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

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Table 3.3 Percent of facilities procuring oxytocin, ergometrine and misoprostol andpercent distribution of procured drugs by recommended and observed storage conditions% of facilitiesn = 28Conditions Oxytocin Ergometrine MisoprostolProcured by the institution 100.0 75.0 78.6% of facilitiesn =28 n =21 n =22Storage temperature recommended bythe manufacturer2-8 º C 57.1 38.1 0.0
ased on current consumption of oxytocin. Given that only 60 percent of women receivedoxytocin during the third or fourth stages of labor, this excess stock should be used to expand theuse of AMTSL for all deliveries. Ergometrine was available at the time of visit in 90 percent ofthe facilities, and among these facilities, ten percent had experienced a recent stockout. For fivepercent of these facilities, the stockout lasted 30 days or longer. One-third of these facilities hada stock of ergometrine sufficient for greater than 12 months, based on current consumption.Misoprostol is the uterotonic drug the least available in El Salvador, with only in 64 percent ofthe facilities that usually procure it. In more than one-third of these facilities (36 percent), therehad been stockouts of misprostol during the three previous months. Of the 22 hospitals thatprocure misoprostol, 27 percent had stock on hand sufficient for longer than 12 months.Table 3.4. Percent of facilities procuring oxytocin, ergometrine and misoprostol by costsand stock of uterotonic drugs% of facilitiesn = 28Conditions Oxytocin Ergometrine MisoprostolProcured by the institution 100.0 75.0 78.6% of facilitiesn =28 n =21 n =22Availability at the time of the visit 100.0 90.5 63.6How is quantity of drug determined forprocurementBased on consumption 96.4 90.4 91.0Standard/fixed quantity3.6 4.8 4.5(determined at the central level)No information 0.0 4.8 4.5Facility’s procurement price perampoule/tablet in US$= 7.00 0.0 0.0 18.2No information 7.1 14.3 18.2Months covered with available stockNone available at visit 0.0 0.0 36.4< 1 Month 21.4 9.5 0.01-
Page 1 and 2: ActiveManagementof the ThirdStage o
Page 3: Federation of Gynecology and Obstet
Page 6 and 7: AcronymsAMTSLActive management of t
Page 8 and 9: palpation to assess the need for co
Page 10 and 11: 1. BackgroundPostpartum hemorrhage
Page 12 and 13: Supplies and logisticsThe sufficien
Page 14 and 15: 2. MethodsThis study is part of a m
Page 16 and 17: Data entry and analysisThe study te
Page 18: Table 3.1. Availability and storage
Page 23 and 24: 4. Findings regarding the managemen
Page 25 and 26: delivery of the placenta, followed
Page 27 and 28: (38 versus 30 percent, and these di
Page 29 and 30: With massage immediately after deli
Page 31 and 32: Duration of the third stage of labo
Page 33 and 34: 5. Conclusions and recommendationsT
Page 35 and 36: definition described in the clinica

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

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