Clinical and Community Action to Address Post Partum Hemorrhage Dr. Abdelhadi Eltahir, Senior Advisor for Maternal and New...
Pathfinder nonprofit organization Mission  <ul><li>.  Pathfinder is committed t o :  </li></ul><ul><ul><li>ensure that peo...
Why addressing PPH is a top priority Issue? Source: WHO. The World Health Report 2005. Make Every Mother and Child Count. ...
Clinical and Community Action to Address PPH  Model
Accurate Estimation of Blood Loss <ul><li>Blood Collection Drape </li></ul><ul><li>Visual estimation </li></ul><ul><li>Cal...
Blood Collection Dape and Kelly’s Pad for EBL Change if well managed can strengthen an organization and lead to sustainabi...
4 Delays Raksha’s H2H  approach 1 st -Delay  in early  recognition at Home 3 rd - Delay  in Accessing the Health Facility ...
India:  Maharashtra, Rajathstan, Bihar, Tamil Nadu  Nigeria:  Katsina, Kano, Lagos, Nassarawa, Oyo, Borno, Ebonyi, Cross R...
The Non-Pneumatic Anti-shock Garment (NASG) <ul><li>The NASG is a temporary first aid device to stabilize a woman who is i...
Lives saved by NASG
Kano Borno Katsina Nigeria Project States <ul><li>States: Kano, Katsina, Lagos, Oyo, Nassarawa, Cross River, Borno  </li><...
India Pathfinder PPH Projects: A focus on Health System Strengthening  Maharashtra  Rajasthan Tamil Nadu  Bihar
India Pathfinder PPH Project sites   Example of AMTSL Component
<ul><li>Lima State:  </li></ul><ul><ul><li>Maternal Perinatal Institute </li></ul></ul><ul><ul><li>San Bartolome Hospital ...
Tanzania   <ul><li>Facilities at 3 Refugee Camps  </li></ul><ul><li>Plus 8 MOH facilities from hosting community  </li></u...
Bangladesh <ul><li>The model is being impemented at all its 3 levels </li></ul><ul><li>A community based intervention to e...
Acknowledgment <ul><li>MacArthur Foundation  </li></ul><ul><li>Pathfinder HQ:  Cathy Solter, Susan Collins, Julio Pacca, E...
Thank You Let’s make the Lives of every mother and child count
The preceding slides were presented at the CORE Group 2010 Fall Meeting Washington, DC To see similar presentations, pleas...
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Abdelhadi nasg roundtable

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Abdelhadi nasg roundtable

  1. 1. Clinical and Community Action to Address Post Partum Hemorrhage Dr. Abdelhadi Eltahir, Senior Advisor for Maternal and Newborn Health CORE Group Fall Meeting, Sept 14-15_20101 AED Conference Center, Washington, DC Inspiration, Integration, and Impact
  2. 2. Pathfinder nonprofit organization Mission <ul><li>. Pathfinder is committed t o : </li></ul><ul><ul><li>ensure that people everywhere have the right and opportunity to live a healthy reproductive life ; and to provide women, men, and adolescents with a range of quality health care services </li></ul></ul>
  3. 3. Why addressing PPH is a top priority Issue? Source: WHO. The World Health Report 2005. Make Every Mother and Child Count. Geneva: World Health Organization, 2005. <ul><li>PPH’s contribution to maternal mortality </li></ul><ul><li>The urgency of PPH as a killer (2 hrs onset to death) </li></ul><ul><li>Challenges facing Int’l Community to achieve MDG 5 </li></ul><ul><li>Other socio-economic consequences </li></ul>
  4. 4. Clinical and Community Action to Address PPH Model
  5. 5. Accurate Estimation of Blood Loss <ul><li>Blood Collection Drape </li></ul><ul><li>Visual estimation </li></ul><ul><li>Calibrated Jugs - Nigeria </li></ul><ul><li>Kelly’s Pad - India </li></ul><ul><li>Cloth Matt - Bangladesh </li></ul><ul><li>Kanga - Tanzania </li></ul>
  6. 6. Blood Collection Dape and Kelly’s Pad for EBL Change if well managed can strengthen an organization and lead to sustainability
  7. 7. 4 Delays Raksha’s H2H approach 1 st -Delay in early recognition at Home 3 rd - Delay in Accessing the Health Facility 4 th -Delay in receiving care at the health facility 2 nd -Delay in taking decision & action
  8. 8. India: Maharashtra, Rajathstan, Bihar, Tamil Nadu Nigeria: Katsina, Kano, Lagos, Nassarawa, Oyo, Borno, Ebonyi, Cross River Bangladesh: Kishoreganj District Peru: Piura, Lima & Ayacucho States Where the CC-PPH Model is being Implemented? Tanzania: Refugee & host community settings in Kigoma State
  9. 9. The Non-Pneumatic Anti-shock Garment (NASG) <ul><li>The NASG is a temporary first aid device to stabilize a woman who is in shock until blood and surgery can be provided </li></ul><ul><li>NASG shunts blood that accumulates in the lower extremities of the body to vital organs: the brain, heart and lungs </li></ul>Please pick your DVD entitled: Clinical and Community Action to Address Post-Partum Hemorrhage
  10. 10. Lives saved by NASG
  11. 11. Kano Borno Katsina Nigeria Project States <ul><li>States: Kano, Katsina, Lagos, Oyo, Nassarawa, Cross River, Borno </li></ul><ul><li>53 health facilities: </li></ul><ul><ul><ul><li>21 PHC, </li></ul></ul></ul><ul><ul><ul><li>24 Sec HC </li></ul></ul></ul><ul><ul><ul><li>8 Tertiary hospitals </li></ul></ul></ul><ul><li>Implement model Clinical and Community Action to address PPH: </li></ul><ul><li>Government advocacy on NASG and use of misoprostol </li></ul><ul><li>2,022 providers trained </li></ul><ul><li>32 communities sensitized </li></ul><ul><li>Total of 70, 951 deliveries for 2009 </li></ul><ul><li>339 referral cases </li></ul>
  12. 12. India Pathfinder PPH Projects: A focus on Health System Strengthening Maharashtra Rajasthan Tamil Nadu Bihar
  13. 13. India Pathfinder PPH Project sites Example of AMTSL Component
  14. 14. <ul><li>Lima State: </li></ul><ul><ul><li>Maternal Perinatal Institute </li></ul></ul><ul><ul><li>San Bartolome Hospital </li></ul></ul><ul><ul><li>Cayetano Heredia Hospital </li></ul></ul><ul><li>08 health centers </li></ul><ul><li>128 health providers trained </li></ul><ul><li>10 meeting for 147 health providers </li></ul><ul><li>Ayacucho State: </li></ul><ul><ul><li>Facilities of Vilcashuaman </li></ul></ul><ul><ul><li>Coracora Hospital </li></ul></ul><ul><ul><li>Regional Hospital of Ayacucho </li></ul></ul><ul><li>Piura State: </li></ul><ul><ul><li>Chulucanas Hospital </li></ul></ul><ul><ul><li>Facilities of Morropon Chulucanas </li></ul></ul>Peru PPH Project Sites
  15. 15. Tanzania <ul><li>Facilities at 3 Refugee Camps </li></ul><ul><li>Plus 8 MOH facilities from hosting community </li></ul><ul><li>Refugees total of 90,000 Congolese and Burundians </li></ul><ul><li>Health providers trained include (doctors, nurses, clinical officers and midwives) </li></ul>Kigoma State: Nargusu, Mtablia I & II Refugee Camps Plus MOH facilities
  16. 16. Bangladesh <ul><li>The model is being impemented at all its 3 levels </li></ul><ul><li>A community based intervention to enable the women and their family members to recognize PPH and ensure referral to an appropriate referral center with emergency readiness and skilled management. </li></ul>Kishoreganj District
  17. 17. Acknowledgment <ul><li>MacArthur Foundation </li></ul><ul><li>Pathfinder HQ: Cathy Solter, Susan Collins, Julio Pacca, Ellen Israel, Kali Drake, Graciela, Mayra Nicolaa & others Pathfinder country teams: </li></ul><ul><ul><li>Nigeria: Murtala Mai, Farouk Jega and team India: Rema Nanda, Amit Shah and team Bangladesh: Shabnam Shahnaz and Team Peru: Miguel Gutierrez and Elizabeth </li></ul></ul><ul><ul><li>Tanzania: Jayne Lyons, Mapunda Pasiens, Mustafa and Tanzania Red Cross Society </li></ul></ul>
  18. 18. Thank You Let’s make the Lives of every mother and child count
  19. 19. The preceding slides were presented at the CORE Group 2010 Fall Meeting Washington, DC To see similar presentations, please visit: www.coregroup.org/resources/meetingreports

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