261727 Multi country analysis of prevention and management of Post-Partum Haemorrhage (PPH) and Pre-Eclampsia/Eclampsia (PE/E)

Wednesday, October 31, 2012 : 11:15 AM - 11:30 AM

Jeffrey Smith, MD, MPH , Mchip, Jhpiego /Johns Hopkins University, Washington, DC
Sheena Currie, RM MEd , Mchip, Jhpiego/Johns Hopkins University, Washington, DC
Julia Perri, MA , School of Advanced International Studies, International Development, Johns Hopkins SAIS, Jhpiego, Washington, DC
Tirza Cannon, MPH, MD Candidate , UC Davis School of Medicine, Johns Hopkins SPH, UC Davis School of Medicine, Johns Hopkins School of Public Health, Baltimore, MD
To direct attention towards PPH and PE/E, the two major killers of women during pregnancy and birth, a multi country level landscape analysis was conducted by MCHIP in 2011 and 2012 in 40 countries, including countries facing the highest burden of maternal deaths.

The purpose of this analysis was to document progress in national scale-up of PPH and PE/E reduction, focusing on high impact interventions. The analysis used two tools which were completed in country thru consultations with governments and partners: scale up “maps” covering topics from policy to coverage of key interventions and a 44-item questionnaire in English, French & Spanish.

2 years illustrative data from over 30 countries includes: policies to support the Active Management of the Third Stage of Labor (AMTSL) are almost universal for PPH prevention with 90% of countries stating that midwives are authorised to do AMTSL; 39% have piloted Misoprostol for PPH prevention at home births; Magnesium Sulphate is on the essential medicine list of 94% of countries, with midwives authorised to administer it in 84% of countries. However pre-service education or in-service training may not address required competencies.

Overall, policy is ahead of practice and maternal health partners are coming together. Oxytocin/AMTSL and Magnesium Sulphate are authorized, but not always available or used in health facilities. Respondents in Uganda are using the process to identify partners working in each area of maternal health. In Nigeria and Angola, diverse maternal health partners have come together to create a focused agenda to strengthen programs.

Learning Areas:
Program planning
Provision of health care to the public
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Discuss the findings of a multi country analysis conducted by MCHIP (USAID’s flagship Maternal and Child Health Integrated Program) on country-level activities on the prevention and management of post-partum haemorrhage (PPH) and pre-eclampsia/eclampsia (PE/E).

Keywords: Maternal Health, Evidence Based Practice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Maternal Health Director leading USAID's global programs to improve and scale up maternal health programs in up to 40 countries as well as providing global leadership on maternal health care
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.