Training traditional birth attendants on the use of misoprostol and a blood measurement tool to prevent postpartum haemorrhage: lessons learnt from Bangladesh
A consensus emerged in the late 1990s among leaders in global maternal health that traditional birth attendants (TBAs) should no longer be trained in delivery skills and should instead be trained as promoters of facility-based care. Many TBAs continue to be trained in places where home deliveries are the norm and the potential impacts of [...]Read More Download PDF
Letter in response to the Perspective “REPRODUCING IN CITIES” by Mace published in Science February 2008 in ScienceRead More Download PDF
Training traditional birth attendants to use misoprostol and an absorbent delivery mat in home births
A 50-fold disparity in maternal mortality exists between high- and low-income countries, and in most contexts, the single most common cause of maternal death is postpartum hemorrhage (PPH). In Bangladesh, as in many other low-income countries, the majority of deliveries are conducted at home by traditional birth attendants (TBAs) or family members. In the absence [...]Read More Download PDF
VSI in collaboration with local and international partner organizations conducted operations research (OR) across seven countries in Africa and Asia to determine the feasibility, acceptability, and program effectiveness of misoprostol use to prevent postpartum hemorrhage (PPH) at the community level. Developed for policy makers, stakeholders and researchers, the compendium includes an overview of the basic components of the OR model, country program summaries, and cross-cutting results and best practices to contribute to the growing evidence base on the community-level use of misoprostol to prevent PPH.Read More Download PDF
Modeling maternal mortality in Bangladesh: the role of misoprostol in postpartum hemorrhage prevention
Background: Bangladesh is one of the few countries that may actually achieve the fifth Millennium Development Goal (MDG) in time, despite skilled birth attendance remaining low. The purpose of this paper is to examine the potential role misoprostol can play in the decline of maternal deaths attributed to postpartum hemorrhage (PPH) in Bangladesh.Read More Download PDF
Is attendant at delivery associated with the use of interventions to prevent postpartum hemorrhage at home births? The case of Bangladesh
Background: Hemorrhage is the leading cause of maternal mortality in Bangladesh, the majority of which is due to postpartum hemorrhage (PPH), blood loss of 500 mL or more. Many deaths due to PPH occur at home where approximately 77% of births take place. This paper aims to determine whether the attendant at home delivery (i.e. [...]Read More Download PDF
Background and context: the 1997 Safe Motherhood Initiative effectively eliminated support for training traditional birth attendants (TBAs) in safe childbirth. Despite this, TBAs are still active in many countries such as Bangladesh, where 88% of deliveries occur at home. Renewed interest in community-based approaches and the urgent need to improve birth care has necessitated a [...]Read More Download PDF
The results from this collaborative operations research project between the ICDDR,B, RDRS, VSI and the Bixby Center at UC Berkeley show that the incorporation of misoprostol into clean delivery kits is a feasible intervention to prevent excessive bleeding after childbirth in the high numbers of women delivering at home in this densely populated country.
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Meeting the world's need for family planning is a human right and a climate imperative. Wherever women have been given information and access to family planning, birth rates have fallen - even in poor, low-literate societies like Bangladesh or conservative religious countries such as Iran.
Published in The United Nations Climate Change Conference - [...]