Community-based misoprostol for the prevention of post-partum haemorrhage: A narrative review of the evidence base, challenges and scale-up

Karen Hobday, Jennifer Hulme, Suzanne Belton, Caroline SE Homer, Ndola Prata

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Achieving Sustainable Development Goal targets for 2030 will require persistent investment and creativity in improving access to quality health services, including skilled attendance at birth and access to emergency obstetric care. Community-based misoprostol has been extensively studied and recently endorsed by the WHO for the prevention of post-partum haemorrhage. There remains little consolidated information about experience with implementation and scale-up to date. This narrative review of the literature aimed to identify the political processes leading to WHO endorsement of misoprostol for the prevention of post-partum haemorrhage and describe ongoing challenges to the uptake and scale-up at both policy and community levels. We review the peer-reviewed and grey literature on expansion and scale-up and present the issues central to moving forward.

Original languageEnglish
Pages (from-to)1081-1097
Number of pages17
JournalGlobal Public Health
Volume13
Issue number8
Early online date30 Mar 2017
DOIs
Publication statusPublished - 3 Aug 2018

Keywords

  • advance distribution
  • community-based
  • Misoprostol
  • post-partum haemorrhage
  • scale-up

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