This document examines evidence related to the prevention and treatment of PPH, or one or more of its components, at the community level and when a skilled or non-skilled birth attendant is assisting the birth. The purpose of the document is to guide policy makers, health practitioners, donors, community leaders, and program managers who are developing community-based interventions to address …
Increasing Access to Prevention of Postpartum Hemorrhage Interventions for Births in Health Facilities and at Home in Four Districts of Rwanda
This article, published in the African Journal of Reproductive Health, examines a study conducted in 60 health facilities and their catchment areas in four districts in Rwanda to assess coverage, acceptability, and feasibility of a program to prevent postpartum hemorrhage at community and facility levels.
Advance Distribution of Misoprostol for Prevention of Postpartum Hemorrhage in South Sudan
This MCHIP co-authored article in the International Journal of Gynecology & Obstetrics describes the results of a study to evaluate whether a facility- and community-focused postpartum hemorrhage (PPH) prevention program in one county in South Sudan achieved high uterotonic coverage of all births. Under this program, PPH prevention and management were strengthened at health facilities, and advance distribution of misoprostol …
Are national policies and programs for prevention and management of postpartum hemorrhage and preeclampsia adequate?
Global Health: Science and Practice has published an MCHIP co-authored article entitled, “Are national policies and programs for prevention and management of postpartum hemorrhage and preeclampsia adequate? A key informant survey in 37 countries.” The article describes a key informant survey conducted in 37 countries that addressed six core maternal health programmatic areas: policy, training, medication distribution and logistics, national …
Advance Distribution of Misoprostol for Self- Administration: Expanding Coverage for the Prevention of Postpartum Hemorrhage
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 …
Estimation of National Coverage of Uterotonic in the Third Stage of Labour: Report of the Meeting of the Expert Panel (Jharkhand)
The Directorate of Health Services at Jharkhand, India, along with MCHIP, conducted a qualitative assessment of the use of uterotonic in the third stage of labor across Jharkhand. A group of field experts met in June 2013 to determine this process indicator, based on their field experience and existing data available.
Estimation of National Coverage of Uterotonic in the Third Stage of Labor: Report of the Meeting of the Expert Panel (Mozambique)
To attempt to overcome the lack of national coverage data for the key intervention of uterotonic in the third stage of labor, in consultation with WHO, from April to June 2013 MCHIP piloted a rapid estimation exercise in three countries—Mozambique, Tanzania, and one state in India. After an initial desk review, MCHIP worked with the MOH and in-country technical organizations …
Uterotonic Use Immediately Following Birth
It is widely accepted that the most effective intervention for preventing postpartum hemorrhage (PPH) is the administration of a uterotonic to a woman immediately following delivery. However, few countries currently have data on the percentage of births that receive a uterotonic. In 2012, the WHO Recommendations for the Prevention and Treatment of PPH included guidance that “monitoring the use of …
Review Suggests Community-based Programs for PPH Prevention at Home Birth Can Achieve High Distribution and Use of Misoprostol
This two-page brief summarizes the findings of an article published in the journal BMC Pregnancy and Childbirth. “Misoprostol for postpartum hemorrhage prevention at home birth: an integrative review of global implementation experience to date” describes an integrative review of published research studies and evaluation reports from 18 programs that distributed misoprostol at the community level for prevention of PPH at home …
Misoprostol for postpartum hemorrhage prevention at home birth: an integrative review of global implementation experience to date
This article, published in BMC Pregnancy and Childbirth and co-authored by MCHIP staff, examines methods of distribution of misoprostol at the community level for PPH prevention at home births through an integrative review of published research studies and evaluation reports from programs that did such distribution. Reviewed were methods and cadres involved in education of end-users, drug administration, distribution, and …
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