170 likes | 358 Views
Long-Term Community Use of Misoprostol Kigoma , Tanzania. Ndola Prata University of California, Berkeley Venture Strategies for Health and Development. 1. Long-Term Community Use of Misoprostol Study. Evaluate the long-term use of misoprostol to treat PPH during home births, including:
E N D
Long-Term Community Use of MisoprostolKigoma, Tanzania Ndola Prata University of California, Berkeley Venture Strategies for Health and Development 1
Long-Term Community Use of Misoprostol Study • Evaluate the long-term use of misoprostol to treat PPH during home births, including: • Exposure & comprehension of PPH & Miso • Use, safety and acceptability of misoprostol • Willingness to pay for misoprostol 2
32 In-Depth Interviews Mothers: 19 TBAs: 7 Health Providers: 5 Focus Groups Community Leaders (Intervention and non-Intervention) TBAs (Intervention and non-Intervention) Health Providers Review of facility data on referrals and adverse events Review of community registry of maternal deaths Qualitative data
Use of Misoprostol among TBA assisted deliveries Women with perceived PPH (N=201) Women offered misoprostol (N=171) 85% Women accepted misoprostol (N=151) 88% Women who took misoprostol and needed to be transferred for additional interventions (N=3) 2%
Referrals 23
“Bring more! Bring more tablets!” • Response of a mother after the interviewer introduced himself as part of a misoprostol study Field Notes, Martine Holston Research Assistant 13
Lessons from the field • No indication of misuse • No evidence of increased morbidity/mortality • No evidence of increased home deliveries • “Kanga” continues to be used as a tool for referral and drug administration • Miso can effectively and safely be administered by CHW trained in its use • Women remember PPH & miso messages • High level of acceptability and WTP • Subsidies might be needed • ANC: untapped resource for PPH & miso information
Acknowledgements Maweni Hospital, Kigoma, Tanzania Funding & commodities procurement: Technical assistance: Bixby Program in Population, Family Planning & Maternal Health University of California, Berkeley 17