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

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-