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Publications

Through the @Hewlett_Found-supported project in West and Central Africa, we partner with @JVSAssociation in Bénin to create an enabling environment for youth access to #SRHR, including safe abortions.

Check out their "My Choice" twitter campaign! ⬇️

In anticipation of International Women’s Day on March 8, we’ll spend the week highlighting programs that are contributing to a more gender equal world. Stay tuned for #InternationalWomensDay Spotlights!

How we're advancing #genderequality through #SRHR: ➡️http://bit.ly/GE-SRHR

Addressing fistula is key to advancing #SRHR.

Since 2005, EngenderHealth has supported over 45,000 fistula repairs thanks to @USAID. Learn about advancements in fistula care across Africa & Asia at our event on March 8: http://bit.ly/FCPlus-Webinar

@fistulacare @USAIDGH #IWD2021

The @USAID-funded @fistulacare project takes a diverse approach to reducing barriers to fistula care. A key component of preventing fistula is expanding access to high-quality sexual and reproductive health services.

➡️Learn more: http://bit.ly/FCPlus-Webinar

#IWD2021 @USAIDGH

EngenderHealth supports capacity building & GBV awareness creation at Arbaminch Hospital, an integrated care center for GBV screening, counseling, treatment, and legal aid in Ethiopia. We were honored to host state officials to learn about successes & challenges in this model.

Yesterday, you heard about fistula from the @USAID-funded @fistulacare Plus project. To learn about how we’ve worked with partners to prevent & treat fistula over 15 years, join @fistulacare & @usaidGH for “Towards a Fistula-Free Future” on March 8!

➡️http://bit.ly/FCPlus-Webinar

Warmest congratulations to Linda Thomas-Greenfield, the new U.S. Ambassador to the @UN. We @UNFPA wish you every success and look forward to working with you to protect the health and advance the rights of women and girls around the world. @LindaT_G @USUN

http://www.nytimes.com/2021/02/23/us/politics/linda-thomas-greenfield-ambassador-united-nations.html

Also, mark your calendars for March 8, 2021! We are hosting a virtual event on #InternationalWomensDay entitled, “Towards a Fistula-Free Future: 15 Years of Breakthroughs and Program Impact.” Register today: http://bit.ly/FCPlus-Webinar

Thanks everyone! The FC+ website is a great place to start for more information and resources on fistula prevention and treatment, including research results, project reports, and stories from providers and clients. http://bit.ly/fistularesources https://twitter.com/EngenderHealth/status/1364608432880443393

Obstetric fistula is a beacon of inequality, as it occurs where women are already living with limited resources and access to healthcare. Additionally, once fistula occurs, women often face significant stigma and isolation which can impact their social and economic wellbeing. https://twitter.com/EngenderHealth/status/1364605591528886273

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Obstetric and Delivery Care

Balancing the Scales: Expanding Treatment for Pregnant Women with Life-Threatening Hypertensive Conditions in Developing Countries
This landmark report examines the barriers to treating eclampsia, one of the most common yet most treatable killers of pregnant women worldwide, and probes why this serious medical condition kills 14 times as many pregnant women in the developing world as it does in developed nations. The report, along with an international “call to action” about treatment, is a collaboration with the University of Oxford, in consultation with representatives from the World Health Organization (WHO), UNICEF, and others.
(2007) Available for download: the report(PDF, 74KB) and the call to action (PDF, 27KB)

Improving Partograph Use in Uganda through Coaching and Mentoring
Since 2010, Fistula Care has collaborated with the Reproductive Health Department of the Ugandan Ministry of Health to strengthen partograph use. This Fistula Care technical brief describes the challenges and achievements of developing and implementing a new approach to support partograph use in five facilities across three districts and makes recommendations for future partograph programming at the national, district, and facility levels.
(2013) English (PDF, 2.8MB), French (PDF, 2.6MB)

Increasing Access to Maternity Services in Rural Bangladesh: Sustainable Facility-Community Links
The Ad-din Hospital for Women and Children and the LAMB Project in Bangladesh have established community-level services for women in rural, underserved communities. This Fistula Care technical brief describes their noteworthy programs, which ensure community ownership and sustainability. One program is integrated into a microfinance program to enable financial independence; the other empowers community members to truly own and manage its services.
(2012) English (PDF, 1.1MB), French (PDF, 1.2MB)

Integrating Fistula Treatment and Prevention: The Launch of a Maternity Unit in Sierra Leone
The Aberdeen Women’s Centre maternity unit began offering delivery services in May 2010. Today, its dedicated staff provide hundreds with women high-quality maternity services each year. This Fistula Care technical brief details the challenges of opening a maternity centre, and the factors that have led to the success of the clinic today.
(2012) English (PDF, 2.3MB), French (PDF, 1.6MB)

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

Payments in the Public Sector for Reproductive Health Services in Eastern Europe and the Caucasus
Informal payments for health care services that clients are entitled to receive for free are highly prevalent in Eastern Europe and the Caucasus (EE&C). This report reviews relevant literature on the financial cost to clients in this region and describes the results of a secondary analysis of data from the Demographic Health Surveys and Reproductive Health Surveys conducted in Armenia, Azerbaijan and Georgia, to examine how financial and nonfinancial factors may affect the provision of family planning and obstetric services.
(2010) Download as a PDF (1.9MB) from the RESPOND Project

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

Quality Improvement for Emergency Obstetric Care: Leadership Manual and Toolbook
The purpose of this newly revised manual and accompanying toolbook is to assist health care providers working in emergency obstetric care (EmOC) settings to improve the quality of services within their facility. The manual describes a continuous, four-step quality improvement process that is based on participatory principles of staff involvement and ownership and that focuses on clients’ rights and needs. The accompanying toolbook contains the information-gathering instruments used as part of the QI process, along with instructions for their use. The revised manual and toolbook are updated versions of the 2001 working drafts Emergency Obstetric Care: Leadership Manual for Improving the Quality of Services and Emergency Obstetric Care: Toolbook for Improving the Quality of Services. Major revisions to the manual include more information about the intended audience, some alternative methods for facilitating the QI process, and an enhanced definition of the “EmOC team.” Revisions to the toolbook include simplified questions in the EmOC Assessment and expanded instructions for each tool. Produced by EngenderHealth and the Averting Maternal Death and Disability (AMDD) Program at the Mailman School of Public Health, Columbia University.
(2003) English. Leadership manual:MCH-04M.Free. / Toolbook:MCH-04T.Free. Download this publication:
Leadership Manual: in English (PDF, 525KB), French (PDF, 550KB), and Spanish (PDF, 1MB)
Toolbook: in English (PDF, 1MB), French (PDF, 441KB), and Spanish (PDF, 780KB)

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