Innovative Tools and Strategies | Prevention and Clinical Management | Strengthening Quality of Care | Focus: Private Sector Room: 1.61-1.62 Oral Abstracts
May 11, 2023 09:10 - 10:25(Africa/Johannesburg)
20230511T0910 20230511T1025 Africa/Johannesburg Innovative Approaches for Postpartum Hemorrhage Prevention, Diagnosis, and Management

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 ...

Room: 1.61-1.62 International Maternal Newborn Health Conference 2023 information@imnhc.org
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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.

Human-Centered Design: An Innovative Approach to Preventing Postpartum Haemorrhage in Selected States in Nigeria
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Prevention and Clinical Management
Presenters Adefemi Adewemimo
Program Manager, Co-creation Hub
Co-authors
TF
Temi Filani
Practice Lead, Co-creation Hub
Novel, Reusable Postpartum Blood Loss Monitoring Tray: Acceptability Study and Randomized Trial
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Innovative Tools and Strategies
Prevention and Clinical Management
Presenters Justus Hofmeyr
Professor, University Of The Witwatersrand And Univ. Botswana
Co-authors
MS
Mandisa Singata-Madliki
Medical Doctor, , Universities Of Witwatersrand And Fort Hare
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
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Private Sector
Prevention and Clinical Management
Strengthening Quality of Care
Presenters
HA
Hadiza Abubakar Salele
Kano State Lead - Smile For Mothers Project, Clinton Health Access Initiative (CHAI)
Co-authors
PI
Paulette Ibeka
Manager - Smile For Mothers Project, Clinton Health Access Initiative
Olufunke Fasawe
Snr. Director PHC/SRMNH, CHAI
UI
Uchenna Igbokwe
Program Director - Smiles For Mothers Program, Solina Center For International Development And Research, Nigeria
OA
Olatunde Amode
National Service Delivery Lead - Smile For Mothers Project, Clinton Health Access Initiative
DO
Damilola Oyedele
Lagos State Program Lead - Smile For Mothers , Clinton Health Access Initiative
ON
Omaye Negedu
National M&E Lead - Smile For Mothers Project, Clinton Health Access Initiative
Process Evaluation of Introducing Non-pneumatic Anti-shock Garment (NASG) in Northern Province of Zambia
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Gender
Innovative Tools and Strategies
Prevention and Clinical Management
Presenters Oluwaseun Aladesanmi
Associate Program Director, Maternal Newborn Health, Clinton Health Access Initiative
Co-authors
AK
Aniset Kamanga
Program Manager - Monitoring And Evaluation For Sexual Reproductive Maternal Newborn Health, Clinton Health Access Initiative (CHAI)
NM
Naomi Medina-Jaudes
Research Associate, Analytics & Implementation Research (AIR), Independent Contractor
Morrison Zulu
Associate Director - Sextual Reproductive Maternal And Newborn Health, Clinton Health Access Initiative
Caren Chizuni
Chief Safe Motherhood Officer, Ministry Of Health Zambia
HS
Hilda Shakwelele
Country Director, Clinton Health Access Initiative
AM
Angel Mwiche
Ministry Of Health, The Ministry Of Health
AC
Andy Carmone
Director - Clinical Sciences, Clinton Health Access Initiative
MP
Margaret Prust
Senior Technical Advisor Research & Labs - Applied Analytics, Clinton Health Access Initiative
Associate Program Director, Maternal Newborn Health
,
Clinton Health Access Initiative
Professor
,
University Of The Witwatersrand And Univ. Botswana
Program Manager
,
Co-creation Hub
Head Safe motherhood/ Deputy Director
,
Federal Ministry of Health
Prof. Olufemi Oladapo
Head, Maternal and Perinatal Health Unit
,
World Health Organization
Project Director
,
Jhpiego
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Human-Centered Design: An Innovative Approach t...
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