Publications by authors named "Michael Muthamia"

Article Synopsis
  • In Kenya, obstetric hemorrhage is a major cause of maternal deaths, particularly postpartum hemorrhage (PPH), prompting the introduction of heat-stable carbetocin (HSC) as a solution for areas with unreliable cold chain infrastructure for uterotonics.
  • A mixed-methods study involving 171 healthcare providers and 19 policymakers assessed knowledge and experiences with HSC, revealing high administration rates and awareness of protocols among HCPs.
  • The study concluded that HSC's introduction significantly benefits the healthcare sector by minimizing cold chain challenges, and policymakers advocate for further budget allocation to support its use.
View Article and Find Full Text PDF

Global evidence suggests many postpartum and postabortion women have an unmet need for family planning (FP) after delivery or receiving care following loss of a pregnancy. Post Pregnancy Family Planning Choices, an operations research study, aims to examine the effectiveness of a package of postpregnancy FP interventions, inclusive of postpartum and postabortion FP. The interventions are being implemented in selected public and private facilities in Indonesia and Kenya and focus on quality FP counseling and service provision prior to discharge.

View Article and Find Full Text PDF

Background: Long-acting reversible contraceptives (LARCs) are safe and highly effective, and they have higher continuation rates than short-acting methods. Because only a small percentage of sexually active women in Kenya use LARCs, the Tupange project implemented a multifaceted approach to increase uptake of LARCs, particularly among the urban poor. The project included on-site mentoring, whole-site orientation, commodity security, quality improvement, and multiple demand-promotion and service-provision strategies, in the context of wide method choice.

View Article and Find Full Text PDF