JSI RESOURCES: Publications

Introduction of the Combined Prevention of Postpartum Hemorrhage and Newborn Infection in Madagascar: The process, results and recommendations

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One in 52 women die from complications of pregnancy and childbirth in developing countries, in particular in sub-Saharan Africa. Most these deaths are preventable.

w/w releasing chlorhexidine at a concentration of 4 percent (CHX) in the form of gel or liquid in single or multiple applications for the care of the umbilical cord at birth can reduce newborn mortality up to 38 percent, and serious infections up to 56 percent. In addition, nine out of 10 women die from complications of pregnancy and childbirth in developing countries, especially in sub-Saharan Africa; yet, most of
those deaths are preventable.

The introduction of Chlorhexidine digluconate, 7.1% for the care of the newborn’s umbilical cord and misoprostol to prevent postpartum hemorrhage (PPH) was a MAHEFA innovation in two districts, Mahabo and Vohémar. This technical brief highlights MAHEFA's feasibility and acceptability study on the CHX and exchange visits prior to implementation. The implementation of the introductory program took place in health facilities and at community level through CHV services that were provided in health huts and in households. Following phase two, scale-up took place gradually. JSI / USAID | CBIHP, 2016.

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