Join Francine Coeytaux from the Public Health Institute and colleagues from Ethiopia, Ghana, and Nigeria for a presentation of approaches used in these countries to scale up use of misoprostol at the community level to prevent postpartum hemorrhage. 

Postpartum hemorrhage is the leading cause of maternal mortality in low-income countries, accounting for more than 30% of maternal deaths and it is arguably the most preventable. The risk of hemorrhage at birth is highest for women who deliver at home because they do not benefit from the support of skilled birth attendants and are less likely to receive care and medications that prevent postpartum hemorrhage. One promising approach to the prevention of postpartum hemorrhage where the incidence of maternal mortality due to postpartum hemorrhage is high, and many women still deliver at home, is to provide misoprostol—an inexpensive pill that, when taken immediately after delivery, can reduce the risk of postpartum hemorrhage by 24%–47%. The discussion will highlight the lessons learned from three innovative programs that might inform policy makers and program managers in other African countries committed to reducing postpartum hemorrhage and meeting the new Sustainable Development Goals.

Presenters

Sada Danmusa, MD, MPH

Senior Program Advisor and Project Director, Technical Supports Unit Project

The Palladium

Nigeria

Dr Sada Danmusa has been implementing and evaluating large scale maternal and reproductive health programs for two decades. His expertise is in strategy management, integrated delivery and health system strengthening and has supported public health programs at all the three levels of health care delivery in Nigeria. Dr Sada currently…

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Takele Geressu, MD, MPH

Technical Officer

ANDI (African Network for Drugs and Diagnostic Innovation)

Ethiopia

Dr Takele Geressu is a public health practitioner with over two decades of experience managing a variety of health programs at the subnational and national levels. He has held positions with the Ministry of Health of Ethiopia, Irish Aid, Ipas, and African Network for Drugs and Diagnostic Innovation and has…

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Esther Azasi, MPA

Associate Program Manager

One Million Community Health Workers (1mCHW) Campaign of Millennium Promise

Ghana

Esther Azasi served as the lead evaluator of the MacArthur funded program in Ghana. She is now the Associate Program Manager for the One Million Community Health Workers (1mCHW) Campaign of Millennium Promise. Her work has contributed to nationally embraced strategies for accelerating improved community health, as well as Reproductive,…

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Elisa Wells, MPH

Women’s Health Consultant

Public Health Institute

United States

Elisa Wells has more than 25 years of experience in evaluation, training, strategic program development, and program management of family planning, maternal mortality, and other reproductive health programs, first at PATH and more recently as an independent consultant. She specializes in introducing and evaluating emerging technologies and developing innovative programmatic…

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Moderator

Francine Coeytaux, MPH

Principal Investigator

Public Health Institute

United States

Francine Coeytaux has over three decades of experience in the development and evaluation of family planning and comprehensive reproductive health programs. Throughout her career she has worked to empower women to manage their reproductive health and rights and has pioneered the use of acceptability research to give voice to women…

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Presentation Slides

  • Innovations in Maternal Mortality Reduction: Use of Misoprostol to Manage Post-Partum Hemorrhage in Ethiopia, Ghana, and Nigeria

  • Sada Danmusa | Innovations in Maternal Mortality Reduction: Use of Misoprostol to Manage Post-Partum Hemorrhage in Ethiopia, Ghana, and Nigeria

  • Esther Azasi |  Innovations in Maternal Mortality Reduction: Use of Misoprostol to Manage Post-Partum Hemorrhage in Ethiopia, Ghana, and Nigeria

  • Takele Geressu | Innovations in Maternal Mortality Reduction: Use of Misoprostol to Manage Post-Partum Hemorrhage in Ethiopia, Ghana, and Nigeria

  • Elisa Wells | Innovations in Maternal Mortality Reduction: Use of Misoprostol to Manage Post-Partum Hemorrhage in Ethiopia, Ghana, and Nigeria

  • Francine Coeytaux | Innovations in Maternal Mortality Reduction: Use of Misoprostol to Manage Post-Partum Hemorrhage in Ethiopia, Ghana, and Nigeria

  • Innovations pour la réduction de la mortalité maternelle : Utilisation du misoprostol dans la gestion de l’hémorragie post-partum en Éthiopie, au Ghana et au Nigeria

  • Sada Danmusa | Innovations pour la réduction de la mortalité maternelle : Utilisation du misoprostol dans la gestion de l’hémorragie post-partum en Éthiopie, au Ghana et au Nigeria

  • Takele Geressu | Innovations pour la réduction de la mortalité maternelle : Utilisation du misoprostol dans la gestion de l’hémorragie post-partum en Éthiopie, au Ghana et au Nigeria

  • Esther Azasi | Innovations pour la réduction de la mortalité maternelle : Utilisation du misoprostol dans la gestion de l’hémorragie post-partum en Éthiopie, au Ghana et au Nigeria

  • Elisa Wells | Innovations pour la réduction de la mortalité maternelle : Utilisation du misoprostol dans la gestion de l’hémorragie post-partum en Éthiopie, au Ghana et au Nigeria

  • Francine Coeytaux | Innovations pour la réduction de la mortalité maternelle : Utilisation du misoprostol dans la gestion de l’hémorragie post-partum en Éthiopie, au Ghana et au Nigeria

Resources