Maternal Mortality

Scaling Up Misoprostol to Prevent Postpartum Hemorrhage at Home Births in Mozambique: A Case Study Applying the ExpandNet/WHO Framework

Karen Hobday
Jennifer Hulme
Ndola Prata
Páscoa Zualo Wate
Suzanne Belton
Caroline Homer
2019

Background: Mozambique has a high maternal mortality ratio, and postpartum hemorrhage (PPH) is a leading cause of maternal deaths. In 2015, the Mozambican Ministry of Health (MOH) commenced a program to distribute misoprostol at the community level in selected districts as a strategy to reduce PPH. This case study uses the ExpandNet/World Health Organization (WHO) scale-up framework to examine the planning, management, and outcomes of the early expansion phase of the scale-up of misoprostol for the prevention of PPH in 2 provinces in Mozambique.

Methods:...

Maternal mortality estimation methodologies: a scoping review and evaluation of suitability for use in humanitarian settings

Blake Erhardt-Ohren
Sandra I McCoy
Dennis M Feehan
Rohini J Haar
Ndola Prata
2024

Background: Around the world, a maternal death occurs approximately every two minutes-most of these deaths are preventable. The maternal mortality ratio is a key indicator for the Sustainable Development Goals, yet we have no reliable way to estimate maternal deaths in refugee or internally displaced persons (IDP) camps and settlements. The goal of this study was to understand the methodologies most suited for adaptation for use to estimate the proportion of maternal mortality due to abortion complications in these settings.

Methods: We conducted a...

The association between perceived neighborhood social cohesion and intimate partner violence in a refugee camp in Dollo Ado, Ethiopia

Rebecca Hailu Astatke
Theodros Woldegiorgis
Jennifer Scott
Ndola Prata
Kim G Harley
Negussie Deyessa
Anne Bennett
Vandana Sharma
2025

Background: Intimate partner violence (IPV) is the most common form of gender-based violence affecting women and girls worldwide and is exacerbated in humanitarian settings. There is evidence that neighborhood social processes influence IPV. Perceived neighborhood social cohesion (P-NSC)-a measure of community trust, attachment, safety, and reciprocity-may be protective against women's experience of and men's perpetration of IPV and controlling behaviors.

Methods: A quantitative social network study, comprised of individual verbally-administered...