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Monitoring

In low and middle income countries, there are three primary delays that lead to the increased incidence of maternal mortality: delays in triage, in transport, and in treatment. These delays occur at the community, primary health centre (PHC), and hospital facility levels. With respect to the hypertensive disoders in pregnancy, the delays in triage relate to the presentation of women late in the clinical course of their disease and the failure to have the nature and potential severity of their condition recognized. In many settings, women receive no antenatal care; therefore achieving some degree of practical oversight and getting a triage mechanism into the hands of women and their immediate caregivers is a priority. Immediate care is often given by community health workers (CHWs). Once women enter the formal health care system (PHC and hospital levels), what is required is a triage tool to identify those most at risk of adverse outcomes so that they can receive appropriate interventions in the timeliest manner possible.