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Accountability and Generating Evidence for Global Health

Misoprostol in Nepal

Bibliographic Data

ID11470930
AuthorsRaj Sharma Jeevan (University of Edinburgh), Rekha Khatri (0009-0004-1895-8310), Ian Harper (0000-0002-3019-5123)
Year2018
Volume49
Issue2
Publication date2018-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueIDS Bulletin (JOURNAL)
Journal identifiersISSN: 0265-5012 • E-ISSN: 1759-5436
PublisherInstitute of Development Studies (PUBLISHER • GB)
DOI10.19088/1968-2018.135
OpenAlexW2799467093
LanguageEN
Citations received1
References cited8

Postpartum haemorrhage (PPH) is a major cause of maternal morbidity and mortality in Nepal. Compounded by the remote terrain, endemic poverty, and a lack of access to health facilities, the use of misoprostol has advantages over the standard use of oxytocin for PPH management. Drawing on our qualitative study of a pilot intervention managed by the Nepal Family Health Programme, we map the institutional relationships involved in the design, implementation, and practices for bringing misoprostol into national policy. In the intense and competitive global and national policy arena, sustained lobbying and getting the ‘right people’ on board were as powerful drivers as the quality of the intervention itself. The case study takes us to the heart of the debate around the politics of generation of evidence for interventions in global health programmes, and ultimately the question of accountability for health policy and practice

Accountability · Economic growth · Economics · Global health · Health care · Misoprostol · Political science · Poverty · Psychological intervention · Maternal and fetal healthcare · Medicine · Nursing · Health Policy

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
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