El Salvador - Active Management of the Third Stage of Labor - POPPHI

Table 3.1. Availability and storage conditions for the uterotonic drugs at the centralwarehouseStorage temperaturerecommended by themanufacturerActual storagetemperatureLight conditionsrecommended by themanufacturerCurrent light storageconditionsTests done to guaranteethe quality of the drugupon receptionHow is quantity of drugsdetermined forprocurementOxytocin2-8° C 2-8° CErgometrine2-8° C Not available at thetime of the visitStore far away from Store far away fromlightlightStore in the darkNoBased onconsumptionNot available at thetime of the visitNoBased onconsumptionPre-Service and In-Service Training in AMTSLEven though AMTSL is mentioned in some clinical practice guidelines, it is not currentlyincluded in the pre-service curriculum of medical doctors or nurses. However, some in-servicetraining programs have been held. This past year, the Gerencia de Atención Integral a la Mujer yNiñez (Management for Integrated Health Care for Women and Children) of the MSPAS, withtechnical support from the Salvadoreños Saludables project (SALSA-PRIME II/USAID) offeredtheoretical training on emergency obstetric care for nurses and medical doctors from secondlevelhospitals. Although the curricula were not standardized, the components of AMTSLdescribed above in the clinical guidelines for second-level medical care were included in some ofthe training.The Facility-level Policy EnvironmentFor all health facilities in the sample, the data collectors interviewed the director of the healthfacility (or other responsible staff) and the pharmacist and visited the pharmacy to record theavailability and storage conditions of uterotonic drugs. The results of these visits are summarizedbelow.Availability of clinical guidelines specific to AMTSLClinical Guidelines mentioning AMTSL were available in all 28 maternity hospitals included inthe study.12