Prevention of Postpartum Hemorrhage Special Initiative
Project Title: Prevention of Postpartum Hemorrhage Special Initiative.
Project Area: This pilot project is launched in 24 selected sites in Amhara, Oromia and Addis Ababa.
Project coordinator: Dr. Asheber Getachew
The PPH project was initiated by ESOG in February 2003 in collaboration with INTRAH/ PRIME II and the Ministry of Health the main objective being reduction of maternal mortality and morbidity through preventing the occurrence of PPH. This project promotes the universal application( for all vaginal deliveries) of active management of the third stage of labor as evidence based and low cost intervention to prevent PPH. Major activities include base line assessment , stakeholders meeting, trainings for primary health care providers, development of guideline and community mobilization and sensitization activities addressing components of safe motherhood in general focusing on danger signals and importance of utilization of the health institutions.
Table 1. Characteristics of the study sites
Table 2. AMTSL knowledge & practice changes
Table 3 AMTSL knowledge & practice changes, Management of complications
Table 4. Changes in performance factors, Availability of drugs & supplies
Table 5. Changes in performance factors availability/use of guidelines/job aids
Acceptability & support of AMTSL practice
The majority of health workers at the project sites have a very positive attitude towards AMTSL.
An e.g. of Positive Provider Response.
!ďItís a good procedure, all the staff thinks things are better. Before this program, it took 15-30 minutes for the placenta to deliver, now itís 1-3 minutes in most cases. Bleeding is minimal & PPH has decreased.
--Sister Dinbushe Debele, Shashemene Hospital.
There was no linkages/activities (1/24).
The policy component
Challenges & lessons learnt
Conclusion & recommendations
Current status: Phased out.
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