Human-Centered Design: An Innovative Approach to Preventing Postpartum Haemorrhage in Selected States in Nigeria

The Smiles for Mothers program (SfM) aims to collaborate with the state governments of Kano, Lagos, and Niger to develop and implement costed roadmaps for the adoption and rollout of the 2018 WHO recommendations for postpartum haemorrhage (PPH) prevention.

Novel, Reusable Postpartum Blood Loss Monitoring Tray: Acceptability Study and Randomized Trial 

Monitoring blood loss after birth saves lives by prompting early treatment of postpartum haemorrhage. We developed a reusable blood loss monitoring tray with a wedge that slips under the mother's buttocks after birth, and two calibrated blood collection chambers. The first overflows to the second at 500ml to signal postpartum haemorrhage.

Introduction of Heat-Stable Carbetocin (HSC) for Improving the Active Management of the Third Stage of Labor in Nigeria: Murtala Muhammad Specialist Hospital Kano as a Case Study 

Postpartum hemorrhage (PPH) contributes about 29% of the maternal deaths in Nigeria. PPH management is hindered by systemic barriers, including lack of appropriate storage and consequently low quality of uterotonics, especially oxytocin. Heat-stable Carbetocin (HSC), a uterotonic recommended for PPH prevention, has shown to be noninferior to oxytocin in preventing PPH in settings without optimal cold storage. The Smile for Mothers (SfM) Project, funded by MSD for mothers, intends to support the introduction of HSC in Kano, Lagos, and Niger states. We studied the introduction in Murtala Muhammad Specialist Hospital (MMSH), which has the highest volume of deliveries in Kano state and is an intervention site.

Process Evaluation of Introducing Non-pneumatic Anti-shock Garment (NASG) in Northern Province of Zambia 

A disproportionate burden of maternal deaths occur in low- and middle-income countries, and obstetric hemorrhage (OH) is a leading cause of mortality. In Zambia, the largest proportion of maternal deaths are directly caused by OH. The Non-pneumatic Anti-shock Garment (NASG) is a first aid tool that uses compression to the abdomen and lower body to stop and reverse hypovolemic shock secondary to OH. We describe the process and experiences of introducing the NASG into the Zambia public health system to inform decisions about implementation scale-up.