Jill Durocher

Postpartum Hemorrhage Prevention in Nepal

June 5th, 2017
Staff Publication
Postpartum Hemorrhage
Rajbhandari, S.P., Aryal, K., Sheldon, W.R., Ban, B., Upreti, S.R., Regmi, K., Aryal, S., Winikoff, B.

As part of broader efforts to improve the safety of childbirth, the Nepal Ministry of Health launched in 2009 a national postpartum hemorrhage (PPH) prevention program featuring the advance provision of misoprostol to pregnant women for use during home births. A Gynuity-sponsored assessment of the program was conducted four years later in nine districts and all three ecological regions -- mountain, hill and terai (flatland terrain) -- of Nepal. Interviews were conducted with women who had recently given birth to assess knowledge, receipt and use of misoprostol. Interviews were also conducted with Female Community Health Volunteers (FCHVs) and staff at health facilities to assess the supply and provision of misoprostol. The program assessment findings, along with recommendations for strengthening the program, are freely available to read in full.

Access the full article (available in Open Access) BMC Pregnancy and Childbirth 5 June 2017; Vol 17: 169.