Programmes for advance distribution of misoprostol to prevent post-partum haemorrhage
A rapid literature review of factors affecting implementation
Bibliographic Data
| ID | 14668151 |
|---|---|
| Authors | Helen Smith (0000-0003-2212-2781, University of Manchester), Helen J Smith, C J Colvin (0000-0002-8930-7863, University of Cape Town), Esther Richards (0000-0003-3568-9023, Liverpool School of Tropical Medicine), Jeffrey Roberson, Jeffrey L Roberson (0000-0002-0168-8578, University of Cape Town), Geeta Sharma (0009-0003-9505-3665), Kusum Thapa (0000-0003-3051-0426, Johns Hopkins University), A Metin Gülmezoglu (0000-0003-4674-0998, World Health Organization) |
| Year | 2016 |
| Volume | 31 |
| Issue | 1 |
| Pages | 102-113 |
| Publication date | 2016-02-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czv012 |
| PMID | 25797470 |
| OpenAlex | W1972471724 |
| Language | EN |
| Citations received | 3 |
| References cited | 22 |
Recent efforts to prevent post-partum haemorrhage (PPH) in low-income countries have focused on providing women with access to oral misoprostol during home birth. The WHO recommends using lay health workers (LHWs) to administer misoprostol in settings where skilled birth attendants are not available. This review synthesizes current knowledge about the barriers and facilitators affecting implementation of advance community distribution of misoprostol to prevent PPH, where misoprostol may be self-administered or administered by an LHW.We searched for and summarized available empirical evidence, and collected primary data from programme stakeholders about their experiences of programme implementation.We present key outcomes and features of advanced distribution programmes that are in operation or have been piloted globally. We categorized factors influencing implementation into those that operate at the health system level, factors related to the community and policy context and those factors more closely connected to the end user.Debates around advance distribution have centred on the potential risks and benefits of making misoprostol available to pregnant women and community members during pregnancy for administration in the home. However, the risks of advance distribution appear manageable and the benefits of self-administration, especially for women who have little chance of expert care for PPH, are considerable.
Abortion · Context (archaeology) · Distribution (mathematics) · Economic growth · Geography · Health care · Maternity care · Misoprostol · Pregnancy · Emergency and Acute Care Studies · Maternal and fetal healthcare · Maternal and Perinatal Health Interventions · Medicine · Nursing
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The Safety and Feasibility of a Family First Aid Approach for the Management of Postpartum Hemorrhage in Home Births
Implementation outcomes of policy and programme innovations to prevent obstetric haemorrhage in low- and middle-income countries
Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases
A typology of reviews
Oral misoprostol for preventing postpartum haemorrhage in home births in rural Bangladesh
New hope
Criteria for evaluating evidence on public health interventions
Training traditional birth attendants to use misoprostol and an absorbent delivery mat in home births
Community mobilization to reduce postpartum hemorrhage in home births in northern Nigeria
| Citations per year | 0.38 |
|---|---|
| Citation span | 2018 - 2020 (3) |
| Highly cited | No |