Presentation_Jurczynska - Catalyzing Investments in RMNCAH at the Community L...
Abdelhadi nasg roundtable
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
6. Blood Collection Dape and Kelly’s Pad for EBL Change if well managed can strengthen an organization and lead to sustainability
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. 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
18. Thank You Let’s make the Lives of every mother and child count
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
Editor's Notes
Nearly 350,000 women die annually worldwide from complications of pregnancy and childbirth More than 99 percent of these deaths occur in developing countries, where skilled healthcare providers, quality facilities, and adequate transportation and communication systems are largely unavailable to the poor. At least one quarter of these maternal deaths are due to postpartum hemorrhage (PPH) That figure nears 60 percent in the developing world The great majority of maternal deaths are preventable, if women have access to skilled providers in well-equipped facilities. Unfortunately, poverty, isolation, and lack of knowledge and access to a skilled provider or an equipped facility continue to pose serious barriers in many countries.
The levels of interventions: 1. Government Support: Advocacy and Political Will: T o gain understanding and support for The Pathfinder International Model for Clinical and Community Action to Address PPH with: government officials, community leaders, and professional bodies or societies 2. Clinical Interventions: AMTSL: for preventing PPH, including prophylactic use of
-Appropriate & effective use will save life of mothers -Operational issue -Cleaning & disinfection- shortage of staff -Calibrated jar
IIIrd- services do not exist, or are inaccessible for other reasons, such as distance, cost or socio‐ cultural barriers? Ivth -Inadequate & untrained staff, Supply, Workload, Specialist, Attitude Vth delay- Beyond access- issues to quality PPH mortality is higher in Bihar and Rajasthan compared to Maharashtra and Tamil Nadu. Interviews with service providers in Bihar and Rajasthan suggest that home de liveries are often supported by unskilled attendants who are unable to recognize signs of excessive bleeding. Once the problem is recognized and the decision to take the woman to a health facility is made, emergency transportation may not be available. Even in the case that a woman arrives at a primary health facility or hospital in time, the trained staff or necessary supplies and equipments may not be available to treat her. Arranging for blood for management of shock is a major issue especially in Bihar.
Applies circumferential counter pressure particularly in low resource settings. Great potentials of the NASG to contributes to statistically significant decreases in morbidity and mortality. Contraindications are: Viable fetus; APH (Anti-Partum Hemorrhage); Mitral Valve Stenosis because it increases the cardiac output; and Women with pulmonary odema
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