GHANA ACTION ON PREECLAMPSIA CAMPAIGN (GHAPEC)
Ghana Action on PreEclampsia Project is a five (5) year maternal health project aimed at creating awareness to minimize the infant and maternal mortality rate caused by the “silent killer pregnancy disease" known as PreEclampsia. PreEclampsia is a Pregnancy Induced Hypertension disease caused by a defect in the placenta, which joins the mother and baby and supplies the baby with nutrients and oxygen from the mother’s blood. In Ghana a study by Osei-Nketiah (2001) has shown that in Ghana, 40% of maternal deaths are as a result of pregnancy hypertension, antepartum hemorrhage and postpartum hemorrhage.
With the vision of saving the lives of mothers and babies through education and support, the GHAPEC project is run by a ten (10) member core team spearheaded by Ms. Koiwah Koi Larbi, the project lead, and a fellow of the Gender Desk at the Centre for Constitutional Order (CENCORD),sensitive to addressing issues which affects the progress of women and children in Ghana and providing solution same.
Centre For Constitutional Order is a legal think-tank dedicated to the advancement and protection of the rights guaranteed by the 1992 Constitution of the fourth republic of Ghana since it set-up in 2011. One of such rights guaranteed is the "right to life". A right which underlies the concept of the Ghana Action on PreEclampsia Project (GHAPEC) per its vision is to save the precious lives of mothers and babies through education and support. This vision and objective is thus consistent with the United Nations Sustainable development Goal 3 which is “ Ensuring healthy lives and promoting well-being for all at all ages” ,with Maternal health and Children’s health being the priority. A goal grounded on Article 3 of the Universal Declaration of Human Rights; the first global expression of rights which all human beings are inherently entitled.
As the target group of the projects include, women especially pregnant women considered high-risk and families who have been affected by Pre-Eclampsia, the methodological strategy of;
- Liaising with the selected major government hospital and local clinics to obtain some database will be adopted as well as
- Liaising with various women groups including churches to offer the platform for public education will be adopted.
The use of social media platforms including WhatsApp, Facebook and twitter will be adopted to promote the cause of the project and get those affected by same to share their stories and help promote the cause of GHAPEC in other local deprived areas.
The expected outcome of the Project campaign is to reduce infant and maternal mortality death caused by Preeclampsia in Ghana. Thus, the evaluation method of Performance Monitoring and Impact evaluation will be adopted over the duration of the campaign project.
PROBLEM /NEEDS STATEMENT
What is PreEclampsia?
Preeclampsia is the most common of the serious complications of pregnancy and is caused by a defect in the placenta, which joins the mother and baby and supplies the baby with nutrients and oxygen from the mother’s blood. While the root cause of the disease remains unknown, medical science is expanding our knowledge every day. By definition, pre-eclampsia occurs after 20 weeks (but in very rare cases can occur earlier) and the majority of cases occur in the third trimester.
Brief Facts and Overview
Worldwide, preeclampsia is responsible for up to 20% of the 13 million preterm births each year. About 58,500 women die every year as a result of Pregnancy and childbirth and over 98% of all maternal mortality occurs in developing countries (Abouzahr and Royston, 1991; Bates et al., 2008). The most common cause of these maternal deaths are complications of pregnancy and child birth such as hemorrhage, sepsis, complications of unsafe abortions, hypertension disorders of pregnancy and obstructed labour (WHO, 1994)1. In developing countries, 17% of direct obstetric deaths are as a result of hypertension (Maine, 1987)1. Maternal and perinatal morbidity and mortality are major health problems in developing countries like Ghana and studies by Osei-Nketiah (2001) have shown that in Ghana, 40% of maternal deaths are as a result of hypertensive pregnancy, antepartum hemorrhage and postpartum haemorrhage1.
Preeclampsia (PE)is one of such life-threatening Pregnancy Induced Hypertension Disease (PIHD). PE is a multi-system pregnancy specific disorder, characterized by new onset of hypertension and proteinuria developing after the gestational age of 20 weeks. It remains a major cause of both maternal and perinatal mortality and morbidity. Maternal mortality in PE is mostly due to major complications such as eclampsia, cerebral hemorrhage and renal failure.
The World Health Organization (WHO) estimate of maternal death due to PIHD is 25.7% in Latin-American and Caribbean, and 9.1% in Asian and African countries. It estimated that the incidence of preeclampsia is seven times higher in developing countries than developed countries. A study conducted in Ghana revealed that Pregnancy Induced Hypertension (PIH) has contributed for 8.9% maternal mortality4.
The prevalence of this “silent pregnancy killer disease” is on the rise in our beloved motherland Ghana and infant and maternal lives are perishing because of it. Motherhood is a blissful experience, one which brings hope and joy into every family. The lives of women and infants must not perish because of a family’s decision to be part of this blissful heavenly experience. For this reason, the GHANA ACTION ON PREECLAMPSIA (GHAPEC) Maternal Health Campaign project is set up to ensure that every woman has an opportunity to become a mother without the hindrance and fatal restraint of the pregnancy disease of Preeclampsia in the ultimate attempt of fulfilling the Sustainable development goal 3.
Ghana Action on Preeclampsia (GHAPEC) is a 5-10years maternal health campaign project set up by CENCORD to support and provide information to;
- Pregnant Women (High Risk).
- Mothers and families who have suffered from Preeclampsia.
- Medical Personnel (doctors, midwives and nurses)
Who We Are
Centre for Constitutional Order is a legal think-tank dedicated to the advancement and protection of the rights guaranteed by the 1992 Constitution of the fourth republic of Ghana since it set-up in 2011. One of such rights guaranteed is the "right to life". A right which underlies the concept of the Ghana Action on Preeclampsia Project (GHAPEC) per its vision is to save the precious lives of mothers and babies through education and support. This vision and objective is thus consistent with the United Nations Sustainable Development Goal 3 which is “Ensuring healthy lives and promoting well-being for all at all ages”, with Maternal health and Children’s health being the priority.
Education and support to help save the lives of mothers and babies.
Saving Precious Lives
Know the symptoms, spread the word
- To educate, inform and advise the public especially the pregnant women and health professionals about the prevalence, nature and risks of PreEclampsia.
- To campaign for greater awareness and action to improve methods of detection and treatment.
To provide support to people and families who been affected by PreEclampsia to ease and prevent the physical and emotional suffering caused by the disorder.
- Organize at least Four (4) seminar/workshops per year for at least 300 pregnant women.
- Organize Three (3) training/workshops for at least 50 medical personnel to receive special training on how to manage preeclampsia patients.
- Organize a yearly Preeclampsia Awareness Walk and/or Maternal Health Drive/per year.
- Operate a highly effective monitoring support mechanism through a network of five (5)body regional support groups to :
- Identify at least 50 pregnant women in their early 1st Trimester (5 women/per region) at risk of getting Preeclampsia.
- Provide, distribute and train same the use of Cradle VSA Blood Pressure monitor, Heart-Beat Self Baby Monitor by Medi-K and proteinuria kit to the women for self-check and early detection of the disease and control.
- Watch, observe and check on these women via bi-weekly phone calls and a monthly visit from the day of identification to day of delivery (Operation NoBabyNoHome-NBNH).
- Provide a 2 months postpartum, counseling support group session to the women to be attended bi-weekly to address concerns and share experience.
- Provide and distribute over the duration of the project at least:
- 500 Cradle VSA Blood Pressure monitors and Proteinuria kit to at least 50 local maternal clinics in poor communities per year (5 clinic/per region, 10/per clinic).
- (50) Infant Incubators to at least five (5) major local and/government maternal clinics/hospital (4 incubators/per clinic or hospital).
- 500 Heart-Beat Self Baby Monitor to high risk pregnant women in low-income communities where disease highly prevalent (of which training on use of device will be given)
- Raising funds to support GHAPEC’s objectives.
It is thus the expected outcome that maternal and infant mortality death caused by Preeclampsia in Ghana will be reduced by more than 50% at the end of the campaign.