Achieving Sustainable Development Goal targets for 2030 will requirepersistent investment and creativity in improving access to quality healthservices, including skilled attendance at birth and access to emergencyobstetric care. Community-based misoprostol has been extensivelystudied and recently endorsed by the WHO for the prevention of post-partum haemorrhage. There remains little consolidated information aboutexperience with implementation and scale-up to date. This narrativereview of the literature aimed to identify the political processes leading toWHO endorsement of misoprostol for the prevention of post-partumhaemorrhage and describe ongoing challenges to the uptake and scale-up at both policy and community levels. We review the peer-reviewedand grey literature on expansion and scale-up and present the issuescentral to moving forward.
Please click here to read the full article.