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Special Initiatives

Prevention of Postpartum Hemorrhage Initiative

Mother in Malawi practicing kangaroo mother care (KMC)

Mother in Malawi practicing kangaroo mother care (KMC).


From a Nigerian graduate of the Preventing Postpartum Hemorrhage E-learning Course

In early February this year, Mrs. Chibush died from postpartum bleeding in our center. But now, with the knowledge acquired from the e-learning course, all my staff are equipped with information on basic postpartum hemorrhage prevention. Since this time, no patients have developed postpartum hemorrhage again.

The Prevention of Postpartum Hemorrhage Initiative (POPPHI) is USAID’s special initiative to reduce postpartum hemorrhage through expanded use of active management of third stage of labor and other innovative approaches, such as home-based distribution and use of misoprostol in settings where women give birth without a skilled provider. ACCESS closely coordinates with USAID, the Prevention of Postpartum Hemorrhage Initiative and other partners to promote the use of active management in facilities and in the community, and to expand the use of innovative approaches to care.

Malaria in Pregnancy

ACCESS is a member of the Malaria Action Coalition (MAC), which also includes the Centers for Disease Control and Prevention, WHO/AFRO and Rational Pharmaceutical Management Plus. The MAC collaborates with USAID missions, national governments, regional coalitions and networks, and other organizations to strengthen malaria prevention and control strategies.

ACCESS provides technical assistance to countries that are strengthening antenatal care services by integrating malaria prevention services. ACCESS is also funding the development of a malaria/neonatal health component in the Safe Motherhood Model to address the direct impacts of ITNs and IPT and the indirect impact that a mother’s health will have on the health of the newborn.

Prevention of Mother-to-Child Transmission (PMTCT) of HIV/AIDS

In collaboration with USAID missions and regional offices, and other partners in Africa, ACCESS is working to demonstrate the feasibility and effectiveness of integrating PMTCT and essential maternal and newborn care services through facility- and community-based approaches.

Prevention of Obstetric Fistula

Integrating the prevention of obstetric fistula into essential maternal and newborn care is a priority for USAID. ACCESS emphasizes the prevention of obstetric fistula in essential maternal and newborn care activities, including use of the partograph and early recognition and treatment of obstructed labor. The program is working with WHO/AFRO to carry out a regional pre-service education initiative in sub-Saharan Africa in which fistula prevention activities will be integrated.

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