Designing, Implementing, and Evaluating Evidence-Based, Holistic Programs :
Applying SEED :
Scale-Up: Bangladesh, Togo, Burkina Faso, and Tanzania :
Research Studies and Reports
Community-Based Distribution of Misoprostol for the prevention of Postpartum Hemorrhage: Evaluation of a Pilot Intervention in Tangail District, Bangladesh
Hemorrhage is a leading cause of maternal mortality, and deaths related to postpartum hemorrhage are a major challenge in rural areas of Bangladesh, where infrastructure is poor and health facilities often lack skilled staff, drugs, and equipment. Misoprostol is a proven uterotonic drug that is increasingly used in clinical and home delivery settings to prevent and manage postpartum hemorrhage. In 2008, the Mayer Hashi/RESPOND Project implemented a pilot project in the Tangail District to determine the effectiveness of using community-level field workers to distribute misoprostol tablets and ensure that women take the drug immediately postpartum. This evaluation report discusses the implementation of the pilot project and reviews project documents and activity reports, as well as interviews and focus group discussions, to assess the effectiveness of the community-based misoprostol intervention and to provide recommendations for national scale-up.
Available in
English (PDF, 2.5 MB)