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Postpartum Hemorrhage

Community-Based Distribution of Misoprostol for the Prevention of Postpartum Hemorrhage: Evaluation of a Pilot Intervention in Tangail District, Bangladesh
The leading causes of maternal mortality are hemorrhage, eclampsia, abortion, injuries, sepsis, and obstructed labor. Deaths related to postpartum hemorrhage (PPH) present a major challenge to health systems, particularly in rural areas of Bangladesh, where infrastructure is poor and health facilities often lack skilled staff, drugs, and equipment. Misoprostol is a proven uterotonic drug that is increasingly used in clinical and home delivery settings to prevent and manage PPH.  In 2008, the Mayer Hashi/RESPOND Project implemented a pilot project in the Tangail District of Bangladesh to determine the effectiveness of using government and nongovernmental field workers at the community level to distribute misoprostol tablets and ensure that women take the drug immediately postpartum. This evaluation report discusses the process, approaches, and strategies followed in the implementation of the pilot project and uses a review of relevant project documents and activity reports, as well as interviews and focus group discussions with clients, service providers, supervisors, and program managers. The overall goal of the evaluation was to assess the effectiveness of the community-based misoprostol intervention program strategies and to gather lessons learned and provide recommendations for the national scale-up.
(2010) Download as a PDF (2.4MB) from the RESPOND Project

Preventing Postpartum Hemorrhage: Community-Based Distribution of Misoprostol in Tangail District, Bangladesh
Deaths related to postpartum hemorrhage (PPH) present a major challenge to health systems, particularly in rural areas of Bangladesh, where infrastructure is poor and health facilities often lack skilled staff, drugs, and equipment. Misoprostol is a proven uterotonic drug that is increasingly used in clinical and home delivery settings to prevent and manage PPH. This project brief discusses the implementation of a pilot project in the Tangail District of Bangladesh to determine the effectiveness of using government and nongovernmental field workers at the community level to distribute misoprostol tablets and ensure that women take the drug immediately postpartum. In addition to the programmatic intervention strategies, it looks at health outcomes, women's views and experiences, as well as lessons learned and recommendations for moving forward.
(2010) Download as a PDF (3MB) from the RESPOND Project

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