Recommendations for scale-up of community-based misoprostol distribution programs.

Int J Gynaecol Obstet

Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, USA; Center for Research on Women and Gender, University of Illinois at Chicago, Chicago, USA.

Published: June 2014

AI Article Synopsis

  • Community-based distribution of misoprostol for preventing postpartum hemorrhage (PPH) is effective and safe in low-resource areas.
  • Global guidelines for distributing and monitoring misoprostol in community settings are still lacking.
  • To implement misoprostol programs successfully, it's crucial to engage the community, ensure safety, manage supply chains, and develop effective distribution and monitoring strategies.

Article Abstract

Community-based distribution of misoprostol for prevention of postpartum hemorrhage (PPH) in resource-poor settings has been shown to be safe and effective. However, global recommendations for prenatal distribution and monitoring within a community setting are not yet available. In order to successfully translate misoprostol and PPH research into policy and practice, several critical points must be considered. A focus on engaging the community, emphasizing the safe nature of community-based misoprostol distribution, supply chain management, effective distribution, coverage, and monitoring plans are essential elements to community-based misoprostol program introduction, expansion, or scale-up.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijgo.2013.12.005DOI Listing

Publication Analysis

Top Keywords

community-based misoprostol
12
misoprostol distribution
8
misoprostol
5
distribution
5
recommendations scale-up
4
community-based
4
scale-up community-based
4
distribution programs
4
programs community-based
4
community-based distribution
4

Similar Publications

An Implementation Research Study on Uterotonics Use Patterns and Heat-stable Carbetocin Acceptability and Safety for Prevention of Postpartum Hemorrhage in Nigeria.

Int J MCH AIDS

September 2024

Global Resources for Health West and Central Africa & Country Programs Nigeria, Clinton Health Access Initiative, Maitama, Abuja, Nigeria.

Background And Objective: The burden of maternal mortality attributable to postpartum hemorrhage (PPH) remains high in Nigeria. Currently, oxytocin, and misoprostol, which are largely of suboptimal quality, are used for PPH prevention and treatment. Heat-stable carbetocin (HSC) is a viable uterotonic option for PPH prevention in a setting like Nigeria where compromised supply and cold chain systems result in the preponderance of poor-quality oxytocin and suboptimal PPH management.

View Article and Find Full Text PDF

Objectives: This an exploratory study aimed to describe methods and outcomes of comprehensive community-led abortion care in the United States and Canada.

Study Design: This community-based participatory research study recruited community abortion providers from the United States and Canada through existing confidential networks. They participated through in-person and online collaboration to design and implement a data collection tool for abortion methods, outcomes, and motivations from clients.

View Article and Find Full Text PDF

Background: Ongoing high neonatal mortality rates (NMRs) represent a global challenge. In 2021, of the 5 million deaths reported worldwide for children under five years of age, 47% were newborns. Pakistan has one of the five highest national NMRs in the world, with an estimated 39 neonatal deaths per 1,000 live births.

View Article and Find Full Text PDF

Background: Discussions around quality of abortion care have been focused mainly on service-delivery aspects inside healthcare facilities. More recently, with availability of medical abortion (MA), increase in its self-use, and emergence of other delivery platforms such as telemedicine, the responsibility of quality care has broadened to actors outside of facilities.

Body Of Text: This commentary discusses the meaning of quality of abortion care with the paradigm shift brought by medical and technological advancement in abortions, and raises questions on the role of the state in ensuring quality in abortion management-especially in settings where abortion is decriminalized, but also in countries where abortion is permitted under certain circumstances.

View Article and Find Full Text PDF

Objective: To evaluate the outcomes of a community-based distribution program in which lay providers offer women in Sindh, Pakistan misoprostol for early abortion.

Study Design: We reviewed monitoring logbooks to examine pregnancy outcomes and analyzed logbook data using descriptive statistics.

Results: In late 2019, 120 women obtained abortion care through this program.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!