Mozambique

“My job is to get pregnant women to the hospital”: a qualitative study of the role of traditional birth attendants in the distribution of misoprostol to prevent post-partum haemorrhage in two provinces in Mozambique

Ndola Prata
Karen Hobday
Jennifer Hulme
Caroline Homer
Páscoa Zualo Wate
Suzanne Belton
2018

Background: Post-partum haemorrhage is the leading cause of maternal deaths in Mozambique. In 2015, the Mozambican Ministry of Health launched the National Strategy for the Prevention of Post-Partum Haemorrhage at the Community Level. The strategy included the distribution of misoprostol to women in advance at antenatal care and via Traditional Birth Attendants who directly administer the medication. The study explores the role of Traditional Birth Attendants in the misoprostol program and the views of women who used misoprostol to prevent post-partum haemorrhage.

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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:...

Misoprostol for the prevention of postpartum haemorrhage in Mozambique: an analysis of the interface between human rights, maternal health and development

Karen Hobday
Anthony B Zwi
Caroline Homer
Renae Kirkham
Jennifer Hulme
Páscoa Zualo Wate
Ndola Prata
2020
Background

Mozambique has high maternal mortality which is compounded by limited human resources for health, weak access to health services, and poor development indicators. In 2011, the Mozambique Ministry of Health (MoH) approved the distribution of misoprostol for the prevention of post-partum haemorrhage (PPH) at home births where oxytocin is not available. Misoprostol can be administered by a traditional birth attendant or self-administered. The objective of this paper is to examine, through applying a human rights lens, the broader contextual, policy and institutional issues that...

Defining Collective Priorities: Research and Learning Agendas for Family Planning Across 6 Countries

Sarah Brittingham
Trinity Zan
Kouakou Hyacinthe Andoh
Kabita Aryal
Marcos Chissano
Olivia Ferguson
Jean Christophe Fotso
Issoufa Harou
Sangita Khatri
Kadidiatou Raïssa Kourouma
Suzanne N Kiwanuka
Bibek Kumar Lal
Alda Mahumana Govo
Morrisa Malkin
Philip Mkandawire
Mary Mulombe Phiri
Charles Olaro
Ndola Prata
Shannon Pryor
Bhagawan Shrestha
Basant Thapa
Fatoumata Traoré Touré
2023

Evidence should be the foundation for a well-designed family planning (FP) program, but existing evidence is rarely aligned with and/or synthesized to speak directly to FP programmatic needs. Based on our experience cocreating FP research and learning agendas (FP RLAs) in Côte d’Ivoire, Malawi, Mozambique, Nepal, Niger, and Uganda, we argue that FP RLAs can drive the production of coordinated research that aligns with national priorities.

To cocreate FP RLAs, stakeholders across 6 countries conducted desk reviews of 349 documents and 106 key informant interviews, organized...

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

Ndola Prata
Martine M. Holston
2013

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...

Community-based Prevention of PPH with Misoprostol in Mozambique

VSI
UC Berkeley Bixby Center
2011

This brief summarizes the final results a collaborative community-based pilot project of VSI, AMOG, the Bixby Center at UC Berkeley, and PSI. Results show that antenatal care visits and additional community-based strategies, such as TBAs, are key opportunities to reach women with misoprostol and educate them on its use for prevention of PPH.

For the full technical report, click here.

Expanding Access to Postabortion Care Services in Mozambique

VSI
UC Berkeley Bixby Center
2012

VSI, AMOG and the Bixby Center at UC Berkeley conducted operations research addressing unsafe abortion with misoprostol in Mozambique. This research brief demonstrates that misoprostol is a promising alternative to surgical methods of treating incomplete abortion, and that expanding the level of health facility and provider trained on misoprostol can increase women’s access to these essential services.

For the brief in French, click here....