Program Approach :
Prevention of Postpartum Hemorrhage Initiative
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
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
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.