Every day, nearly 800 women die from complications of pregnancy and childbirth. A great many of these deaths are preventable; however, there is no single, straightforward solution. Because identification of every woman who will have a life-threatening complication during pregnancy or childbirth is impossible, saving of women's lives during pregnancy and childbirth needs a systems [...]Read More Download PDF
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
For many developing countries, investments in health have proved a great success. The Lancet Commission “Global health 2035: a world converging within a generation” and the 2014 Gates annual letter envision the possibility of a “grand convergence” by which more countries will have a child mortality rate as low as 15 per 1000 livebirths in 20 [...]Read More Download PDF
After a generation of partial neglect, renewed attention is being paid to population and voluntary family planning. Realistic access to family planning is a prerequisite for women's autonomy. For the individual, family, society, and our fragile planet, family planning has great power.
Published in Global Health: Science and Practice 2014; 2(2), 145-51.
Ethiopia is among the top six countries contributing to the highest numbers of maternal deaths globally. The Ethiopian total fertility rate was estimated at 4.8 in 2011, and the use of contraceptives by married women was 29%. Lack of knowledge, cultural stigma surrounding abortion, and barriers to access of services contribute to persistently high rates [...]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
A pocket reference for clinicians, this Misoprostol Regimens Pocket Guide from Rwanda details the dosage and route recommendations for the administraiton of misoprostol use in obstetrics and gynecology.Read More Download PDF
This Contraceptive Pocket Guide from Rwanda details the contraceptive methods that can be used for postpartum and postabortion care services.Read More Download PDF
VSI's Global Misoprostol Map presents a snapshot of the current registration status of misoprostol worldwide. Registration is the process by which a drug is approved by a regulatory agency for importation, distribution and marketing for a specific medical indication after a thorough review of its effectiveness, safety and manufacturing process. It is a key strategy and critical first step to improving access to any drug or device.Read More Download PDF