12.07.2015 Views

Scaling Up Misoprostol for Postpartum Hemorrhage - Family Care ...

Scaling Up Misoprostol for Postpartum Hemorrhage - Family Care ...

Scaling Up Misoprostol for Postpartum Hemorrhage - Family Care ...

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Increasing acceptability, demand, and use of misoprostol <strong>for</strong> PPH among women and their communitiesis as essential as building the systems <strong>for</strong> supply and distribution. Community awareness and educationcampaigns on the use of misoprostol <strong>for</strong> prevention of PPH have been successful in many countries. Manyof these programs combined demand-creation and awareness-raising activities with ef<strong>for</strong>ts to distributemisoprostol <strong>for</strong> use at home births.In Tangail District in Bangladesh, the Mayer Hashi pilot project demonstrated high acceptability anddemand among both health workers and women themselves; 92% of the women who had receivedthe medicine in advance were successfully able to self-administer it. 20Conclusion: Moving from evidence to actionFor the first time, a convergence of global leadership, national commitment, and solid experience canmake the rapid introduction and scale-up of misoprostol <strong>for</strong> PPH a reality in countries where postpartumhemorrhage remains a major cause of suffering and death. National governments and partners need towork together to ensure that every community and every woman has access to a uterotonic <strong>for</strong> preventingand treating postpartum hemorrhage.<strong>Scaling</strong> <strong>Up</strong> <strong>Misoprostol</strong> <strong>for</strong> <strong>Postpartum</strong> <strong>Hemorrhage</strong>: Moving from Evidence to Action7

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