternal deaths, resulting in a higher proportion of maternal mortality due to eclampsia. Pre-eclampsia and eclampsia (PE/E) are now receiving focused attention from donors, governments and providers to further reduce maternal and newborn mortality.

If countries are to achieve the Millennium Development Goal (MDG) 4 (reducing maternal mortality) and MDG5 (reducing child mortality), donors and governments must develop comprehensive and innovative programs to address PE/E as public health priorities. This program guidance document outlines key steps, identifies available resources, and highlights lessons learned to date in the development and implementation of PE/E programs. In the coming years, a broader set of evidence and programmatic guidance will be created as global experience grows in preventing, detecting and managing PE/E.

This Pre-Eclampsia/Eclampsia: Prevention, Detection and Management toolkit was developed by the USAID-funded Maternal and Child Health Integrated Program (MCHIP) as a resource of current evidence, materials and experiences from around the world. It reflects contributions from many donors, agencies, associations, academic institutions and organizations which have identified eclampsia as a priority—and contribute in different ways to addressing it. The purpose of this and other MCHIP toolkits is to collect and package resources that are useful to country programs for developing, implementing, monitoring and scaling up maternal health-related interventions at various levels.

This toolkit contains a number of resources developed especially for the toolkit to help guide the user to key evidence. Unique to MCHIP-developed toolkits, a program implementation guide was developed and provides the overall framework to the toolkit tabs/sections. Technical evidence was compiled in an annotated bibliography from an extensive literature review and vetted by a small technical working group; a comprehensive PE/E technical brief and PE/E technical presentation are also available. This toolkit also contains a succinct 2-page advocacy brief and advocacy presentation to raise awareness around PE/E as a public health issue and the proven interventions available to address it.

This toolkit was launched in 2011. Because of a broadening interest in reducing eclampsia-related mortality and morbidity, it is expected that this toolkit will grow significantly in the coming years as country-level programs design, implement and evaluate PE/E-related interventions.

As new information becomes available and experience implementing PE/E programs grows, the toolkit will be updated. Please contribute your materials to the website so others can benefit from tools, research and lessons learned.

Useful Websites, Online Courses and Resources

The Maternal and Child Health Integrated Program (MCHIP) is the USAID Bureau for Global Health’s flagship maternal, neonatal and child health (MNCH) program. MCHIP supports programming in maternal, newborn and child health, immunization, family planning, malaria and HIV/AIDS, and strongly encourages opportunities for integration. Cross-cutting technical areas include water, sanitation, hygiene, urban health and health systems strengthening. Visit for more information.



Toolkit last updated: July 20, 2013