Advance Distribution of Misoprostol for Self- Administration: Expanding Coverage for the Prevention of Postpartum Hemorrhage

Publish Date: November 2013
Author: MCHIP
Language: English

This guide has been developed to provide organizations and agencies with a step-by-step guide to participating in the  improvement and scale-up of existing misoprostol distribution programs for prevention of postpartum hemorrhage (PPH). It is intended for use by organizations that have not previously implemented misoprostol programming, as well as by Ministries of Health (MoHs) and consortiums of implementing partners interested in developing a unified plan for expanding coverage.

This guide recommends scaling misoprostol programming as an integrated part of a comprehensive PPH prevention strategy within the national safe motherhood program. It assumes that in many contexts implementers will not be working in isolation, but will need to partner with others to ensure uterotonic coverage at all births.

This implementation guide is written under the premise that users are operating in countries where misoprostol programs are already underway or have been piloted. It is expected that  necessary policy changes have already been made or are nearing completion and that continued misoprostol programming is supported by the MoH.

Attachment	Size
Miso Expansion Guide.pdf	2.91 MB