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 journalArticle

    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

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