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WHO recommendation: Calcium supplementation during pregnancy for the prevention of pre-eclampsia and its complications. Geneva: World Health Organization; 2018.

Cover of WHO recommendation: Calcium supplementation during pregnancy for the prevention of pre-eclampsia and its complications

WHO recommendation: Calcium supplementation during pregnancy for the prevention of pre-eclampsia and its complications.

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6Applicability issues

Anticipated impact on the organization of care and resources

Implementing this evidence-based recommendation requires resources for sustainable procurement and stocks of calcium tablets. The GDG noted that updating training curricula and providing training on the recommendation would increase the recommendation’s impact and facilitate its implementation. Standardization of care by including this recommendation into existing antenatal care packages can encourage healthcare provider behaviour change.

Monitoring and evaluating guideline implementation

Implementation should be monitored at the health-service level as part of broader efforts to monitor and improve the quality of maternal and newborn care. For example, interrupted time series, clinical audits or criterion-based clinical audits can be used to obtain relevant data related to pre-eclampsia and eclampsia. Clearly defined review criteria and indicators are needed; these could be associated with locally agreed targets and aligned with the standards and indicators described in the WHO document Standards for improving quality of maternal and newborn care in health facilities (23).

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Bookshelf ID: NBK535804

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