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Recommendations for scale-up of community-based misoprostol distribution programs

Nuriya Robinson1, Chisina Kapungu2, Leslie Carnahan3

  • 1Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, USA.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|April 1, 2014
PubMed

Community-based distribution of misoprostol for prevention of postpartum hemorrhage (PPH) in resource-poor settings has been shown to be safe and effective. However, global recommendations for prenatal distribution and monitoring within a community setting are not yet available. In order to successfully translate misoprostol and PPH research into policy and practice, several critical points must be considered. A focus on engaging the community, emphasizing the safe nature of community-based misoprostol distribution, supply chain management, effective distribution, coverage, and monitoring plans are essential elements to community-based misoprostol program introduction, expansion, or scale-up.

Keywords:
Community-based programmingLow-resource settingsMisoprostolPostpartum hemorrhage

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