Implementing components of the PHC for PE/E model in Nigeria: A cost analysis

Between 2016 and 2018, the Population Council, in partnership with the Nigerian Federal and State Ministries of Health, implemented an intervention to confront pre-eclampsia/eclampsia (PE/E) in three states—Cross River, Ebonyi, and Kogi. This was part of the Ending Eclampsia project, a five-year USAID investment that implemented aspects of the Primary Health Care (PHC) PE/E Model in Bangladesh, Nigeria, and Pakistan. The intervention in Nigeria was comprised of five components of the PHC for PE/E Model: 1) Task sharing to detect and manage PE/E (MgSO4 and referral) with PHC providers; 2) Introducing antihypertensive drug provision at the PHC level; 3) Engaging women’s groups to increase ANC uptake; 4) Logistic Officer training to reduce PE/E commodity stockouts; and 5) Health education messages. This brief describes the true cost for implementing each component in Nigeria. This implementation cost analysis serves as a starting point for those considering implementation of different components of the PHC PE/E Model