Less than half of providers had ever been trained on
the correct use of MgSO4. This finding on the inadequate number and capabilities of service providers being a significant barrier to proper management of PE/E
as part of EmONC services, and is consistent with similar studies from low and middle-income countries
[14, 17, 18]. These findings suggest the need for a system
to routinely train and re-train service providers on the
use of MgSO4in the management of PE/E. Similarly, improved decision making on the management of severe
PE/E associated with service providers training has been
previously reported [12]. It is essential that programmes
focus on training, refresher trainings and post-training
supportive supervision of providers that might create an
enabling environment for the provision of quality services in health facilities and especially the use of MgSO4
as the preferred drug for managing convulsions in severe
PE/E