Letter: Effect of Contraceptive Access on Birth Rate

Malcolm Potts
Martha Campbell

Letter in response to the Perspective “REPRODUCING IN CITIES” by Mace published in Science February 2008 in Science

Published in Science, May 16 2008, 874

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Training traditional birth attendants to use misoprostol and an absorbent delivery mat in home births

Ndola Prata
Abdul Quaiyum
Paige Passano
Suzanne Bell
Daniel D Bohl
Shahed Hossain
Ashrafi Jahan Azm
Mohsina Begum

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 of skilled birth attendants, training TBAs in the use of misoprostol and an absorbent delivery mat to measure postpartum blood loss may strengthen the ability of TBAs to manage PPH. These complementary interventions were tested in...

Evaluation of a traditional birth attendant training programme in Bangladesh

Ndola Prata
Paige Passano
Tami Rowen

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 re-examination of how provider training should be conducted and evaluated.

Objective: to demonstrate how a simple evaluation tool can provide a quantitative measure of knowledge...

Preventing Postpartum Hemorrhage at the Community Level: A Compendium of Operations Research

Ndola Prata
Martine M. Holston

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...

Population and Climate Change: Empowering 100 Million Women

Malcolm Potts
Alisha Graves

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 – Cop19 & CMP9 2013; 30-31.

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Scaling up of Misoprostol for Prevention of Postpartum Hemorrhage in 29 Upazilas of Bangladesh

UC Berkeley Bixby Center

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.

For the full technical report, click here.